MedCore Solutions, the medical division of BizForce, is excited to announce an opening for a Patient Billing Support Specialist pecializing 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
Requirements
At least 2-3 years of experience in patient billing or medical billing supportExperience in Ophthalmology / Optometry billing is essentialKnowledge of medical billing and coding standardsFamiliarity with healthcare insurance processes and policiesExcellent communication and problem-solving skillsStrong attention to detailProficiency in medical billing software and MS Office applicationsAmenable to work in any US time zonesProficiency in Eyefinity EPM or similar practice management systems.Ability to handle sensitive patient information with confidentiality and careKey Results
Resolution of patient billing inquiries within established timelinesReduction of billing discrepancies and errorsImprovement in patient satisfaction scoresCompliance with regulatory standards and company policiesEffective communication of billing information to patientsSystem Requirements
Own Desktop / LaptopProcessor : Either Intel Core i5 and up or AMD Ryzen 5 and UpRAM : 8GB and upOS : Windows 11 Pro (Windows 10 Pro is acceptable but not preferred). OS should be a legit licenseInternet Connectivity : At least 50 Mbps and should be wiredBack-up connection and Power SupplyHard Disk : At least an SSDFor Mac : Processor : Apple M1 chip; RAM : 8GB and upBenefits
Permanent Work From HomeWeekly PaychecksFixed Weekends OffGreat Company Culture and No MicromanagementThriving Company Culture with Complete AutonomyUnlock Your Potential with a Highly Competitive SalaryWho We Are
MedCore Solutions is one of the fastest-growing global outsourcing companies in the world, founded in the US in Tucson, Arizona and is now operational in PH!
Our Commitment to delivering high-quality results for our clients and the only way to do that is ensuring a rewarding, respectful and productive experience for our employees. We hold the same values for both our customers and our employees.
Why work with us?
MedCore Solutions (MCS) is a single source solution for Healthcare administration. MCS is an industry leader for medical billing, credentialing, scribing, insurance verification, compliance and virtual staffing. Upon your request our team of certified coders, can perform a detailed billing analysis to determine if you are receiving the maximum amount of revenue while conforming to CMS guidelines. Ask how MCS can streamline your hospital or practice making healthcare administration simple, effective, and affordable. We pride ourselves on giving you the best solutions tailored to your practice’s specific needs, so you can focus on your patients and revenue producing activities.