Rocky Mountain Retina Consultants, LLC

Job Description Job Description Position Description: Medical Biller – Full-Time South Salt Lake City, UT Rocky Mountain Retina Consultants Rocky Mountain Retina Consultants, a dynamic and growing private retina practice in South Salt Lake City, is seeking a hard-working, detail-oriented Medical Biller to join our team. This is an exciting opportunity to work in a supportive, professional environment where your skills and dedication will be valued and rewarded. Position Overview: As a Medical Biller, you will collaborate closely with our administrative and clinical teams to ensure accurate and timely claim submissions, collections, and account management. You’ll also assist with: •\tProfessional claims creation and submission •\tInsurance collections and follow-up •\tPrior authorizations •\tAR and appeals •\tPatient account discussions •\tAnswering phones and general office support Qualifications: •\tRequired: Previous experience with medical billing and coding; Ophthalmology...

Job Description Job Description Position Description: Our busy, growing retina practice is seeking an experienced Medical Billing Specialist to join our revenue cycle team. The ideal candidate will have extensive knowledge of ophthalmology or retina billing and a proven ability to maximize reimbursement through effective claims management, denial resolution, appeals, and buy-and-bill prior authorization processes.This position plays a critical role in ensuring timely reimbursement while maintaining compliance with payer guidelines and industry regulations.Essential Responsibilities:•\tManage insurance claim submissions, payment posting, and accounts receivable follow-up.•\tInvestigate, resolve, and appeal denied or underpaid medical claims with commercial insurers, Medicare, and Medicaid.•\tPrepare and submit comprehensive first-level and second-level appeals, including supporting medical documentation and payer-specific requirements.•\tMonitor payer trends and identify root...