Ophthalmology & Retina Medical Billing Specialist

Encoda LLC is a technology-enabled services company that has spent the last 30 years developing patented revenue cycle management tools that enhance the billing cycle. This technology is at the heart of our services and what separates us from all other RCM companies. The industry has gone past the point where a smart, experienced employee can make all the difference. In today’s world of complex reimbursement, you must have both the right people and the right technology to maximize revenue and timely payments. Encoda completed a private equity recapitalization with Hughes & Company, positioning us to accelerate the development of our rules-based workflow and analytics software and expanding its use to other areas of the healthcare reimbursement cycle that continue to plague physician groups.

WHO YOU ARE

As a Medical Biller, you are part of an experienced billing team helping streamline and automate RCM workflow for our clients, while enhancing the billing cycle and providing detailed transparency and visibility into the Revenue Cycle Management process. You will perform billing services for our clients which will significantly improve their rejection and denial management processes, reduce days in A/R, increase medical reimbursement, and receive a level of visibility and transparency into their billing cycle that other solutions on the market do not provide.

We are looking for career-minded people, with the ability to see the world as we do – changeable.

A DAY IN THE LIFE

• Claim scrubbing, submission, reconciliation, and the correction and re-submission of problematic claims
• Identify payer adjudication/rejection trends and issues and assist Encoda technical team to implement new business logic to further automate claim processing workflows
• Payment posting and ERA processing with proficiency and attention to detail to ensure accuracy
• Assist Encoda’s Client Success Manager and RCM Manager in keeping assigned clients informed of their revenue cycle performance and areas in need of improvement
• Escalate client issues with suggested resolutions to management
• Provide timely and professional communication with clients, their staff, team members, and management
• Meet all personal and departmental A/R goals
• Participate in continuing education for applicable software and industry trends

Requirements

• High school diploma and/or GED required
• Medical billing and coding education and/or minimum of 1-year medical office experience required
• 3+ years of ophthalmology and/or retina billing experience
• Knowledge of medical terminology, and the ability to interpret insurance EOB’s
• Knowledge of and proficiency using CPT, HCPCS, and ICD-10 codes
• Proficiency using medical software, Outlook, Microsoft Excel, Word, and internet in general
• Knowledge of physician practice processes
• OB/GYN, Plastic, Orthopedic, or Dermatology billing experience a plus
• CPC Certification a plus
• Bi-lingual a plus
• Medical billing: 2 years (Required)
• Nextech, Athena, Greenway, or Modmed: 1 year (Preferred)
  

Benefits

• Competitive compensation
• Market competitive healthcare coverage (medical, dental, vision, life, and disability insurance) and a 401(k)
• PTO policy designed to create work/life balance
• The opportunity to be a part of a leading Revenue Cycle Management organization with a strong mission and set of values

Salary: $17.00 - $20.00 per hour

Work Location: Remote