Experienced Ophthalmology Billing Manager – Remote Opportunity for a Seasoned Professional in Medical Billing and Revenue Cycle Management

Introduction to Eyecare Services Partners

Eyecare Services Partners (ESP) is a pioneering company in the eyecare industry, dedicated to creating the nation's leading eyecare services company in both quality and scale. By consolidating ophthalmologic and optometric practices and ambulatory surgery centers, ESP aims to provide exceptional eye care services to communities across the country. Our organization is built on a foundation of inclusion, belonging, and a culture of caring, listening, and service. We believe that by fostering an environment where everyone can bring their authentic selves to work, we can make a positive impact on the lives of our patients and employees alike.

About the Role

We are seeking an experienced Ophthalmology Billing Manager to join our team in a remote capacity. As a seasoned professional in medical billing and revenue cycle management, you will be responsible for overseeing the insurance department, including all aspects of billing, posting, collections, employee management, refunds, verifications, pre-certifications, and referrals. This is an exceptional opportunity to leverage your skills and experience to drive success in a dynamic and growing organization.

Key Responsibilities

• Examine billing systems to ensure their accuracy through routine audits, identifying areas for improvement and implementing process enhancements as needed
• Ensure claims are correctly submitted and denials are appealed and resubmitted within the timeframe for filing consideration, minimizing delays and maximizing revenue
• Manage the investigation and resolution of billing discrepancies and errors, providing timely and effective solutions to ensure patient satisfaction and revenue integrity
• Supervise billing and collections processes to guarantee optimization in work-flow, leveraging technology and best practices to streamline operations and improve efficiency
• Review unpaid patient balances and establish payment arrangements, working closely with patients and families to find mutually beneficial solutions
• Follow-up on overdue accounts and secure payments, utilizing effective communication and negotiation skills to resolve outstanding balances
• Prepare bi-monthly charges report for clinic, providing timely and accurate financial information to support business decisions
• Manage accounts receivable reports, analyzing data and trends to identify areas for improvement and optimize revenue cycle performance
• Respond to inquiries and resolve issues related to medical billing tasks, providing exceptional customer service and support to patients, physicians, and staff
• Support co-workers with billing, insurance or account inquiries and provide assistance, fostering a collaborative and supportive team environment
• Handle sensitive information in a confidential manner, maintaining the highest level of professionalism and integrity in all interactions
• Respond and assist with physician coding questions, providing expert guidance and support to ensure accurate and compliant coding practices
• Act as a liaison between practice, physicians, staff, patients, and billing office, facilitating effective communication and coordination to ensure seamless operations
• Conduct routine staff meetings to review team performance and communicate department initiatives and expectations, promoting a culture of transparency, accountability, and continuous improvement
• Primary contact for addressing patient billing complaints, providing timely and effective resolutions to ensure patient satisfaction and loyalty
• Execute duties of position in a professional and courteous manner, embodying the values and mission of Eyecare Services Partners
• Perform additional tasks as directed, demonstrating flexibility and adaptability in a fast-paced and dynamic environment

Essential Qualifications

• At least 5 years of experience in revenue cycle management, medical collections, claims processing, and/or accounts receivable, with a minimum of 2 years in a management or supervisory capacity
• Medical billing experience must include Medicare, managed care, and commercial insurance carriers, with a strong understanding of billing regulations and compliance requirements
• High school diploma required, with an undergraduate degree preferred
• Experience in ophthalmology billing is required, with NextGen experience highly preferred

Preferred Qualifications

• Advanced degree in a related field, such as healthcare administration or business
• Certification in medical billing or revenue cycle management, such as CPC or CPB
• Experience with electronic health records and practice management systems
• Strong analytical and problem-solving skills, with the ability to analyze data and trends to identify areas for improvement
• Excellent communication and interpersonal skills, with the ability to build strong relationships with patients, physicians, and staff

What We Offer

In return for your expertise and dedication, we offer a comprehensive benefits package, including:

• Competitive salary and bonus structure
• Comprehensive medical, dental, and optical coverage
• 401K and short- and long-term disability insurance
• Company-paid life insurance
• Paid holidays and generous paid time off
• Paid parking where applicable
• Team-oriented working environment where you are heard and respected
• Clear career ladder opportunities, with a focus on professional development and growth

Our Culture and Values