Ophthalmology Medical Billing Specialist

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Optivate

WebsiteLinkedInAll Job Openings

51 - 200 employees

🏥 Healthcare

☁️ SaaS

⚕️ Healthcare Insurance

Healthcare • SaaS • Healthcare Insurance

Optivate is a company that builds a unified ophthalmology software platform. Their suite includes an electronic health record (EHR) tailored for ophthalmology, AI tools for ophthalmology (documentation assistance), image management for diagnostic imaging, practice management (scheduling, billing, operations), patient engagement (automated communication and digital intake), revenue cycle management (billing and collections support), and optical inventory and POS integration. They target ophthalmology practices and providers, emphasizing faster clinical workflows, reduced administrative burden, operational control, and improved patient outcomes. They have industry recognition (ranked #1 in 2024 KLAS Ophthalmology Report) and provide case studies from various eye practices. Address in Bonita Springs, FL. The company focuses on integrating clinical, imaging, billing, and operational features specifically for eye care.

📋 Description

• Submit claims electronically to insurance companies • Review and follow up on denied claims to ensure proper reimbursement • Generate and analyze reports on billing activity and identify areas for improvement • Research and resolve discrepancies in patient information and claims • Identifies and reports unpaid/underpaid claim trends • Post Payments as required to Accounts Receivable • Apply adjustments to patient accounts as appropriate • Prepare and submit daily/weekly/monthly reports on payment activity as directed by management • Communicate effectively with other members of the team • Maintain a positive and collaborative working environment • Provides excellent customer services to patients and clients • Maintains up-to-date knowledge of industry knowledge/changes

🎯 Requirements

• High school diploma or equivalent required • Minimum of 3-5 years of experience in medical billing field required • Proficiency in medical coding systems (CPT, ICD-10- CM) • Excellent understanding of healthcare insurance billing procedures • Strong analytical and problem-solving skills • Excellent attention to detail and accuracy • Proficient in Microsoft Office Suite (Word, Excel) • Ability to work independently and as part of a team • Excellent communication and interpersonal skills • Ability to meet deadlines • Strong organizational and time management skills • Ability to learn new software and procedures quickly

🏖️ Benefits

• Comprehensive benefits including medical, dental, vision, and 401(k) • Generous paid time off and holiday schedule