Company Overview:
Headquartered in Atlanta, GA, EyeSouth Partners is an eye care physician services organization committed to partnering with leading physicians to build a premier network of eye care services in throughout the Southeast. EyeSouth’s partner practices’ clinical mission is to provide high quality medical and surgical specialty eye care. EyeSouth supports its affiliated practices and physician partners with capital, administrative resources, operating expertise, and strategic guidance with an absolute focus on clinical quality and a patient-first culture.
EyeSouth’s affiliate network consists of over 70 practices with 400+ doctors providing medical and surgical eye care services at over 285 clinic locations and 26 ambulatory surgery centers throughout Alabama, Georgia, Texas, Louisiana, Florida, Illinois, Kentucky, Tennessee, Ohio, Pennsylvania, New York, Michigan, North Carolina, and South Carolina.
Position Summary:
We are actively recruiting for an open Billing Specialist position within our corporate division of EyeSouth Partners.
If you wish to join a growing team with favorable benefits and perks, while contributing to a best-in-class organization, please apply with your resume.
**Applicants who live and plan to work from the following states will not be considered at this time: Alaska, Arizona, California, Colorado, Delaware, Hawaii, Idaho, Montana, Maryland, Massachusetts, Michigan, Nevada, New Mexico, Oregon, New Hampshire, New Jersey, Utah, New York, Rhode Island, Washington, and Wyoming. Thank you for your interest.
Responsibilities:
- Files and processes primary and secondary third-party medical claims.
- Verifies all the information for claims processing is complete and accurate.
- Contacts the appropriate person to obtain missing or unclear billing information.
- Follows-up by website and/or telephone on all unpaid and denied claims to determine next course of action, which may require rebilling missing claims, denied claims or sending additional information on pending claims.
- Sends appeal letters to insurance companies.
- Obtains authorizations when needed.
- Identifies and corrects charge entry/ billing errors.
- Provides proper documentation to insurance companies.
- Handles insurance company questions, complaints, and/or problems.
- Responds to and interacts with patients concerning all aspects of billing through phone, e-mail, or regular mail in a prompt and courteous manner.
- Documents all actions and maintains permanent records of patient accounts.
- Assists with answering phones, screening calls and following-up on messages.
- Works with management on patient billing and insurance issues.
- Processes refunds to patients and insurance companies.
- Works with outside programs (i.e., co-pay assistance) to ensure proper payment.
- Communicates with front office staff to attempt to collect any outstanding patient balances.
Qualifications:
- Minimum of two (2) years Medical Insurance/Healthcare Billing and Collections experience in a medical practice or health system.
- CPC, CPOC, COC certification is desired
- Six months of previous customer service experience preferred.
- Prior experience with an electronic medical record system required (EHR/EMR)
- Working knowledge of medical billing, collections and payment posting, revenue cycle, third party payers, Medicare; and strong knowledge of Federal payer regulations.
- Working knowledge of CPT and ICD10 codes, HCFA 1500, UB04 claim forms, HIPAA, billing and insurance regulations, medical terminology, insurance benefits and appeal processes.
- Ability to handle sensitive and confidential information in a professional manner.
- Maintains knowledge of coordination of benefits requirements and processes.
- Demonstrated success working in a team environment focused on meeting organization goals and objectives is necessary.
- Self-motivated with strong organizational skills and superior attention to detail.
- Ability to review documents for accuracy and reasonability.
- Ability to work well under pressure.
- Ability to multi-task, set priorities and follow through without direct supervision.
- Effectively communicate with physicians, patients, insurers, colleagues, and staff.
- Intermediate computer skills including Microsoft Office; especially Word, Excel, and PowerPoint.
- Knowledge of policies and procedures to accurately answer questions from internal and external customers.
- Detail oriented and tolerant of frequent interruptions and distractions from patients and staff.
- Excellent interpersonal skills including the ability to interact effectively and professionally with individuals at all levels; both internal and external.
- Exercises sound judgment in responding to inquiries; understands when to route inquiries to next level.
- Team player that develops strong collaborative working relationships with internal partners and can effectively engage and ability to build consensus among cross-functional teams
Company Benefits:
We offer a competitive benefits package to our employees:
- Medical
- Dental
- Vision
- 401k w/ Match
- HSA/FSA
- Telemedicine
- Generous PTO Package
We also offer the following benefits for FREE:
- Employee Discounts and Perks
- Employee Assistance Program
- Group Life/AD&D
- Short Term Disability Insurance
- Long Term Disability Insurance
EyeSouth Partners is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
