Medical Billing Specialist

Medical Billing Specialist - Denials & A/R (Full or Part Time)

Desai Eye Care is looking for an experienced Medical Biller to take ownership of our insurance billing, claims, and denial management. This role is for someone who knows how to work denials and complex claims from start to finish.

This position is flexible: full or part time (20-40 hours/week), and can be in-office, hybrid, or remote. Local candidates in the Lafayette area are preferred but not required.

Benefits: health and dental insurance, 401(k) offered after one year, and PTO after 90 days.

• Submit, track, and follow up on insurance claims to ensure timely reimbursement

• Work claim denials, rejections, and underpayments, including corrected claims and appeals

• Manage and reduce insurance A/R, following up on aging and outstanding claims

• Verify insurance eligibility and benefits, and apply correct payer rules

• Review CPT, ICD-10, and modifier usage for accuracy before submission

• Identify denial trends and recommend process improvements

• 2+ years of hands-on medical billing experience, with a strong focus on working denials and A/R

• Strong working knowledge of commercial payers, Medicare, and Medicaid

• Solid understanding of CPT, ICD-10, and insurance claim workflows

• Experience with Modernizing Medicine (EMA / ModMed PM) strongly preferred

• Detail-oriented, organized, and able to work independently

• Preferred: CPC/CPB certification and ophthalmology or optometry billing experience