Our growing eye care organization has immediate needs for experienced Accounts Receivable Billing Specialist II who are experienced in 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.

Responsibilities

 

  • Audit production, review audits with staff and management monthly
  • Monitor department metrics by reviewing aging reports regularly
  • Effectively communicate and address insurance aging concerns
  • Oversee assigned insurances aging and claim filing
  • Train staff and create new training documents
  • Identify and communicate payer trends and resolutions
  • Assist in guiding workflow assignments
  • Manage projects to insure deadlines are met
  • Support offices and other shared services with billing needs
  • Monitor claim rejections and work with clearinghouse to find resolution
  • Support employees working insurances assigned to oversee
  • 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
  • Maintain the strictest confidentiality in accordance with HIPAA regulations and clinic requirements

 

Requirements: Education, Experience & Skills 
 

  • High school diploma or equivalent required
  • 3 to 5 years’ experience with medical billing and account resolution
  • 2+ years’ experience as team lead and/or supervisor role preferred
  • In-depth knowledge of performance metrics
  • Excellent Organization, time management, and prioritization skills
  • Strong PC skills, with a minimum of moderate MS Excel Skills
  • Excellent verbal, written, and social skills
  • Ability to communicate effectively with senior management and other departments
  • Experience analyzing company needs, employee development and goal setting
  • Effective and Efficient Problem Solving and Analyzing skills
  • Attentive listening skills
  • Ability to function effectively under stress of conflicting demands on time and attention, while successfully meeting deadlines
  • Ability to maintain control of a call de-escalating issues and instilling confidence that a resolution will be found
  • Ability to perform essential job function with high degree of independence, flexibility, and creative problem solving techniques
  • Ability to clearly articulate a response using appropriate voice modulation free of use of inappropriate grammar
  • Ability to work overtime if/when needed
  • Full understanding of how to read an Explanation of Benefits

Physical Requirements:

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.

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