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RCM - Billing Specialist Job at Total Vision LLC

Total Vision LLC Mission Viejo, CA

Job Information

  • Date Posted
    2025-08-27
  • Location
    Mission Viejo, CA
  • Job Title
    RCM - Billing Specialist
  • Gender
    Both
Total Vision LLC is a group of highly successful optometry practices that have aligned towards a common goal of world-class eye-care results for its patients and California communities. We are a company that is seeing significant growth and are looking for top-notch team members with the passion, energy, focus and commitment to excel in this type of environment.

Core duties and responsibilities:
  • Reviews and processes patient statements for multiple locations.
  • Process refund requests and post refunds into the system.
  • Reads and interprets insurance Explanations of Payments (EOP) or Explanations of Benefits (EOB) with understanding and can independently take appropriate next steps to resolve issues.
  • Posts payments, charge backs, adjustments and remark codes in a timely and accurate manner.
  • Researches difficult ERAs/EOBs.
  • Researches open accounts receivables, resolves claims errors and reprocesses claims for successful payment.
  • Maintains integrity of patient ledgers, following guidelines provided to manage balances.
  • Submits claims electronically and by paper as required. This includes sending secondary claims with attached explanation of benefits.
  • Answers incoming questions from patients and clinic team members regarding open account balances and billing issues.
  • Ensures compliance with all HIPAA/HITECH requirements as legally required and all applicable federal, state and local regulations.
  • Acts as a liaison and provides excellent customer support to teammates in our optometry practices.
  • Minimal travel to field practices may be required to meet with peers, develop strong rapport, and understand our business.
  • Other duties as assigned.
This critical role requires a teammate who:
  • Has excellent customer service skills.
  • Presents professionally and communicates clearly.
  • Embraces and aims for a paperless work environment.
  • Demonstrates ability to solve problems and work as a positive member of a team.
  • Is technology savvy and appreciates finding new ways to make processes easier.
  • Can stay focused on projects, and can multi-task when needed.
  • Brings his/her best self to work everyday and can contribute positively to a team environment.
  • Desires a long-term growth opportunity.
Position Requirements:
  • Healthcare billing experience: 1 year (optometry preferred, but not required)
  • Strong typing and data entry skills including 10-key
  • Basic knowledge of Microsoft products including: Excel, Word, and Outlook
Additional Desired Experience (not a requirement):
  • Healthcare payment posting
  • Healthcare insurance and patient collections
  • Acuity Logic, Compulink, Eyefinity PM and/or Officemate experience a plus
  • Optical billing, Vision Therapy billing, Medicare and Medi-Cal billing experience a plus
Education:
  • High School diploma or General Education Degree (GED)
Physical Requirements:
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.
  • Must be physically able to sit for long periods of time, read a computer screen for long periods of time, reach, and lift up to 20 lbs. Hand dexterity, and eye and hand coordination critical. Employee is subject to inside environmental conditions. Employee’s schedule could include after hour projects, as needed. Travel to other practices, as needed.
This description is not intended to include all job duties. Team members may be requested to do other job-related tasks other than those listed here.
Total Vision Care is an EEO/Affirmative Action Employer and does not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability or any other legally protected status.

We thank all applicants in advance for their interest in this position, however, only those selected for an interview will be contacted.


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