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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in medical billing for ophthalmology, optometry, and ASC services, with proficiency in CPT, ICD-10, and HCPCS coding. Strong problem-solving abilities and effective communication skills are essential for managing claims and patient interactions.
Highest-signal resume keywords
CPT CodingICD-10 CodingHCPCS CodingCertified Professional Biller (CPB)Medical Billing Experience
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims SubmissionCoding Discrepancy ResolutionEOB InterpretationPayer-Specific Billing GuidelinesReimbursement Optimization
Soft Skills
Problem-SolvingEffective CommunicationTime Management
Tools & Technologies
EHR SystemsPractice Management SystemsNextGen
Certifications & Qualifications
Certified Professional Coder (CPC)Certified Professional Biller (CPB)
Industry Keywords
Ophthalmology BillingOptometry BillingASC ServicesMedicare BillingMedicaid BillingCommercial Insurance Billing
About the role
Key responsibilities & impact- Prepare and submit insurance claims for ophthalmology, optometry, retina, and ASC services
- Utilize CPT, ICD-10, and HCPCS codes for accurate and compliant claims submission
- Review and resolve coding discrepancies and claim denials
- Track, review, and follow up on unpaid or denied claims
- Work with insurance carriers to resolve payment delays, appeals, and denials
- Post payments and adjustments accurately and timely
- Communicate with patients about billing issues, account discrepancies, and outstanding balances
- Collaborate with clinical and administrative teams to streamline billing workflows
- Stay updated on coding guidelines, payer policies, and industry best practices
Requirements
What you’ll need- Proficiency in CPT, ICD-10, and HCPCS coding
- Strong problem-solving skills for claims resolution and reimbursement optimization
- Effective verbal and written communication skills for insurance and patient interactions
- Ability to manage multiple accounts and deadlines in a fast-paced environment
- Experience using EHR and practice management systems, such as NextGen
- Minimum of 2-3 years of experience in medical billing within ophthalmology, optometry, retina, and ASC settings
- Certified Professional Biller (CPB), Certified Professional Coder (CPC), or equivalent certification preferred
- Experience interpreting EOBs and working with payer-specific billing guidelines
- Strong knowledge of Medicare, Medicaid, and commercial insurance billing practices
- Candidates must reside in one of the approved states: Colorado, Florida, Kansas, Massachusetts, Michigan, Missouri, New Mexico, Oregon, Pennsylvania, South Carolina, Virginia, Wyoming, or North Carolina
Benefits
Comp & perks- PTO Accruals Start at 3 Weeks
- Comprehensive Medical and Dental Insurance
- Company Paid Optical Allowance
- Company Paid Routine Eye Care
- Short Term and Long-Term Disability Insurances
- Educational Allowance
- Generous Paid Holiday Program
- 401K With Company Match
- Career growth plans and professional growth opportunities