Specialty Billing Representative

Join to apply for the Specialty Billing Representative role at Mid Atlantic Retina 3 days ago Be among the first 25 applicants Join to apply for the Specialty Billing Representative role at Mid Atlantic Retina Get AI-powered advice on this job and more exclusive features. This position is eligible for Mid Atlantic Retina's $1,000 Hiring Incentive! The hired candidate will receive $500 after successful completion of 90 days of employment and $500 after successful completion of 1 year of employment! Available to new hires only- not available to agency hires, internal transfers, or re-hires. Job Type : Full Time Benefits: Medical, Dental, Vision, Sick Time, Vacation Time, 7 Paid Holidays and more Job Description Specialty Billing is responsible for verifying all benefits as they pertain to specialty drug injections and all the co-pay assistance funds. They are also responsible for following up with accounts receivable for any necessary payer. Essential Functions Verifies all benefits for scheduled injection appointments. Evaluates all benefits for patient responsibility and notates accurate collection amounts. Obtains all necessary pre-authorizations or pre-determinations for each patient to have treatment with a specialty drug. Monitors all assigned schedules for add-ons and changes. Assists in general billing AR when needed including but not limited to claims follow up, calls to insurances and anything necessary to obtain payment for all specialty drugs. Recognizes, interprets, and evaluates inconsistencies, discrepancies, and inaccuracies in accounts along with system files, and initiates appropriate corrective methods. Act as customer service representative in person or by telephone for any patient's questions about their account. Maintain up to date billing knowledge of insurance carriers and their clinical policies. Works overtime as needed. Travels to other MAR locations as needed. Performs other duties as assigned. Competencies Problem Solving / Analysis - Creative problem solving within defined acceptable parameters. Identifies and resolves problems in a timely fashion. Customer Service- Superior listening skills, professional demeanor, and appropriate firmness. Conflict Resolution- Responds promptly to customer needs. Ability to handle difficult patient interactions relative to sensitive billing issues. Detail Oriented - Ensure proper procedures, protocols and processes are complied with consistently. Strong Interpersonal Skills- Works effectively with patients, employees, and physicians. Creative problem solving within defined acceptable parameters. Time Management- maintains high volume productivity level for essential functions. Ethical Conduct - Maintains confidentiality. Required Education And Experience Medical billing experience preferred. Knowledge of benefit investigation including obtaining eligibility information, authorizations, and referrals. Experience with CPT codes and ICD-10. Microsoft Office Suite required. Seniority level Seniority level Entry level Employment type Employment type Full-time Job function Job function Accounting/Auditing and Finance Industries Medical Practices Referrals increase your chances of interviewing at Mid Atlantic Retina by 2x Sign in to set job alerts for “Billing Representative” roles. Specialty Billing Pre-Authorization Representative Bethlehem, PA $55,000 - $70,000 2 weeks ago Banking Associate- Harleysville, PA (40 hours) Scheduling Coordinator (Dental Office) (FT) Allentown, PA $40,768.00 - $52,416.00 1 month ago Allentown, PA $40,768.00 - $52,416.00 1 month ago Allentown, PA $35,109.01 - $45,140.16 1 month ago Allentown, PA $35,109.01 - $45,140.16 1 month ago Administrative Assistant/ Intake Coordinator Center Valley, PA $48,000 - $55,000 1 week ago We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI. J-18808-Ljbffr

Location: Belém, Pará, BR

Posted Date: 7/11/2025