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Optometry Billing Jobs in Virginia (NOW HIRING)

Beach Eye Care

Patient Care Coordinator

Virginia Beach, VA · On-site

$14 - $16/hr

... copays and review billing charges posted. Applicants need to be team players with a positive ... Optometry/Ophthalmology specialties • Working knowledge of ICD-10 and CPT code systems • 1-2 ...

Virginia Eye Institute

Optician

Midlothian, VA · On-site

$16.25 - $21/hr

VEI is a large and dynamic practice of ophthalmologists and optometrists in the Richmond, VA area ... Collect payment from patient and process billing to insurance if applicable * Process orders in ...

esr

$16.50 - $21.25/hr

VEI is a large and dynamic practice of ophthalmologists and optometrists in the Richmond, VA area ... Collect payment from patient and process billing to insurance if applicable * Process orders in ...

esr

Optician

Mechanicsville, VA

$17.25 - $22/hr

VEI is a large and dynamic practice of ophthalmologists and optometrists in the Richmond, VA area ... Collect payment from patient and process billing to insurance if applicable * Process orders in ...

esr

$16.50 - $21.25/hr

VEI is a large and dynamic practice of ophthalmologists and optometrists in the Richmond, VA area ... Collect payment from patient and process billing to insurance if applicable * Process orders in ...

esr

Optician

Mechanicsville, VA

$17.25 - $22/hr

VEI is a large and dynamic practice of ophthalmologists and optometrists in the Richmond, VA area ... Collect payment from patient and process billing to insurance if applicable * Process orders in ...

Virginia Eye Institute

Optician

Richmond, VA · On-site

$17 - $22/hr

VEI is a large and dynamic practice of ophthalmologists and optometrists in the Richmond, VA area ... Collect payment from patient and process billing to insurance if applicable * Process orders in ...

esr

$16.50 - $21.25/hr

VEI is a large and dynamic practice of ophthalmologists and optometrists in the Richmond, VA area ... Collect payment from patient and process billing to insurance if applicable * Process orders in ...

esr

$16.50 - $21.25/hr

VEI is a large and dynamic practice of ophthalmologists and optometrists in the Richmond, VA area ... Collect payment from patient and process billing to insurance if applicable * Process orders in ...

Virginia Eye Institute

Optician

Mechanicsville, VA · On-site

$17.25 - $22/hr

VEI is a large and dynamic practice of ophthalmologists and optometrists in the Richmond, VA area ... Collect payment from patient and process billing to insurance if applicable * Process orders in ...

Keplr Vision

Practice Manager II - 076

Manassas, VA · On-site

Ensure overall compliance relating to billing, staff behaviors, and HIPAA compliance. * Performs ... Understanding of optometric business processes and strategic development. * Ability to handle and ...

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Optometry Billing information

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How much do optometry billing jobs pay per hour?

As of Jul 15, 2026, the average hourly pay for optometry billing in Virginia is $20.34, according to ZipRecruiter salary data. Most workers in this role earn between $17.40 and $22.40 per hour, depending on experience, location, and employer.

What are some common challenges faced in an optometry billing role, and how can they be managed?

One of the main challenges in optometry billing is staying updated with changing insurance policies and coding requirements, as these can directly impact reimbursement rates and claim approvals. Additionally, dealing with claim denials and ensuring accurate patient data entry require strong attention to detail and persistence. Collaborating closely with optometrists, front desk staff, and insurance providers helps to resolve discrepancies quickly and maintain smooth billing operations. Continuous professional development and training in medical billing software and regulatory updates are essential for long-term success in this role.

What is the difference between Optometry Billing vs Optometry Technician?

AspectOptometry BillingOptometry Technician
CredentialsKnowledge of insurance, coding, billing softwareCertification in optometry assisting or related
Work EnvironmentOffice billing departments, medical officesOptometry clinics, eye care practices
Employer & Industry UsageOptometry practices, healthcare billing companiesOptometry clinics, eye care centers
Primary FocusHandling insurance claims, billing, codingAssisting with patient exams, eye measurements

Optometry Billing primarily focuses on managing insurance claims, coding, and billing processes within eye care practices. In contrast, Optometry Technicians assist with patient exams and eye measurements. While both roles support optometry practices, billing specialists handle administrative financial tasks, whereas technicians are more involved in clinical support.

How to Get a Job in Optometry Billing

To get a job in optometry billing, you need a background in medical or vision insurance billing or coding. Many jobs require qualifications like experience in medical billing plus an associate or bachelor’s degree in a relevant field, such as health information technology. Some roles require a certificate or an associate degree, while others request only coursework in a relevant field, such as eye care or optometry coding. Certificates are available, including the Certified Paraoptometric Coder (CPOC) accreditation, that highlight your specialized skills in optometry coding. Many employers offer on-the-job training specific to their organization, and requirements for these roles vary widely.

What is optometry billing?

Optometry billing is the process of submitting and following up on claims with health insurance companies for services provided by optometrists. It involves coding diagnoses and procedures accurately, understanding insurance policies, and ensuring timely reimbursement for eye exams, treatments, and eyewear. Proper billing practices help optometry practices maintain financial health and compliance with regulations.

