ASC AR Specialist

AR ASC Specialist

This role is responsible for the follow-up and collection of accounts receivable. This includes general payer collections and denial follow-up. In addition, this role could oversee the intake of patient calls. This position performs various accounting, customer service, and organizational tasks to promote the financial health of the organization.

The identification of duties and responsibilities does not constitute an exhaustive list of all duties that may be assigned to this position, nor does it restrict the related work that may be assigned to this position.

Remote: IL, OH, GA, TX, MI, PA

What You Will Be Working On

• Follow up on accounts receivable, including collections and denial resolution.

  • Call payers directly and use payer portals.

  • Work in the patient account system and work queues, and use Excel documents.

• Resolve credit balances.

  • Interpret a variety of EOBs to reconcile patient accounts. Determine the appropriate balance, verify whether the credit is accurate, and take appropriate action for a refund or takeback.

• Place outgoing calls to insurance companies to resolve outstanding claims and balances.

• Maintain working knowledge of Medicare, Medicaid, government, and commercial payers.

• Track trends and communicate payer scenarios.

• Perform month-end close procedures within the established time frame.

• Communicate payer and account issues to the manager in a timely manner.

• Monitor accounts for other opportunities (e.g., copays, deductibles, and coinsurance).

• Enter clear, concise comments in the software system for tracking and documentation.

• Ensure adherence to HIPAA standards and all other privacy and compliance policies.

• Stay knowledgeable about payer and contract updates and bulletins.

• Perform other duties as assigned to support the financial health of the organization.

Knowledge, Education, and Skills Requirements

• High school diploma or equivalent

• Previous healthcare experience in accounts receivable management

What Will Make You Awesome

• Excellent written and verbal communication skills

• Excellent computer skills, including Excel, Word, and RCM systems as needed

• Strong organizational skills, attention to detail, a strong work ethic, and demonstrated teamwork skills

• Ability to multitask and meet deadlines

What You Know

To be successful in this role, you will have the following experience or knowledge:

• Ability to read various EOBs

• Familiarity with payer portals

• Knowledge of Medicare and Medicaid

About Midwest Vision Partners

Vision is a precious gift. Midwest Vision Partners (MVP) is focused on improving and preserving it for as many patients as possible by cultivating a network of world-class ophthalmologists and optometrists who provide exceptional, patient-centered care. Midwest Vision Partners was founded in 2019 in partnership with Alpine Investors. Headquartered in Chicago, MVP proudly supports prominent eye care professionals in 70+ locations across Ohio, Michigan, Pennsylvania, West Virginia, and Illinois, with over 140 physicians and 1,500 employees, all focused on providing top-notch, customized results for each of our patients