Shields Shields & Lally

This position will begin as part-time with the expectation of transitioning to full-time based on performance and practice needs.

Position Summary
The Medical Billing Specialist is responsible for accurate charge entry, insurance authorizations, and patient-facing billing support. This role requires strong attention to detail, efficiency with computer systems, and the ability to communicate clearly with patients regarding financial matters.

Key Responsibilities

• Obtain and manage insurance authorizations for MRI imaging and prescribed medications
• Verify insurance eligibility and coverage requirements as needed
• Collect copays and outstanding patient balances at the time of service
• Communicate with patients to explain billing, charges, and insurance-related questions in a clear and professional manner
• Address patient inquiries regarding statements, balances, and payment options
• Work closely with clinical and administrative staff to ensure complete and accurate documentation
• Maintain compliance with billing regulations and practice policies
• Ability to perform charge entry (data entry) for office visits and surgical procedures using provider superbills
• Ensure accuracy of CPT, ICD-10, and modifiers when entering charges

Qualifications

• Prior experience in medical billing or healthcare front-end/revenue cycle is absolutely necessary
• Familiarity with CPT, ICD-10, and insurance processes strongly preferred
• Experience with EMR/PM systems (Modernizing Medicine/EMA a plus)
• Strong attention to detail and organizational skills
• Ability to handle high-volume computer-based work efficiently
• Excellent communication skills with a patient-focused approach

Work Environment

• Combination of heavy computer and direct patient interaction
• Fast-paced medical office setting requiring multitasking and accuracy

The Ocular Oncology Service at Wills Eye Hospital is one of the nation’s leading centers for the diagnosis and treatment of eye tumors and cancers. As the largest eye cancer center in America, our team cares for thousands of patients each year, ranging from infants with retinoblastoma to adults with intraocular melanoma, lymphoma, and other rare ocular conditions.

Because many ocular cancers are serious and potentially life-threatening, our work requires urgency, precision, compassion, and close teamwork. Patients travel from across the country and around the world to receive care from our physicians and staff, who are committed to providing the highest level of clinical care in a supportive and professional environment.

For nearly 50 years, the Ocular Oncology Service has cared for approximately 50,000 patients. Our team is dedicated to preserving life and sight while offering comfort, expertise, and hope to every patient and family we serve.