Retina Billing Specialist
Southlake, TX
Category: Healthcare
Reference ID: 10079944
Shortcut: http://addisongroup.gosnaphop.com/ntFdKb
Billing Specialist – Retina
Location: Fully Remote
Pay Range: $24–$28 per hour (based on experience; flexibility for highly qualified candidates)
Schedule: Monday–Friday, 8:00 AM–5:00 PM in the assigned practice's time zone
Employment Type: Direct Hire
Openings: Multiple
Start Date: Ongoing hiring with scheduled onboarding classes
Benefits: Medical, Dental, Vision, 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
Additional Details
- Direct Hire opportunity
- Multiple openings available due to continued organizational growth
- Long-term opportunity within an expanding specialty healthcare organization
| 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
-
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
-
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
Medicaid Collections Specialist – Hospital Revenue Cycle Location: Remote Pay Range: $23–$26/hr Start Date: ASAP Benefits: This position is eligible for medical, dental, vision and 401(k). This is a long term contract role with potential to be hired on...
Recommended
-
Medical Biller
Columbia, SC
Title: Medical Biller (Full Cycle) Location: Columbia, SC Compensation: $17.00 – $22.00 per hour Benefits: This position may be eligible for medical, dental, vision, and 401(k) benefits through Addison Group during the contract period. About the Opport...
Recommended
-
Insurance AR Follow-Up Specialist
Phoenix, AZ
Job Title: Insurance AR Follow-Up Specialist (Contract-to-Hire) Location: Phoenix, AZ 85016 Industry: Healthcare / Revenue Cycle Schedule: Monday to Friday - 8:00am to 5:00pm Pay: $18.50 – $25.00/hour Benefits: This role is eligible for medical, dental...
Recommended
-
Insurance Follow-Up Representative
Greenville, SC
Title: Insurance Follow-Up Representative Location: Greenville, SC Compensation: $17.50 – $24.50 / hour Benefits: This position may be eligible for medical, dental, vision, and 401(k) benefits through Addison Group during the contract period. About the...
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 Billing Specialist
Mendota Heights, MN
Job 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...
Recommended
-
Medical AR Coordinator
Tulsa, OK
Job Title: Medical AR Coordinator Location: Tulsa, OK Industry: Healthcare / Revenue Cycle Management Pay: $18 – $20 per hour Benefits: This position is eligible for medical, dental, vision, life insurance and 401k. About Our Client Addison Group is pa...
Recommended
-
Certified Medical Coding Specialist
Texas
Job Title: Certified Medical Coding Specialist Location: Remote – Must reside in Texas and be within driving distance of the office for equipment pickup and occasional onsite meetings. Industry: Healthcare | Medical Coding Pay: $30.00 - $32.00 / Per ho...
Recommended
-
Patient Accounts, Customer Service Representative
Greenville, SC
Title: Patient Accounts / Customer Service Representative Location: Greenville, SC (Onsite) Compensation: $17.30 – $24.22 per hour Benefits: This position may be eligible for medical, dental, vision, PTO, and 401(k) benefits through Addison Group durin...
Recommended
-
Patient Collections Specialist
Southlake, TX
Position: Patient Collections Specialist Location: Fully Remote Pay Range: $22.00 – $25.00 / per hour (based on experience) Schedule: Monday – Friday, 8:00 AM – 5:00 PM CST Employment Type: Direct Hire Benefits: Medical, Dental, Vision Position Overvie...
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 Biller
Pennsauken Township, NJ
Job Title: Medical Biller Location: Pennsauken, NJ Industry: Healthcare Pay: $20.00 - $25.00 / 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
-
Insurance Collections Specialist
Indianapolis, IN
Location (City, State): Remote (Candidates must reside in FL, GA, IN, KY, MS, MO, NC, OH, SC, or TX) Compensation: $20–$22/hour (Higher rates may be considered for highly qualified candidates) Benefits: This position is eligible for medical, dental, vi...
Recommended
-
Invoice & Billing Specialist
Lake Forest, CA
Invoice & Billing Specialist Location: Lake Forest, CA Schedule: Hybrid Schedule (Mondays & Fridays work from home) Employment Type: Direct Hire / Permanent Pay: $23.00–$26.00 per hour About the Opportunity A growing technology company is seeking a mot...
