Retina Billing Specialist (AR Follow-Up) California Payer Experience Required
Anywhere
Category: Healthcare
Reference ID: 10070119
Shortcut: http://addisongroup.gosnaphop.com/GDyAXW
Position: Retina Billing Specialist (AR Follow-Up) California Payer Experience Required
Location: Southlake, TX (Hybrid if local or Remote for outside of DFW)
Pay Range: $24.00 – $28.00 / Per Hour
Schedule: Monday – Friday, 8:00 AM – 5:00 PM CST
Employment Type: Direct Hire
Benefits: This role is eligible for Medical, Dental, Vision.
Position Overview
A growing healthcare organization is expanding its Revenue Cycle team due to new practice acquisitions and is seeking experienced Billing Specialists with strong Accounts Receivable and denial management experience.
Although the title is Billing Specialist, this role functions primarily as an AR Follow-Up Specialist focused on resolving denied claims, managing insurance follow-ups, and ensuring accurate reimbursement.
Candidates located near Southlake, TX will work a hybrid schedule (in office Tuesday–Thursday). Fully remote candidates may also be considered.
Key Responsibilities
- Perform AR follow-up on denied and unpaid insurance claims
- Research and resolve claim denials and rejections
- Prepare and submit appeal letters
- Review claims for accuracy prior to submission
- Work primarily with professional (ProFee) physician claims
- Manage approximately 50 accounts per day
- Work with both commercial and government payors
- Handle a patient population with a large Medicare volume
- Collaborate with billing teams to confirm claim accuracy
- Assist with denial management, posting, and some charge entry
- Support overall revenue cycle functions as needed
Required Qualifications
- At least 1 year of Retina billing experience
- Experience with California payers
- Strong understanding of J-codes, modifiers, and drug billing
- Experience working insurance AR follow-up and denials
- Knowledge of physician/professional billing (ProFee)
Preferred Qualifications
- Experience with Nextech or NextGen billing systems
- Experience working with Medicare plans
Work Environment
- Hybrid schedule for local candidates (in office Tuesday–Thursday)
- Remote candidates will also be considered
- Fast-growing Revenue Cycle team supporting clinics nationwide
- Business casual dress code for onsite days
Additional Details
- Approximately 50 accounts per day productivity expectation
- Role focuses entirely on insurance-side billing (no patient payment plan discussions)
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.
#HC1
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