Patient Account Representative - Medical Billing

About Us

OCLI is an innovative, world-renowned multi-specialty Ophthalmology practice. We have offices throughout Nassau and Suffolk County, Manhattan, Lehigh Valley Pennsylvania, New Jersey and Connecticut, as well as a surgery center in Westbury, NY, Norwalk, CT and Lehigh Valley, PA. Our practitioners are some of the most respected physicians in the region, earning their reputations as esteemed innovators and complication-solvers. Through our dedicated team of physicians and support staff, we deliver the highest quality, personalized eye care in comfortable and technologically advanced offices.

In response to the COVID-19 situation, OCLI is following enhanced safety protocols consistent with guidelines put forth by the CDC and the World Health Organization (WHO) to protect our patients and colleagues. Click here to learn about how we are keeping you safe.

Some of the benefits of joining our team include:

• Opportunities for growth and advancement in the field of Ophthalmology
• Study materials provided and reimbursement for exam expenses related to certifications for: Ophthalmic Scribe, Ophthalmic Technician, Ophthalmic Assistant and Ophthalmic Coding Specialist
• Bonuses upon certification
• Paid Time Off
• Health Insurance options
• Life insurance policy
• 401K plan
• Employee Referral Program

Summary: Responsible for billing, follow-up and collection of insurance claims; maintaining correspondence with carriers, and documentation regarding same; working with supervisor of the accounts receivable department to review problem accounts and identify necessary action to be taken.

Essential Duties and Responsibilities include the following:

• Responsible for full collection procedures on all patients.
• Calls those accounts which are 60 days past due.
• Establishes possible payment plans if appropriate and agreeable.
• Maintains daily work log of accounts; follows-up on non-payments.
• Answers patients' questions and resolves problems regarding statements, patient account balances and insurance coverage.
• Researches, determines appropriate payor and follows up with unpaid insurance claims to obtain settlement of claim.
• Researches credits and over-payments.
• Monitors the results of previous letters; sends stronger letters if no activity has resulted.

Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Position Type/Expected Hours of Work

This is a full time position Monday through Friday. This position requires 8.5 hours per day with a 30 minute unpaid lunch.

Education and/or Experience

High school diploma or general education degree (GED); and minimum five years’ experience and/or training in Accounts Receivables; or equivalent combination of education and experience.

Certificates, Licenses, Registrations

OSC or CPC/COPC required for Advanced Zone Range.

Language Skills

Ability to read and interpret documents such as written instructions, short correspondence and procedure manuals. Ability to present information one on one or in small groups to patients, co-workers or supervisors.

Mathematical Skills

Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.

Reasoning Ability

Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, or schedule form.

Computer Skills

To perform this job successfully, an individual should have knowledge of Next Gen, or similar practice management software; Excel and Microsoft Word.

Other Qualifications

Knowledge of government and other third party payor requirements and policies.

Knowledge of CPT coding and ICD-9 coding with an emphasis in ophthalmology

Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this Job, the employee is regularly required to sit and use hands to finger, handle, or feel. The employee is frequently required to reach with hands and arms. The employee is occasionally required to stand. The employee must occasionally lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision, depth perception and ability to adjust focus.

Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.