RCM OPH/RCM Specialist
Core
Revenue Cycle Management Specialist handling billing, coding, and accounts receivable for ophthalmology practices.
Role type
Senior IC medical billing specialist
Builds
Cleaned claims and collected payments for vision care providers
Domain
Healthcare / Ophthalmology / Revenue Cycle Management
Required skills
Medical insurance billing, CPT and ICD-10 coding, Insurance claim submission, Accounts receivable management, Explanation of Benefits (EOB) interpretation, Coordination of Benefits (COB), Denial management and appeals, Practice management software proficiency
Preferred skills
CPC, RHIT, CCS, or CMC coding credentials, Ophthalmology practice experience, Microsoft Excel proficiency
Responsibilities
Prepare, review, and transmit vision claims; Post payments into practice management systems; Follow up on unpaid claims and manage aging reports; Handle insurance claim denials and exceptions; Verify insurance payments for compliance; Address demographic and medical record requests; Answer patient and insurance inquiries; Report payment discrepancies and denial trends.
Seniority
Mid-level, hands-on IC