Job Information
Ophthalmic Consultants of Boston Senior Medical Billing Specialist in Plymouth, Massachusetts
Senior Medical Billing Representative
Ophthalmic Consultants of Boston (OCB)
Be Part of a Team That’s Advancing Vision Care—and the People Behind It
At Ophthalmic Consultants of Boston (OCB), we don’t just deliver exceptional eye care—we build careers. As a nationally recognized leader in ophthalmology, we are proud to foster a collaborative, growth-focused environment where expertise is valued and professional development is encouraged.
We are seeking an experienced and driven Senior Medical Billing Representative to join our Revenue Cycle team. In this role, you will be a key contributor to the financial health of the organization, tackling complex billing challenges, supporting team development, and helping ensure a seamless experience for our patients and providers. This position is fulltime, onsite at our Plymouth, MA location.
What You’ll Do
As a senior member of the team, you’ll play a critical role in optimizing revenue cycle performance by:
Resolving complex claim edits, rejections, and denials with accuracy and efficiency
Leading advanced A/R follow-up efforts to ensure timely reimbursement
Analyzing denial trends and implementing proactive solutions
Writing detailed, effective appeal letters aligned with clinical documentation and payer policies
Ensuring compliance with timely filing requirements and regulatory standards
Reviewing and validating patient demographics, insurance details, charges, and coding
Serving as a subject matter expert for billing processes, coding, and payer requirements
Collaborating with insurance carriers, patients, physicians, and internal teams to resolve complex inquiries
Supporting accurate eligibility verification, authorizations, and referral processes
Reviewing medical records to ensure alignment with medical necessity guidelines
Identifying workflow improvements to reduce denials and increase efficiency
Assisting with onboarding, training, and mentoring of new team members
What You Bring
You are a knowledgeable and detail-oriented billing professional who thrives in a fast-paced, high-volume environment and enjoys sharing your expertise with others.
Strong knowledge of medical terminology, ICD-10 diagnosis codes, and CPT-4 procedure codes
Advanced understanding of coding modifiers and their appropriate use
Several years of experience in medical billing or revenue cycle operations
Proven expertise in A/R follow-up and denial management
Deep understanding of insurance eligibility, benefits, and reimbursement processes
Familiarity with payer medical necessity requirements and billing policies
Excellent communication and customer service skills
Strong analytical, organizational, and problem-solving abilities
High attention to detail and accuracy
Ability to manage multiple priorities effectively
Proficiency with Microsoft Office (Word, Excel, Outlook)
Solid understanding of HIPAA regulations
College degree preferred
CPC, COPC, or similar certification preferred
Why Join OCB?
At OCB, your work has purpose. Behind every claim you resolve is a patient receiving life-changing care. We are committed to supporting our employees with opportunities for growth, a team-oriented culture, and the tools needed to succeed.
OCB offers industry leading benefits including:
Medical & dental insurance (starts on the 1st day of employment!)
401(k) plan with Company match
Company paid Life Insurance
Company paid Long Term Disability
Eye care discounts
Generous Paid Time Off and Paid Holidays
To learn more about OCB, please visit our website at www.eyeboston.com
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