Patient Billing Support (Ophthalmology / Optometry)

Patient Billing Support Specialist

MedCore Solutions, the medical division of BizForce, is excited to announce an opening for a Patient Billing Support Specialist specializing in Ophthalmology / Optometry. In this role, you will provide essential support to patients and healthcare providers in managing billing inquiries and resolving issues related to patient accounts. You will play a key role in ensuring accurate billing processes and a high level of patient satisfaction while working remotely in a permanent work-from-home environment.

Responsibilities

• Respond to patient inquiries regarding billing statements, balances, and available payment options.
• Clearly explain insurance coverage, deductibles, co-pays, and out-of-pocket costs.
• Provide empathetic and professional assistance to patients with billing concerns.
• Investigate and resolve discrepancies, denied claims, and other billing-related issues.
• Coordinate with healthcare providers and insurance companies to clarify claim statuses and resolve payment concerns.
• Assist in the appeal process for denied claims when necessary.
• Help patients set up payment plans and process payments or refunds accurately.
• Educate patients on financial policies and available options to manage outstanding balances.
• Support patients in understanding insurance plans, including TRICARE, Medicare, Medicaid, and coordination of benefits (COB).
• Provide guidance on eligibility and insurance benefits.
• Maintain accurate and up-to-date records of all patient interactions and billing activities using practice management software.
• Ensure compliance with HIPAA and other regulatory standards.
• Escalate unresolved issues to the billing or collections team as needed.
• Contribute to ongoing improvements in billing processes and procedures.

Other details : Start Date : TBD

Schedule : 8 hours / day Monday-Friday; 40 hours / week

Days Off : Saturday & Sunday

Time zone : Eastern Standard Time

Duration : Full-time; Steady state