Remote A/R Specialist - Ophthalmology Billing

Overview:

Eyecare Services Partners is searching for a skilled, full time Remote A/R Specialist. Great work hours, No late evenings, no major holidays, a robust benefits package, a team oriented working environment where you are seen, heard and respected as well as clear, attainable career ladder opportunities.

Candidate should bring at least two years of high volume, multi-discipline ophthalmology billing experience to be considered for this position. Experience with NextGen is highly preferred. 

EyeCare Services Partners (ESP) is creating the nation’s leading eyecare services company in both quality and scale by consolidating ophthalmologic and optometric practices and ambulatory surgery centers that are locally dominant and clinically differentiated. Eyecare Services Partners selects best-in-class Ophthalmic and Optometric practices that are focused on essential eye health issues. Our practice groups excel in the utilization of advanced technology and processes to provide safe and optimal outcomes for our practices. ESP and our associated practices represent a community of dedicated leaders, compassionate providers and surgeons, plus highly skilled clinical teams supporting communities and their eye care needs.

All of us at Eyecare Services Partners are committed to inclusion and belonging. We believe today more than ever that creating an environment where everyone can bring their authentic selves to work and make it easy for others to do the same will benefit us all.  It isn’t speaking the words, but starts with a culture of caring, listening and service. We would thoroughly enjoy meeting with you and discussing our employment opportunities. For more information, please visit our webpage at www.espmgmt.com.

A/R Specialist is responsible for calling all insurance companies and utilizing online resources to check claim status, resubmit claims as necessary via paper or electronically, file appeals, track denial trending, resolve denials, and ensure maximum revenue capture. In addition, this role will facilitate timely receipt of payments and ensure balances on accounts are correct and appropriately prorated. 

• Follow up on all assigned insurance claims to ensure appropriate reimbursement
• Identify, investigate, and resolve unpaid claims
• Process assigned AR task lists to meet daily production goals as assigned by management
• Review accounts to determine appropriate follow-up action
• File claim denials and underpayments for resubmission considerations and appeals
• Recommend accounts to be written off as per adjustment guidelines and prepare refunds upon approval
• Report filing rule changes to the manager upon discovery or notification
• Properly notate patient accounts as per RCM workflow and procedures
• Scan correspondence and index to the paper account as per RCM workflow and procedures
• Respond to all insurance company and patient inquiries regarding claim
• Maintain an acceptable error rate vs. productivity level per assigned goals
• Perform collection actions, including third-party appeals and the resubmission of claims to third party payers
• Identify and bill secondary or tertiary insurances
• Reconcile carrier submissions, edits, and rejection reports
• Execute duties of position in a professional and courteous manner
• Handle sensitive information in a confidential manner
• Perform other duties as assigned
• Identify, verify, and document adjustments according to established policies and procedures
• Performs all other duties as assigned

• High School Graduate or General Education Degree (GED)
• Associate degree in accounting or related field preferred
• Two years of professional medical billing and collection experience required
• One year of optometry and ophthalmology third-party billing guidelines and expertise required
• Strong attention to detail with a dedication to accuracy
• Excellent verbal and written communication skills
• Highly energetic with a positive attitude
• Possess strong written and verbal communication skills
• Create and maintain positive interpersonal relationships
• Ability to perform as part of a team as well as work independently
• Understand medical terminology and can read a medical record
• Certification obtained from a nationally accredited billing program, i.e., CMBS (Certified Medical Billing Specialist) preferred
• Experience with Excel and Windows-based programs preferred
• Experience in performing tasks that require a basic understanding of accounting and math skills
• Experience with NextGen PM

In Turn We Will Offer:

• Benefits to full time team members that include comprehensive medical, dental and optical coverage, 401K and short and long term disability
• Company paid life insurance
• Paid holidays and generous paid time off
• Paid parking where applicable
• Team oriented working environment where you are heard and respected
• Clear career ladder opportunities

To learn more about us, please visit:  www.espmgmt.com

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