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AI Summary
Responsible for accurately preparing, reviewing, and submitting insurance claims while resolving billing issues to ensure timely reimbursement. The role involves verifying patient eligibility, performing charge posting, and maintaining compliance with billing regulations.
Schedule: Monday–Friday- Days
Position Overview
We are seeking a detail-oriented Medical Billing Specialist to join our experienced billing team. This role is responsible for accurately preparing and submitting claims, resolving billing issues, and ensuring timely reimbursement. The ideal candidate thrives in an independent, self-starter work environment and demonstrates strong accuracy, problem-solving, and accountability.
Key Responsibilities
- Prepare, review, and submit insurance claims accurately and timely
- Verify patient insurance coverage and eligibility
- Perform charge posting and ensure accurate diagnosis documentation
- Follow up on unpaid or denied claims to facilitate resolution
- Respond to inquiries from patients, optometrists, and internal staff
- Review edits and make necessary corrections prior to claim submission
- Maintain compliance with billing regulations, policies, and procedures
Preferred Experience
- Background in optometry or ophthalmology billing strongly preferred
- Experience working with multiple EHR systems; familiarity with Epic is a plus
- Ability to work independently with expectation to be fully autonomous within 6 months and transition to Epic within 12 months
Key Skills & Competencies
- Strong attention to detail and accuracy under deadlines
- Ability to manage workload independently in a remote environment
- Analytical thinking with strong problem-solving skills
- Proficiency with computers and billing software applications
- Strong written and verbal communication skills
- Ability to quickly learn new systems and processes
Requirements
- Requires high school diploma or equivalent.
•Requires two years experience in medical insurance billing in a healthcare or insurance organization.
• Requires working knowledge of medical billing practices and clinical policies and procedures.
• Requires working knowledge of CPT and ICD medical coding.
• Requires demonstrated ability to operate a ten-key adding machine by touch.
• Requires ability to operate personal computer and familiarity with various software applications.
• Requires excellent written and verbal communication skills.
• Requires attention to detail with accuracy for extended periods of time under strict time constraints.
• Requires analytical skills to help identify problems and recommend solutions.
• Requires attending on-going educational programs to ensure current and accurate industry knowledge.
• Requires highest level of professional behavior in manner, appearance and communication pursuant to department guidelines.
• Requires ability to maintain confidentiality of any patient or employee medical, financial or personal information; including records and data to which there is access.
• Responsible to challenge unauthorized individuals from viewing such confidential patient or employee information or accessing restricted areas.
About the Team
You’ll be joining a small, highly experienced billing team that values accuracy, collaboration, and continuous improvement.
Success Profile (Benchmarks)
- Quickly adapts to workflows and system processes
- Demonstrates ability to work independently within first 6 months
- Consistently submits clean claims with minimal errors
- Contributes to reduced denials and improved reimbursement timelines
- Indiana University Health has nearly 40,000 team members, including more than 3,600 physicians and 1,200 advanced practice providers, and we’re home to the largest nursing network in Indiana with more than 9,000 nursing team members at over 800 sites of care.
- IU Health is ranked No. 1 in Indiana by U.S. News & World Report, Riley Children's Health is ranked among the top children's hospitals in the country by U.S. News & World Report.
- A unique partnership with the Indiana University School of Medicine – one of the nation’s largest medical schools – gives patients access to groundbreaking research and innovative treatments, and it offers team members access to the latest science and the very best training – advancing healthcare for all.
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With 15 hospitals, including seven with Magnet designation and eight with Pathways to Excellence designation, our team members are leading the way through excellence.
- At Indiana University Health, your personal and professional growth is a top priority. You will have access to many diverse opportunities to learn and develop in meaningful ways that matter most to you, such as advanced clinical training, leadership development, promotion opportunities and cross training development.
- Indiana University Health is invested in the lives of Hoosiers, leading the transformation of healthcare to make Indiana one of the nation’s healthiest states.
Indiana University Health is Indiana’s most comprehensive health system, with 15 hospitals and nearly 40,000 team members serving Hoosiers across the state. We’re looking for team members who are inspired by challenging and meaningful work for the good of every patient. People who are compassionate and serve with a purpose. People who aspire to excellence every day.
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