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Billing Specialist
Billing SpecialistLumina Management Services LLC • Phoenix, AZ, US
Billing Specialist

Billing Specialist

Lumina Management Services LLC • Phoenix, AZ, US
[job_card.variable_hours_ago]
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  • [job_card.full_time]
[job_card.job_description]

Job Description

Job Description

This role offers an exciting opportunity to support a growing, patient-centered optometry network while specializing in insurance claims and reimbursement processes. You’ll play a key role in ensuring practices are paid accurately and on time, supporting both patient care and practice operations. If you're detail-oriented, enjoy problem-solving, and want to build a long-term career in healthcare billing, this role provides competitive pay, medical benefits, and clear opportunities for advancement within our organization. This role is remote, but for operational efficiency and team support, we strongly prefer candidates who reside in Arizona or Texas, where our offices are located.

Qualifications

  • 1–3 years of experience in medical or vision claims billing.
  • High school diploma or equivalent required; additional training in medical billing or coding preferred.
  • Proficiency in billing software, electronic claims submission, and Microsoft Office Suite.
  • Experience with Crystal PMS is preferred.
  • Familiarity with insurance providers, CPT / ICD coding, and HIPAA regulations.
  • Strong attention to detail, problem-solving ability, and excellent communication skills.
  • Ability to work independently and meet deadlines in a fast-paced environment.

This person is someone we can count on to…

  • Own : The full lifecycle of vision and medical insurance claims, from submission and tracking to reviewing denials, posting payments, and reconciling accounts. You will own the accuracy of claim processing and ensure timely reimbursement so practices can continue to provide exceptional patient care.
  • Teach : You’ll help improve workflows by sharing insights on coding accuracy, payer requirements, and best practices for clean claim submission. You’ll collaborate with office teams and providers, helping them understand documentation needs that reduce denials and improve claim turnaround.
  • Learn : The intricacies of insurance policies, CPT / ICD coding, and payer rules. You’ll develop a deep understanding of billing regulations, reimbursement processes, and how to advocate effectively on behalf of patients when discrepancies or issues arise.
  • Improve : Claim accuracy, denial resolution speed, and overall accounts receivable performance. You’ll identify patterns, reduce repeat errors, and contribute to a more efficient revenue cycle across the practices you support.
  • Within…

    1 month, this person will learn our billing systems, claims submission processes, and documentation standards. You’ll begin submitting claims, posting payments, reviewing denials, and maintaining accurate patient and billing records. Success is measured by your ability to process clean claims independently and document thoroughly.

    2 months, this person will own the daily billing workflow, including resolving routine denials and communicating with insurance companies. You’ll be able to identify common issues quickly and coordinate with practice staff to gather any missing information. Accuracy and turnaround time will be key success indicators.

    3 months, this person will fully manage vision and medical billing for assigned practices. You’ll proactively identify denial trends, recommend improvements, and ensure claims are paid in a timely manner. Your performance will be evaluated based on reductions in outstanding AR, cleaner claims, and improved reimbursement consistency for your practices.

    Potential Obstacles

  • Complex Payer Requirements : You’ll frequently encounter varying rules, documentation needs, and coverage nuances. Staying updated and asking great questions will be essential.
  • Denied or Delayed Claims : Some issues require persistence and multiple follow-ups. You’ll need to manage frustration, remain organized, and keep payers accountable.
  • Balancing Accuracy and Volume : With a steady flow of claims, you’ll need to balance speed with high attention to detail to avoid unnecessary delays or errors.
  • Communication Gaps : Resolution often requires coordination with providers and practice staff. Clear communication and follow-through will be critical to gather information quickly.
  • Growth Opportunities : Success in this role opens the door to positions such as Senior Billing Specialist, Lead Billing Specialist, or Billing Supervisor within our expanding network.

    About the Company

    Lumina Vision Partners is building a nationwide network of doctor-centric, patient-focused optometric practices, allowing independent optometrists to deliver the finest patient care. We offer innovative solutions to ambitious and forward-thinking optometrists looking to join a larger network or provide seamless transition and patient continuity for optometrists seeking to realize the value of their practices after retirement. We offer competitive pay and a comprehensive benefits package available on the 1st of the month after hire for full-time staff.

    At Lumina, our goal is to hire, retain, and grow talented team members that are passionate about providing the highest quality patient care. Our Core Values, what we expect of each other, are :

  • Integrity : Put the Patient and the Practice first. Do what you say you'll do. Be consistent and fair.
  • Accountability : Own the outcome. Finish what you start. Blame no one.
  • Collaboration : Be open, honest, transparent. Work together to overcome obstacles and achieve goals.
  • Embrace Change : Welcome process innovation. Learn and try new things. Persevere through setbacks.
  • Positive : "How do we get to Yes?" mindset. Believe the best of people. Believe you can succeed.
  • Our mission : To enhance private practice optometry by providing premier management services that support the highest quality patient care. Claims management, Payroll, HR, Accounting, Scheduling – these are a few of the services we offer so our optometrists can get back to providing high quality patient care.

    #ZR

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