Retina Billing Specialist
Southlake, TX
Category: Healthcare
Reference ID: 10081680
Shortcut: http://addisongroup.gosnaphop.com/Cd4ed6
Role: Billing Specialist - Retina
Location: Fully Remote
Pay Range: $24 – $30 / hour
Schedule: Monday–Friday, 8:00 AM–5:00 PM in the assigned practice's time zone
Employment Type: Direct Hire
Benefits: This role is eligible for medical, dental, vision and 401k.
About Our Client
Addison Group is hiring for our client, a rapidly growing specialty healthcare organization, seeking experienced Billing Specialists to support its expanding revenue cycle operations. Due to continued growth and new practice acquisitions, the organization is adding multiple professionals with a strong background in retina and ophthalmology billing.
Although titled Billing Specialist, this position is heavily focused on insurance AR follow-up, denial resolution, and professional claims. Candidates must have hands-on retina billing experience and a solid understanding of injectable drug billing.
Job Description
The Billing Specialist will manage physician insurance claims throughout the revenue cycle, with a primary focus on resolving unpaid and denied accounts. This position requires specialized knowledge of retina billing, J-codes, drug units, modifiers, and reimbursement.
The role is entirely insurance-focused and does not involve patient collections or discussions regarding patient payment plans.
Key Responsibilities
- Perform insurance AR follow-up on outstanding and denied physician claims
- Research claim denials and determine the appropriate steps for resolution
- Prepare and submit corrected claims, reconsiderations, and formal appeals
- Review professional claims for accuracy and completeness before submission
- Work with retina-specific J-codes, injectable medications, drug units, and modifiers
- Research reimbursement issues involving both commercial and government payers
- Manage a significant volume of Medicare and Medicare-related claims
- Assist with payment posting and charge entry when needed
- Partner with billing team members to identify claim errors and prevent recurring issues
- Utilize payer portals and billing systems to research claim status and reimbursement
- Maintain detailed documentation of account activity and follow-up efforts
- Support assigned specialty practices located throughout the country
Qualifications
- 1+ year of recent retina billing experience required
- Hands-on experience with physician/professional fee billing
- Strong working knowledge of J-codes and injectable drug billing
- Experience applying and researching appropriate billing modifiers
- Knowledge of insurance AR follow-up and denial management
- Experience working with commercial and government insurance plans
- Ability to read and interpret EOBs and payer responses
- Strong analytical and problem-solving skills
- Comfortable managing a high-volume workload in a remote environment
Specialized Retina Experience
Qualified candidates should have familiarity with several of the following:
- Billing for intravitreal injections and specialty ophthalmic medications
- Retina-specific J-codes and appropriate drug units
- Drug reimbursement and buy-and-bill processes
- Benefits verification for injectable medications
- Prior authorization requirements for retina treatments
- Common ophthalmology modifiers, including laterality and procedure-related modifiers
- Resolving denials involving injectable medications and physician services
Work Environment
- 100% remote position
- Full-time Monday–Friday schedule
- Candidates may support a practice operating in a different time zone and should be comfortable working the assigned practice's business hours
- Collaborative and expanding Revenue Cycle team
- Structured onboarding and systems training provided
| Addison Group is an Equal Opportunity Employer. Addison Group provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. Addison Group complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. Reasonable accommodation is available for qualified individuals with disabilities, upon request. |
-
Medical Billing Specialist
Charlotte, NC
Title: Medical Billing Specialist Location: Charlotte, NC (Hybrid after training) Compensation: $24.00 - $25.00 per hour Benefits: This position may be eligible for medical, dental, vision, and 401(k) benefits through Addison Group during the contract ...
Recommended
-
Medical Collection Specialist
Bethesda, MD
Job Title: Medical Collection Specialist Location: Bethesda, MD (Onsite) Industry: Healthcare / Revenue Cycle Management Pay: $23 per hour Benefits: This position is eligible for medical, dental, vision, life insurance and 401k. About Our Client Addiso...
Recommended
-
Medical Collector (Insurance Follow-up and Appeals)
San Antonio, TX
Position: Medical Collector (Insurance Follow-up/Appeals) Location: Remote (Must be based in San Antonio, TX) Pay Range: $24–$26 / hour Benefits: This position is eligible for medical, dental, vision, and 401(k) benefits. Position Overview: A healthcar...
Recommended
-
Medicaid Collections Specialist
Mesquite, TX
Position: Medicaid Collections Specialist (Hospital Revenue Cycle) Location: Remote (U.S. Remote; candidates from select states are not eligible) Pay Range: $23.00 – $26.00 / Per hour Benefits: This position is eligible for medical, dental, vision, and...