Recommended
-
Telecom Billing Specialist
Virginia
Position Title: Telecom Billing Specialist Location: Herndon, VA Assignment Type: 3-6 month contract Compensation: $36-42/hr Benefits: This position is eligible for medical, dental, vision, and 401(k). Qualifications: Bachelor's degree or equivalent co...
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
-
Payment Poster
Braintree, MA
Job Title: Payment Poster Job Type: Contract-to-Hire (CTH) Location: Braintree, MA (On-site) Compensation: $22 – $25 / Hour (based on experience) Benefits: This position is eligible for medical, dental, vision, and 401(k). Overview: Addison Group is se...
Recommended
-
Billing Specialist
Tacoma Metro Area, Washington
Job Title: Billing Specialist Location (city, state): Hybrid in Gig Harbor, WA Compensation: $25 - $35 / hour Benefits: This position is eligible for medical, dental, vision, and 401(k). Qualifications: 2+ Years of Billing Experience- preferably dealin...
Recommended
-
Commercial Billing Specialist
Denver Metro Area, Colorado
Commercial Billing Specialist - Denver, CO (in-office) Salary: $52,000-62,000 annually, DOE Benefits: This position is eligible for medical, dental, vision and 401(k). Responsibilities: Maintain accurate customer records, billing details, and project b...
Recommended
-
Senior Payroll Specialist
Bellevue, WA
Job Title: Senior Payroll Specialist Location (city, state): Fully on-site in Bellevue, WA Compensation: $80-120K Benefits: This position is eligible for medical, dental, vision, and 401(k). Qualifications: Minimum 7 years of experience processing mult...
Recommended
-
Collections Specialist
Houston, TX
Job Title: Collections Specialist – B2B Location: NW Houston, TX Compensation: $24.00 - $28.00 per hour Benefits: This position may be eligible for medical, dental, vision, 401(k), and life insurance. Job Summary We are seeking an experienced B2B Colle...
Recommended
-
Member Experience Advocate
Columbia, TN
Title: Member Experience Advocate Pay: $18-20/hr Onsite: Columbia, TN Benefits: This position is eligible for medical, dental, vision, and 401(k). BASIC FUNCTION The Member Experience Advocate I supports the efforts of the Member Experience Manager. Th...
Recommended
-
HR Specialist
Danvers, MA
Job Title: HR Specialist Industry: Cybersecurity Services Location: Remote – Eastern Time Zone Preferred Assignment Type: Temp-to-Hire Pay: $35 – $40 / hour | $80,000 salary upon conversion Work Schedule: Monday – Friday, 8:00 AM–5:00 PM EST Benefits: ...
Recommended
-
Collections Specialist
Waller, TX
Job Title: Collections Specialist Location: Northwest Houston, TX Compensation: $23.00 - $24.00 per hour Benefits: This position may be eligible for medical, dental, vision, and 401(k). Job Summary We are seeking a driven Collections Specialist to join...
Recommended
-
Senior Accounts Receivable Specialist
Cerritos, CA
Position Title: Senior Accounts Receivable Specialist Location: Cerritos, CA (On-Site) Assignment Type: Permanent Hire Compensation: $28.00 - $31.00 per hour Work Schedule: Monday – Friday, 9:00 AM – 5:00 PM Benefits: This position is eligible for Medi...
Recommended
-
Project Accountant
Sterling, VA
Position Title: Project Accountant Location: Sterling, VA (On-site) Assignment Type: Permanent Hire Compensation: $75,000–$100,000 annually Work Schedule: Monday – Friday, 9:00 AM – 5:00 PM Benefits: This position is eligible for Medical, Dental, Visio...
Recommended
-
Accounts Receivable (AR) Specialist
Washington, DC
Role: Accounts Receivable (AR) Specialist Hiring Type: Contract (4 Months) Location: Washington, D.C. Office: Hybrid (3 Days Onsite, 2 Days Remote) Pay: $25-30 a hour, based on experience Benefit's: This positions offers medical, dental, vision, 401k, ...
Recommended
-
Bilingual Call Center Representative
Tysons, VA
Job Title: Dispute Resolution Specialist I (Bilingual English/Spanish) Industry: Call Center/Non-profit Location (city, state): McLean, VA (Hybrid role after training) Assignment Type: Contract-to-Hire (long-term contract with potential for conversion)...
Recommended