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

To excel in Optometry Billing, you need a strong understanding of medical billing procedures, insurance guidelines, and healthcare reimbursement, often supported by a background in healthcare administration or certification in medical billing and coding. Familiarity with practice management software, electronic health records (EHRs), and billing systems such as ICD-10 and CPT coding is essential. Attention to detail, problem-solving, and effective communication are important soft skills for following up on claims and interacting with both patients and insurance providers. These skills ensure accurate billing, timely reimbursement, and compliance with regulations, which are vital for the financial health of an optometry practice.
More about Optometry Billing jobs
What are the most commonly searched types of Optometry Billing jobs in Virginia? The most popular types of Optometry Billing jobs in Virginia are:
What are popular job titles related to Optometry Billing jobs in Virginia? For Optometry Billing jobs in Virginia, the most frequently searched job titles are:
What job categories do people searching Optometry Billing jobs in Virginia look for? The top searched job categories for Optometry Billing jobs in Virginia are:
Optometry Billing jobs near you

Eye Clinic Office Manager

Crozet Eye Care, Optometrists

Crozet, VA • On-site

$65K - $75K/yr

Full-time

Medical, Vision, Retirement, PTO

Posted yesterday

New

Job description

Crozet Eye Care, Optometrists, a 20 year old, single-owner private practice, is accepting applications for an Office Manager.
Excellent opportunity to live in beautiful Central Virginia. This area provides all of the amenities of Northern Virginia and Richmond, with none of the hassle. You will love it!
Being founded on Christian values in 2006, Crozet Eye Care believes in treating others the way they would like to be treated, both staff and patients. As a team member, you will work together with others who have a sincere spirit of cooperation and teamwork. This spirit will not only help the practice continue to be a success, but also will promote a pleasant and rewarding work environment for all of us.
You will be a part of providing the ultimate in quality care for our patients. Our patients say we treat them like family. Our motto is, “Our promise is to make you and your eyes happy.” Every decision and every action taken by our team should be aimed at achieving this goal.
Position Summary

The Office Manager leads daily operations for an OD-owned optometry practice with 12–16 team members and both medical and vision billing. This role ensures excellent patient experience, efficient clinic/optical flow, strong team performance, healthy revenue cycle results, and compliance. The Office Manager partners with the Optometrist/Owner to execute practice goals and drive measurable growth.
Core Responsibilities

Practice Operations & Patient Experience
· Own the daily clinic “command center”: staffing coverage, room/tech flow, optical handoff, and schedule optimization.
· Maintain consistent standards for phone response, check-in/out, wait times, and service recovery.
· Build and enforce standard operating procedures (SOPs) for key workflows (new patient, medical visits, contact lens, optical, urgent care).
Team Leadership
· Hire, onboard, coach, and evaluate staff; run weekly huddles and structured 1:1s with team leads.
· Create cross-training and coverage plans to reduce single-point-of-failure roles.
· Manage timekeeping, PTO, attendance, and performance documentation with professionalism and fairness.
Medical + Vision Revenue Cycle Oversight
· Ensure strong processes for eligibility, authorizations, referrals, and pre-visit preparation (especially medical visits).
· Oversee accurate charge capture and documentation readiness (supporting provider templates and workflow).
· Manage claims submission, payment posting, denial resolution, appeals, and patient collections.
· Monitor AR aging, denial trends, and underpayments; coordinate corrective actions and training.
Financial & Performance Management
· Manage daily close: deposits, cash controls, reconciliations, and variance resolution.
· Track and report KPIs weekly/monthly; translate data into action plans.
· Support budgeting, expense control, vendor negotiation, and purchasing (clinical supplies, frames, contacts, office supplies).
Compliance, Risk, and Facilities
· Maintain HIPAA/privacy, OSHA/safety, and documentation standards; support audits and payer requests.
· Coordinate facility upkeep, equipment servicing, and IT/practice management system support.
· Maintain employee files and policy adherence; ensure incident reporting processes are followed.
Growth, Recall, and Marketing Execution
· Lead recall/reactivation systems and referral development (PCPs, specialists, local employers).
· Support community outreach, online reputation management, and promotions aligned with OD/Owner strategy.
Required Qualifications
· 4+ years in a medical office leadership role (optometry/ophthalmology preferred), with responsibility for both people and operations.
· Demonstrated success supervising a team
· Working knowledge of medical insurance billing/revenue cycle (claims, denials, AR management) and vision plan workflows.
· Comfort with practice management/EHR systems and KPI reporting.
· Strong interpersonal skills with ability to coach, hold accountability, and de-escalate patient concerns.
Preferred Qualifications
· Optometry experience including optical operations (frame/contact lens ordering, dispensary flow, optical capture).
· Familiarity with common vision plans (e.g., VSP) and medical payer appeals processes.
· Experience leading process improvement and building SOPs/training programs.
Key Performance Indicators (KPIs)
· Schedule utilization; cancellation/no-show rate; patient wait time and visit cycle time.
· AR days; percentage of AR > 90 days.
· Copay/estimate accuracy; underpayment recovery.
· Optical capture rate and revenue per encounter.
· Recall effectiveness and reactivation volume.
· Staff retention, training completion, and engagement.
Work Environment & Schedule
· In-office clinical setting; occasional evenings/weekends based on patient hours.
· Frequent standing/walking; occasional lifting of boxes (supplies, frames, contacts).
Compensation & Benefits
Competitive salary (based on experience) with potential bonus tied to defined KPIs. Benefits may include health coverage, retirement plan, paid time off, and employee eyewear/vision benefits.