Recommended
-
Remote Medicaid Collector
Mesquite, TX
Role: Medical Collections Specialist – Hospital Revenue Cycle Location: Remote Pay Range: $23.00 – $26.00 / Per hour Start Date: ASAP Benefits: This position is eligible for medical, dental, vision and 401(k). This is a long term contract role with pot...
Recommended
-
Reimbursement Specialist
Westchester, IL
Job Title: Reimbursement Specialist – Liability Industry: Healthcare / Medical Billing Location: Westchester, IL (Hybrid) Assignment Type: Direct Hire Pay: $22 – $26 / hour (up to $27/hour based on experience) Work Schedule: Full-time, Monday–Friday wi...
Recommended
-
Medical Billing Specialist
North Chicago, IL
Job Title: Medical Billing Specialist Industry: Healthcare Location (city, state): North Chicago, IL Assignment Type: Direct Hire Pay: $18.88 – $22.50 / hour, based on experience. Candidates with extensive specialty billing experience may be considered...
Recommended
-
Denials Specialist
Houston, TX
Job Title: Denials Specialist Location: Houston, TX (Downtown) Industry: Healthcare / Revenue Cycle Management Pay: $26 - $28 / hr Job Type: Direct Hire Benefits: This position is eligible for medical, dental, vision, and 401k. About Our Client: Addiso...
Recommended
-
Insurance Verification Specialist
Phoenix, AZ
Job Title: Insurance Verification Specialist (Contract-to-Hire) Location (city, state): Phoenix, AZ 85016 Industry: Healthcare / Revenue Cycle Pay: $19.00 – $21.00 / hour Benefits: Medical, dental, and vision coverage, 401(k), paid holidays and plus PT...
Recommended
-
Medical Collections Specialist
Florida
Job Title: Medical Collections Specialist - Hospital Claims Location: Florida (Remote) Industry: Healthcare RCM Pay: $20.00 - $23.00 / Per Hour (Based on years of experience) Benefits: This position is eligible for medical, dental, vision, life insuran...
Recommended
-
Medical Collector
Edmond, OK
Medical Collector Location: Edmond, OK – Onsite Pay: $25–$35/hour, based on experience Schedule: Monday–Friday, flexible daytime hours Employment Type: Direct Hire Benefits: Medical, Dental, Vision Position Overview Addison Group is hiring for our clie...
Recommended
-
Medical Billing and AR Specialist
Mendota Heights, MN
Title: Medical Biller Location: St. Paul, MN, must be able to work on-site Industry: Healthcare Pay Rate: $23.00 - $29.00 / Hourly Benefits: This position is eligible for medical, dental, vision, and 401(k). Job Description: We are currently hiring for...
Recommended
-
Insurance Verification Specialist
Pennsylvania
Job Title: Insurance Verification Specialist Location: Bethlehem, PA (Fully Onsite) Industry: Healthcare / Specialty Billing Pay: $20.00 – $23.00 / Per Hour Benefits: The position is eligible for medical, dental, vision, and 401(k) About Our Client: Ou...
Recommended
-
Patient Financial Counselor
Edina, MN
Title: Patient Financial Counselor Location: Minneapolis, MN (must be able to work full on-site) Industry: Healthcare Pay Rate: $24.00 - $26.00 / Hourly Benefits: This position is eligible for medical, dental, vision, and 401(k). Job Description: We ar...
Recommended
-
Benefits Review Specialist
Tulsa Metro Area, Oklahoma
Job Title: Benefits Review Specialist Industry: Insurance / Healthcare Location (city, state): Tulsa, OK Assignment Type: Direct Hire Pay: $28/hr Work Schedule: Mon-Fri, 8am-5pm Benefits: This position is eligible for medical, dental, vision, and 401(k...
Recommended
-
Claims Examiner - Remote
Tulsa Metro Area, Oklahoma
Job Title: Claims Examiner Industry: Insurance / Healthcare Location (city, state): Tulsa, OK (remote) Assignment Type: Direct Hire Pay: $28/hr Work Schedule: Mon-Fri, 8am-5pm Benefits: This position is eligible for medical, dental, vision, and 401(k)....
Recommended
-
Medical Collector
San Antonio, TX
Position: Medical Collections Specialist (Hospital/Insurance Follow-Up) Location: Remote (Must be based in San Antonio, TX) Pay Range: $24 – $26 / Hour Schedule: Monday – Friday, 7:30 AM – 4:00 PM Benefits: This position is eligible for medical, dental...
