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Ophthalmology Billing Jobs (NOW HIRING)

Ophthalmic Technician

Billings, MT ยท On-site

$20.66 - $25.83/hr

Billings Clinic is here to take care of our community and region. We look forward to meeting you ... ophthalmology providers. Essential Job Functions โ€ข Performs and supervises the performance of a ...

Ophthalmic Technician

Billings, MT ยท On-site

$18.50 - $24.75/hr

Sets up rooms and assists ophthalmology surgeons with clinical surgical procedures and in the ... Coordinate's billing and return merchandise documentation/records. Documents and records ...

Billing Specialist

Jackson, MI ยท On-site

$17.50 - $23.75/hr

Ophthalmology, Optometry, Ambulatory Surgery Center, and/or Optical billing experience * Experience in Revenue Cycle Management What you will receive * Competitive wages * Robust benefit package ...

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Ophthalmology Billing information

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$13

$22

$34

How much do ophthalmology billing jobs pay per hour?

As of Jun 16, 2026, the average hourly pay for ophthalmology billing in the United States is $22.71, according to ZipRecruiter salary data. Most workers in this role earn between $18.51 and $25.00 per hour, depending on experience, location, and employer.

What is an Ophthalmology Billing job?

An Ophthalmology Billing job involves managing the medical billing and coding process for ophthalmology practices. This includes submitting insurance claims, processing payments, and ensuring compliance with healthcare regulations. Specialists in this role must understand ophthalmology-specific billing codes, Medicare guidelines, and prior authorization requirements. Their goal is to maximize reimbursements while minimizing claim denials and delays.

What are the typical daily responsibilities of someone working in ophthalmology billing?

A professional in ophthalmology billing is responsible for accurately submitting insurance claims, processing payments, and following up on denied or rejected claims to ensure proper reimbursement for eye care services. They regularly review patient records to assign the correct codes and verify insurance coverage, while also communicating with both patients and insurance companies to resolve billing issues. Additionally, interacting with clinical staff to clarify documentation and updating records is common. This role requires both independence and collaboration, as you are part of an administrative team committed to supporting the financial operations of the practice.

What are the key skills and qualifications needed to thrive in the Ophthalmology Billing position, and why are they important?

To thrive in Ophthalmology Billing, you need strong knowledge of medical billing and coding procedures, particularly those specific to ophthalmology, as well as familiarity with insurance claims and reimbursement processes. Experience with billing software such as NextGen, Epic, or Medisoft, as well as certification like the Certified Professional Biller (CPB), is highly valuable. Attention to detail, organizational skills, and clear communication help you excel in this role. Mastery of these skills ensures billing accuracy, reduces claim denials, and supports the financial health of ophthalmology practices.

More about Ophthalmology Billing jobs
What cities are hiring for Ophthalmology Billing jobs? Cities with the most Ophthalmology Billing job openings:
What are the most commonly searched types of Ophthalmology Billing jobs? The most popular types of Ophthalmology Billing jobs are:
What states have the most Ophthalmology Billing jobs? States with the most job openings for Ophthalmology Billing jobs include:
What job categories do people searching Ophthalmology Billing jobs look for? The top searched job categories for Ophthalmology Billing jobs are:
Senior Billing Representative

Senior Billing Representative

Ophthalmic Consultants of Boston, Inc

Plymouth, MA โ€ข On-site

$24 - $36/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 13 days ago


Ophthalmic Consultants Of Boston rating

6.4

Company rating: 6.4 out of 10

Based on 9 frontline employees who took The Breakroom Quiz


Job description

Senior Medical Billing Representative
Ophthalmic Consultants of Boston (OCB)

Be Part of a Team Thatโ€™s Advancing Vision Careโ€”and the People Behind It

At Ophthalmic Consultants of Boston (OCB), we donโ€™t just deliver exceptional eye careโ€”we build careers. As a nationally recognized leader in ophthalmology, we are proud to foster a collaborative, growth-focused environment where expertise is valued and professional development is encouraged.

We are seeking an experienced and driven Senior Medical Billing Representative to join our Revenue Cycle team. In this role, you will be a key contributor to the financial health of the organization, tackling complex billing challenges, supporting team development, and helping ensure a seamless experience for our patients and providers. This position is fulltime, onsite at our Plymouth, MA location.


What Youโ€™ll Do

As a senior member of the team, youโ€™ll play a critical role in optimizing revenue cycle performance by:

  • Resolving complex claim edits, rejections, and denials with accuracy and efficiency
  • Leading advanced A/R follow-up efforts to ensure timely reimbursement
  • Analyzing denial trends and implementing proactive solutions
  • Writing detailed, effective appeal letters aligned with clinical documentation and payer policies
  • Ensuring compliance with timely filing requirements and regulatory standards
  • Reviewing and validating patient demographics, insurance details, charges, and coding
  • Serving as a subject matter expert for billing processes, coding, and payer requirements
  • Collaborating with insurance carriers, patients, physicians, and internal teams to resolve complex inquiries
  • Supporting accurate eligibility verification, authorizations, and referral processes
  • Reviewing medical records to ensure alignment with medical necessity guidelines
  • Identifying workflow improvements to reduce denials and increase efficiency
  • Assisting with onboarding, training, and mentoring of new team members

What You Bring

You are a knowledgeable and detail-oriented billing professional who thrives in a fast-paced, high-volume environment and enjoys sharing your expertise with others.

  • Strong knowledge of medical terminology, ICD-10 diagnosis codes, and CPT-4 procedure codes
  • Advanced understanding of coding modifiers and their appropriate use
  • Several years of experience in medical billing or revenue cycle operations
  • Proven expertise in A/R follow-up and denial management
  • Deep understanding of insurance eligibility, benefits, and reimbursement processes
  • Familiarity with payer medical necessity requirements and billing policies
  • Excellent communication and customer service skills
  • Strong analytical, organizational, and problem-solving abilities
  • High attention to detail and accuracy
  • Ability to manage multiple priorities effectively
  • Proficiency with Microsoft Office (Word, Excel, Outlook)
  • Solid understanding of HIPAA regulations
  • College degree preferred
  • CPC, COPC, or similar certification preferred

Why Join OCB?

At OCB, your work has purpose. Behind every claim you resolve is a patient receiving life-changing care. We are committed to supporting our employees with opportunities for growth, a team-oriented culture, and the tools needed to succeed.

OCB offers industry leading benefits including:

  • Medical & dental insurance (starts on the 1st day of employment!)
  • 401(k) plan with Company match
  • Company paid Life Insurance
  • Company paid Long Term Disability
  • Eye care discounts
  • Generous Paid Time Off and Paid Holidays

To learn more about OCB, please visit our website at www.eyeboston.com

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