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Commission Remote Optometry Billing Jobs (NOW HIRING)

Attractive base salary and commissions * Competitive health coverage (medical, dental, vision ... remote work is not an option at this time. Applicants must be able to work legally within the ...

Direct Bill Specialist

Dallas, TX · Remote

$17.75 - $23.75/hr

... remote environment with distributed teams Key Qualifications: * 3-5+ years of insurance, premium accounting, or Direct Bill experience. * Experience managing aged receivables and commission ...

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Commission Remote Optometry Billing information

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How much do commission remote optometry billing jobs pay per hour?

As of Sep 13, 2026, the average hourly pay for commission remote optometry billing in the United States is $21.96, according to ZipRecruiter salary data. Most workers in this role earn between $18.03 and $23.08 per hour, depending on experience, location, and employer.

What is commission remote optometry billing?

Commission remote optometry billing refers to a billing specialist or company who handles billing tasks for optometry practices remotely (not on-site) and is compensated based on a percentage of the collections or revenue they help generate. These professionals manage insurance claims, patient billing, and payment collections from a distance, using digital tools and communication. This arrangement allows optometry practices to save on in-house staffing costs while accessing specialized billing expertise. It also incentivizes the billing provider to maximize collections since their earnings are commission-based.

What are the key skills and qualifications needed to thrive as a commission remote optometry billing specialist?

To thrive as a Commission Remote Optometry Billing Specialist, you need a solid understanding of medical billing, coding (especially for optometry), and insurance claim processes, usually supported by relevant experience or certification. Familiarity with billing software (such as Eyefinity or OfficeMate), electronic health records (EHR), and HIPAA compliance is typically required. Strong attention to detail, organizational skills, and effective written communication are crucial for resolving claim issues and collaborating with providers. These skills ensure accurate and timely reimbursement, reduce claim denials, and maintain positive relationships with both patients and insurance companies.

What are some of the most common challenges faced in a commission-based remote optometry billing role?

One of the main challenges in a commission-based remote optometry billing position is managing the variability in income, which depends on the number of successful claims processed and payments collected. Additionally, staying updated on changing insurance policies and compliance regulations can be demanding, requiring continual learning and attention to detail. Remote work also means a high degree of self-motivation and excellent time management skills are essential to meet deadlines and targets. Collaboration with optometrists, office staff, and insurance representatives is often conducted virtually, so clear communication and proactiveness are key to resolving billing issues efficiently.

What is the difference between Commission Remote Optometry Billing vs Remote Optometry Technician?

AspectCommission Remote Optometry BillingRemote Optometry Technician
CredentialsTypically requires billing certifications or experience in medical billingRequires optometry assistant or technician certification
Work EnvironmentRemote, billing-focused, administrative roleRemote or in-clinic, assisting with patient care and exams
Industry UsageCommonly used in optometry practices for billing servicesUsed in optometry clinics for patient support and exam assistance

Commission Remote Optometry Billing focuses on managing insurance claims and billing processes remotely, often requiring billing certifications. Remote Optometry Technicians assist with patient exams and support, usually needing optometry-specific certifications. Both roles are remote but serve different functions within the optometry industry.

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Infographic showing various Commission Remote Optometry Billing job openings in the United States as of September 2026, with employment types broken down into 1% As Needed, 83% Full Time, 9% Part Time, and 7% Contract. Highlights an 71% Physical, 1% Hybrid, and 28% Remote job distribution, with an average salary of $45,672 per year, or $22 per hour.

Billing Lead | Preceptor Home Health & Hospice

Germantown, WI • On-site, Remote

Full-time

Posted 16 days ago


Key responsibilities

  • Manage accurate, timely completion and submission of billing, collections, and accounts receivable functions.

  • Oversee and approve claims audits, conduct final billing audits, and assign tasks to the pre-billing team based on findings.

  • Monitor aged accounts receivables, resubmit bills for overdue accounts, and coordinate with collection agencies for seriously overdue accounts.


Job description

Billing Lead

Location: Germantown, WI (Remote-Within Wisconsin)


Position Type: Full Time - Can be remote or in office

JOB SUMMARY:

Responsible for managing accurate, timely completion and submission of all the billing, collections, and accounts receivable functions for portfolio.  Responsible for leading the billing and collections team.

DUTIES & RESPONSIBILITIES:

Ensures reimbursement through efficient billing and collections operations and effective accounts receivable management.

Provides oversight and approval of claims audits and processing. Conducts final billing audit and issues assignments to pre-billing team when findings require further documentation.

Ensures that billing and patient accounts record systems are maintained in accordance
with generally accepted accounting principles and in compliance with state, federal and Joint Commission regulations.

Maintains comprehensive working knowledge of payer contracts and ensures that payers are billed according to contract provisions.  Represents and acts on behalf of agency in resolving conflicts with payers.

Advises Executive Director in matters of accepting/declining problematic payers.

Maintains comprehensive working knowledge of government billing regulations including Medicare and Medicaid regulations and serves as a resource for appropriate agency personnel.

Maintains comprehensive working knowledge of payer contracts and ensures that payers are billed according to contract provisions.

Monitors aged accounts receivables and resubmit bills to overdue accounts, submits seriously overdue accounts to collection agencies for collection, and prepares bad debt reports for weekly meetings.

Gathers, collates, and reports key billing information to billing team.  Works with Executive Leadership Team in strategizing monthly, quarterly and annual goals for optimized billing efficiency.

Collaborate with the Executive Director in successfully reconciling the billing system reports with the general ledger.

Supervises the use of the billing information system and maintains a comprehensive working knowledge of the system including upgrades and enhancements.

Establishes and maintains positive working relationships with patients, family members, payers and referral sources.

Protects the confidentiality of patient and agency information through effective controls and direct supervision of billing operations.

The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbents of this job.  The incumbents may be requested to perform job-related tasks other than those stated in this description.

JOB REQUIREMENTS (Education, Experience, Knowledge, Skills & Abilities):

  • Associate’s degree in accounting, business administration or related field, bachelor’s degree preferred.
  • At least three years of experience in health care & hospice billing and collections management, preferably in home care operations.  Billing information systems knowledge required.
  • Must have HCHB experience
  • Demonstrated ability to lead and direct personnel.
  • Knowledge of corporate business management, governmental regulations and Joint Commission standards.
  • Demonstrates good communication, negotiation, and public relations skills.
  • Demonstrated capability to accurately manage detailed information.
  • Able to deal tactfully with patients, family members, referral sources and payers.
  • Demonstrates autonomy, organization, assertiveness, flexibility and cooperation in performing job responsibilities.

Apply Today

If you’re ready to bring your billing expertise to a team that supports compassionate care, we’d love to hear from you.

The employer for this position is stated in the job posting.  The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US.  Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets.  More information about The Pennant Group, Inc. is available at http://www.pennantgroup.com.

The employer for this position is stated in the job posting.  The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US.  Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets.  More information about The Pennant Group, Inc. is available at http://www.pennantgroup.com.