Recommended
-
Medical Appeals Specialist
Addison, TX
Arbitration Specialist – Medical Billing / Appeals Location: Addison, TX, fully on site Pay: $23–$29/hour, based on experience Schedule: Monday–Friday, flexible daytime schedule Employment Type: Direct Hire Benefits: Medical, Dental, Vision Position Ov...
Recommended
-
Full-Cycle Billing Specialist
Texas
Job title: Full-Cycle Billing Specialist Location: Texas Industry: Healthcare / Infusion Revenue Cycle Pay: $22.00 - $26.00 / Per Hour (Based on years of experience) Benefits: This position is eligible for medical, dental, vision, life insurance and 40...
Recommended
-
Healthcare Customer Service Representative
Rockville, MD
Job title: Healthcare Customer Service Representative Location (city, state): Rockville, MD - Fully Onsite Industry: Healthcare / Health Benefits / Customer Service Pay: $25–$28/hour Benefits: This position is eligible for medical, dental, vision, life...
Recommended
-
Medical Biller
Pennsauken Township, NJ
Job Title: Medical Biller Location: Pennsauken, NJ Industry: Healthcare Pay: $20.00 - $27.00 / Per Hour (based on experience) Benefits: The position is eligible for medical, dental, vision, and 401(k) About Our Client: Our client is a well-established ...
Recommended
-
Prior Authorizations Representative
Elk Grove Village, IL
Job Title: Prior Authorization Representative Industry: Healthcare / Specialty Pharmacy Location: Elk Grove Village, IL Assignment Type: Contract-to-Hire Pay: $21.00 – $23.00 / per hour, based on pharmacy technician credentials Work Schedule: Monday–Fr...
Recommended
-
Credit & Risk Manager
Tysons, VA
Position Title: Credit & Risk Manager Location: Tysons, VA – Onsite Assignment Type: Permanent Hire Compensation: $110,000–$150,000 / Annually Work Schedule: Monday–Friday, 8:00 AM–5:00 PM Benefits: This position is eligible for Medical, Dental, Vision...
Recommended
-
Accounts Payable Specialist
King of Prussia, PA
Title: Accounts Payable Specialist Employment Type: Contract to Hire Location: Wayne, PA Pay: $24 - $28 / hour Benefits: This position is eligible for medical, dental, vision, insurance, and 401(K). Position Summary: Our Client is seeking a detail-orie...
Recommended
-
Pre-Certification Specialist
Houston, TX
Job title: Pre-Certification Specialist Location (city, state): Houston, TX Industry: Healthcare / Revenue Cycle / Prior Authorizations Pay: $23–$24/hour Benefits: This position is eligible for medical, dental, vision, life insurance and 401k. About Ou...
Recommended
-
Insurance Verification Specialist
Dallas, TX
Job Title: Insurance Verification Specialist Location: Dallas, TX Pay: $19-$24/hour Schedule: Monday-Friday, 8:00 AM-4:30 PM Alternative Schedule: 7:30 AM-4:00 PM may be available Position Type: Contract-to-Hire Work Arrangement: Fully Onsite Start Dat...
Recommended
-
Collections Specialist
Washington, DC
Title: Collections Specialist Type: Contract Location: Washington, DC Compensation: $23-29 per hour Benefits: This position is eligible for medical, dental, vision, and 401(k) I. Position Overview Our client, an established mid sized law firm, is seeki...
Recommended
-
Benefits Administrative Specialist
San Antonio, TX
Job Title: Benefits Administrative Specialist Location: San Antonio, TX Employment Type: Direct Hire Industry: Peo Pay: $60,000 - $65,000 / year Schedule: Monday-Friday, 8AM-5PM - Remote Benefits: This position is eligible for medical, dental, vision, ...
Recommended
-
Billing Manager
Philadelphia, PA
Job Title: Billing Manager Industry: Healthcare – Revenue Cycle / Patient Financial Services Pay: Salary, $70-85K depending on experience Benefits: This position is eligible for medical, dental, vision, and 401(k). About Our Client: Our client is a lea...
Recommended
-
Grant Billing Analyst
New York City Metro Area, New York
Role: Grant Billing Analyst Location: New York City, NY Employment Type: Contract to Hire/Temporary to Permanent Rate: $28-34/hr Benefits: This position is eligible for medical, dental, vision and 401k. Summary: Nonprofit organization is seeking a Gran...
Recommended