Our growing eye care organization has immediate needs for experienced Revenue Cycle Management Representative who are experienced in authorization and verification of benefits, claim submission, researching unpaid claims and following up on the insurance end. The ideal candidate will be compassionate and naturally helpful, willing to work through a problem to its successful conclusion.
Review unpaid claims and research reasons for delay
Initiate collection follow up of unpaid or denied claims with the appropriate payer
Research appeal and resolve claim rejections, underpayments and denials with payers
Process appeals by gathering information and resubmitting claims
Communicate payment or denial trending that impact revenue to leadership
Develop and maintain positive working relationships with team members and payer representatives
Contact insurance companies to work out any discrepancies and get the claims paid
Review outstanding accounts and aging report
Process any adjustments as needed
Understand authorization and verification of patient benefits
Initiate claim submission and payer claim rejections
Requirements: Education, Experience & Skills
High school diploma or equivalent required
1+ years’ experience with revenue cycle management preferably in a healthcare environment
Excellent verbal, written, and social skills
Ability to work overtime if/when needed
Strong knowledge of explanation of benefits (EOB’s)
While performing the duties of this job, the employee is regularly required to talk and hear. The employee is occasionally required to stoop, kneel, crouch or crawl. The employee must frequently lift and/or move up to 10 pounds.
Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.
If you need assistance with this application, please contact (636) 227-2600
EyeCare Partners is an equal opportunity/affirmative action employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.
Please do not contact the office directly – only resumes submitted through this website will be considered.