NYC OPTICAL is a leading provider of comprehensive eye care services dedicated to improving our patients' vision and overall eye health. Our team of experienced professionals offers personalized care with a commitment to excellence. We are currently seeking a detail-oriented Insurance Payment Data Entry Specialist to join our dynamic administrative team. Job Overview: The Insurance Payment Data Entry Specialist will be responsible for accurately entering and managing insurance payment data within our billing system. This role involves handling various aspects of insurance claim processing, patient account management, and ensuring timely and accurate payment processing. Key Responsibilities: Enter and maintain accurate insurance payment information in the clinic’s billing system. Verify patient insurance details and payment amounts to ensure accuracy. Assist with the preparation, submission, and follow-up of insurance claims. Resolve discrepancies and address issues related to insurance payments and claims. Communicate effectively with insurance companies, patients, and clinic staff to facilitate smooth payment processing. Maintain organized and up-to-date records of all transactions and communications related to insurance payments. Ensure compliance with relevant regulations and standards. Qualifications High school diploma or equivalent; associate’s or bachelor’s degree in a related field is a plus. Previous experience in insurance payment processing, data entry, or a similar role preferred. Strong attention to detail and accuracy in data entry. Proficiency in medical billing software and Microsoft Office Suite (Excel, Word). Excellent organizational and time-management skills. Strong communication skills and the ability to work effectively. Knowledge of medical terminology and insurance procedures is an advantage. NYC Optical is an equal-opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Job Types: Full-time, Temp-to-hire Pay: $17.00 - $21.01 per hour Expected hours: 40 per week Benefits: Employee discount Flexible schedule Paid time off Vision insurance Schedule: 8 hour shift Monday to Friday No weekends Experience: Microsoft Excel: 1 year (Required) Ability to Commute: Brooklyn, NY 11239 (Required) Ability to Relocate: Brooklyn, NY 11239: Relocate before starting work (Required) Work Location: In person
Key Responsibilities: Review and process patient billing data accurately and in a timely manner. Submit claims to Medicare, Medicaid, and private insurance companies. Follow up on unpaid claims and conduct necessary resubmissions for denied claims. Handle appeals for rejected claims and ensure timely resolution. Communicate effectively with insurance companies, patients, and healthcare providers to resolve billing issues. Maintain up-to-date knowledge of billing regulations and homecare policies. Process and verify medical codes for patient services, ensuring compliance with state and federal regulations. Work closely with the clinical team to ensure accurate billing for services rendered. Maintain organized and accurate billing records. Qualifications: 3+ years of medical billing experience, preferably in homecare or healthcare settings. Experience with resubmissions and appeals processes. Proficiency in billing software and working knowledge of medical terminology and coding. Strong knowledge of Medicare, Medicaid, and private insurance billing and reimbursement policies. Excellent attention to detail and organizational skills. Strong communication skills to interact with insurance companies, patients, and internal teams. Ability to work independently and manage multiple tasks efficiently.