Job Description
Over the years, Ophthalmology LTD's name provides the highest quality of comprehensive medical and surgical eye care. Highly trained ophthalmologists, as well as experienced optometrists, combine their considerable expertise to give each and every patient the best possible care. Ophthalmology LTD delivers treatment for cataracts, glaucoma, and diabetic eye disease, as well as cornea transplants, oculoplastic surgery, retina surgery, vitreoretinal surgery, and pediatric eye care in Sioux Falls.
We are looking to add a Revenue Cycle Coordinator to our team. This person will be responsible for monitoring productivity and effectiveness, while ensuring adherence to all processes per the most current coding and billing guidelines. Revenue cycle coordinator should be able to recognize and communicate inadequate or incorrect documentation so that all coding is completed in a compliant manner. If you are someone who thrives on organization, teamwork, and being a helpful person who understands our purpose of helping our patients, we welcome the opportunity to talk!
Job duties include:
- Assist the Revenue Cycle team in their daily activities and workload.
- Assist the Revenue Cycle Manager in developing and implementing strategies to optimize billing processes, reduce denials and improve cash flow.
- Conduct regular audits to monitor coding and billing accuracy and identify areas for improvement.
- Monitors workflow processes necessary to ensure all billing and collection functions are handled thoroughly and professionally.
- Identifying denial trends and reporting data to the Revenue Cycle Manager.
- Serves as a point of contact for the practice management system.
- Assist with counseling patients in understanding medical benefits for services provided, self-pay obligations, and set up payment plans and agreements according to Ophthalmology Ltd. Patient Financial Policies. Electronic and paper claims submission, scrubbing, and monitoring claims and reports via clearinghouse software. Claims follow-up to include identifying errors and performing modifications as necessary for resubmission due to claim denials and/or inadequate reimbursement.
- Understands and is able to perform charge entry of clinic and surgery charges, to include monitoring and reviewing chart documentation, and assigning and appropriately linking CPT/ICD codes for claim accuracy and monitoring posting reports for accuracy.
- Understand payment posting (auto-post, ERA/EFT, and manual) to include contractual adjustments and monitoring of overpayments and refunds.
- Patient Account management to include in clinic or phone inquiries and counsel patients on out-of-pocket estimates, self-pay balances, and payment plans.
- Daily and monthly reconciliation, balancing; perform internal audits of medical record documentation on a routine basis; communicate and educate doctors and staff as appropriate.
Education and Training requirements:
- High School Diploma.
- Prefers post-secondary education.
- CPC Certification. Ophthalmic coding experience preferred.
- Ideal candidate will possess knowledge of CPT and ICD coding in medical practice and has a thorough understanding of medical terminology and anatomy.
- Minimum 2 years medical billing experience in physician office setting with knowledge of various medical payer practices and insurance laws/guidelines (Medicare, Medicaid, Work Comp, VA, and other third-party payers). 2 years computer experience with more than two practice management A/R and Electronic Medical Record Systems.
- Excellent communication skills, written and oral. Exemplary customer service. Strong organization skills. Well-organized with attention to detail and accuracy. Excellent follow-up, problem-solving, and resolution skills.
Full-time position, 40 hours/weekly, the schedule may vary between 7:00 am and 5 pm, Monday - Friday.
We offer competitive pay and a comprehensive benefits package! Includes medical, dental, 401K, life insurance/ AD&D; Short-term and long-term disability insurance; PTO; Extended Sick Leave; Vision Benefits; Paid Holidays; and more!
We are an EO employer - Minority/Female/Veteran/Disability.