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Optometry Insurance Billing Specialist information

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How much do optometry insurance billing specialist jobs pay per hour?

As of Sep 14, 2026, the average hourly pay for optometry insurance billing specialist in the United States is $19.24, according to ZipRecruiter salary data. Most workers in this role earn between $15.38 and $21.88 per hour, depending on experience, location, and employer.

What does an optometry insurance billing specialist do?

An Optometry Insurance Billing Specialist is responsible for managing the billing process for optometry services, including submitting insurance claims, verifying patient benefits, and ensuring accurate coding of procedures. They work closely with optometrists and office staff to ensure that all services provided are documented correctly for reimbursement. These specialists also follow up on denied or unpaid claims, handle patient billing inquiries, and maintain up-to-date knowledge of insurance policies and regulations relevant to eye care.

What are the key skills and qualifications needed to thrive as an optometry insurance billing specialist, and why are they important?

An Optometry Insurance Billing Specialist needs a solid understanding of medical billing procedures, insurance policies, and coding systems such as ICD-10 and CPT, often supported by a certification in medical billing or coding. Familiarity with practice management software, electronic health records (EHR), and insurance claim submission platforms is typically required. Attention to detail, strong organizational skills, and effective communication are crucial soft skills that help manage complex billing processes and resolve claim issues. Mastery of these skills ensures accurate claim processing, prompt reimbursement, and compliance with healthcare regulations, all of which are vital for the financial health of an optometry practice.

What are some common challenges faced by optometry insurance billing specialists when processing claims, and how can they be managed?

Optometry Insurance Billing Specialists frequently encounter challenges such as denied or delayed claims due to incorrect coding, changes in insurance policies, and incomplete patient information. Staying up-to-date with the latest coding guidelines (such as ICD-10, CPT, and HCPCS codes) and maintaining clear communication with both providers and patients are essential for minimizing errors. Additionally, regularly reviewing rejected claims and understanding payers’ requirements can help streamline the billing process and reduce future denials. Strong organizational skills and attention to detail are vital in overcoming these challenges and ensuring timely reimbursement.

What is the difference between Optometry Insurance Billing Specialist vs Optometry Technician?

AspectOptometry Insurance Billing SpecialistOptometry Technician
Primary RoleHandles insurance claims, billing, and reimbursement processes for optometry practices.Assists with patient exams, performs eye tests, and supports optometrists during eye examinations.
Required CertificationsKnowledge of insurance billing, coding, and healthcare regulations; certifications like Certified Professional Biller (CPB) are common.Certification in optometry assisting or related training; no specific insurance billing certifications required.
Work EnvironmentOffice-based, primarily working with billing software and insurance companies.Clinical setting, working directly with patients and optometrists.

While both roles are essential in optometry practices, the Optometry Insurance Billing Specialist focuses on managing insurance claims and billing processes, whereas the Optometry Technician assists with patient exams and clinical tasks. They differ in responsibilities, certifications, and work environment but often collaborate within the same practice.

What are popular job titles related to Optometry Insurance Billing Specialist jobs?

For Optometry Insurance Billing Specialist jobs, the most frequently searched job titles are:

Infographic showing various Optometry Insurance Billing Specialist job openings in the United States as of September 2026, with employment types broken down into 1% As Needed, 76% Full Time, 18% Part Time, and 5% Contract. Highlights an 84% Physical, 1% Hybrid, and 15% Remote job distribution, with an average salary of $40,012 per year, or $19.2 per hour.

Insurance Billing Specialist

Midland, TX • On-site

West Texas Pediatric Dentistry
Outpatient Health Care • 1 - 10 employees
Learn more about West Texas Pediatric Dentistryexternal

Full-time

Re-posted 18 days ago

Key responsibilities

  • Review patient bills for accuracy and completeness and obtain missing information for claim submission.

  • Process insurance claims, submit billing data to insurance providers, and follow up on payments and denied claims.

  • Work with the front office team to ensure proper billing procedures and prepare billing reports for the practice manager.

Job description

Job Opening: Insurance Billing Specialist

Job Description

West Texas Pediatric Dentistry is excited to announce an opening for a dedicated and experienced Insurance Billing Specialist to join our growing practice. This vital role is integral to the smooth operation of our financial services, ensuring that both patient and insurance billing are handled with precision and care. This is a Full-Time position located in our office in West Texas. Please note that this is not a remote job, and the selected candidate will be expected to work from the office during regular business hours.

The ideal candidate for this position will have a proven track record in medical or dental insurance billing, a detailed understanding of dental insurance policies, and the ability to manage multiple tasks effectively. Our practice is dedicated to providing exceptional dental care to children in a warm and welcoming environment, and the Insurance Billing Specialist will play a crucial role in maintaining the seamless operation of our billing and insurance processes.

Duties and Responsibilities
  • Review patient bills for accuracy and completeness and obtain any missing information necessary for successful claim submission.
  • Submit billing data to insurance providers.
  • Work with dental assistants to ensure correct coding for insurance claims.
  • Monitor and record late payments and follow up on missed payments.
  • Process insurance claims and ensure that payments are made in a timely manner.
  • Follow up on insurance claims and ensure that payments are applied properly.
  • Appeal denied claims as needed, providing additional information and documentation to reverse denial decisions.
  • Post insurance payments promptly and accurately to patient accounts.
  • Notify patients of outstanding balances and work with them to facilitate payments.
  • Maintain and update billing system with rate changes, new procedures, etc.
  • Work closely with the front office team to ensure proper billing and collection procedures are followed.
  • Prepare and send detailed billing reports to the practice manager.
  • Respond to billing and insurance questions from both patients and staff.
  • Identify and resolve billing complaints promptly.
  • Train new staff on billing procedures and practices as needed.
Requirements
  • Positive attitude and strong interpersonal skills.
  • Proven experience as an Insurance Billing Specialist in a medical or dental setting preferred.
  • Strong understanding of billing software and electronic medical records.
  • Knowledge of insurance policies and regulations.
  • Ability to manage multiple tasks and remain organized in a fast-paced environment.
  • Excellent communication skills, both verbal and written.
  • Detail-oriented with a high degree of accuracy.
  • High school diploma required; further education in Medical Billing or related field preferred.
  • Bilingual in English and Spanish preferred.
  • Ability to send claims, appeal denied claims, post insurance payments, notify patients of outstanding balances and collect outstanding balances effectively.
  • Must demonstrate ability to work closely with a team, especially the front office team, to ensure that proper billing actions are consistently applied.