Optometry Biller - RCM

Optometry Biller - RCM

Job Summary

We are seeking a detail-oriented and experienced Optometry Biller (PAA) to join our team. The ideal candidate should have at least 1 year of experience in optometry or vision billing and a strong understanding of billing processes, coding, and insurance claims related to eye care services.

Key Responsibilities

Process and submit vision and medical claims accurately and in a timely manner.

Verify patient eligibility and benefits for vision and medical insurance plans

Handle prior authorizations when required.

Review and ensure proper use of CPT, HCPCS, ICD-10 codes, and modifiers

Follow up on unpaid claims and conduct denial management.

Resolve claim rejections and denials related to vision and optometry services.

Coordinate with providers and internal teams to ensure accurate documentation.

Maintain compliance with payer guidelines and billing regulations.

Qualifications

At least 1 year of experience in optometry/vision billing

Strong knowledge of vision insurance payers (e.g., VSP, EyeMed, Davis Vision, etc.)

Familiarity with routine vs. medical eye exam billing.

Proficiency in CPT, HCPCS, ICD-10 coding, and modifiers specific to optometry.

Experience handling vision claim denials and appeals

Knowledge of common billing systems and EHR platforms.

High attention to detail and strong analytical skills.

Excellent communication and problem-solving abilities.

Preferred Skills

• Experience working in a healthcare or optometry practice
• Familiarity with U.S. healthcare insurance processes
• Prior experience in revenue cycle management (RCM)