Job Description

As a Medical Billing Specialist - Accounts Receivable , you will be responsible for the insurance billing and collections function for an Ophthalmology practice consisting of 10 doctors. A key aspect of this role is to prioritize and manage patient financial obligations efficiently. Your success in this position will be driven by your ability to complete billing and/or accounts receivable follow-up while achieving the expected quality and productivity requirements.

Essential Responsibilities:

• Responsible for billing, charge entry, payment posting, eligibility, coverage, patient collections, and overpayment resolution.
• Contact payers for appeals, documentation needs, reconsiderations, adjustments, claim corrections and any other activity that pertains to resolution of claim issues.
• Complete follow-up of patient accounts to maximize reimbursement.
• Monitor and execute work on assigned claim worklists, AR worklists.
• Ensure that all patient information is accurate and complete and request any missing patient information.
• Interact with physicians to obtain billing and documentation clarification.
• Resolve posting issues, manage remittance and all correspondence.
• Illustrate excellent knowledge of healthcare industry regarding the revenue cycle, coding, and claim processing.
• Strong attention to detail, commitment to service, and ability to follow through on assigned responsibilities.
• Work effectively with others and as a team member.
• Answer patient inquiries regarding account status professionally, accurately, and timely; Maintain HIPAA confidentiality of patients.
• Complete other duties/projects as assigned to help support the overall billing function.

What You'll Need:

• 5+ years of billing and/or medical collections experience or equivalent accounting experience; Prior ophthalmic or optometric medical billing experience
• Knowledge of principles and practices of medical billing and ICD-10
• Ability to communicate clearly and professionally to patients over the phone.
• Ability to effectively interpret and post various payer EOB payments.
• Enthusiasm and patient relationship focused - must be able to work with patients on the phone to resolve payment issues in a mutually satisfactory manner.
• Proven dependability and reliability.
• Organization in how you go about your work, able to multi-task when needed.
• Discretion and professionalism - which is expected due to the exposure to sensitive operational and financial information.
• Self-motivation and flexibility to handle tasks as they arise in addition to those already scheduled.
• Demonstrated skills in problem solving, time management, and adaptability to a changing environment.
• Computer literacy and strong keyboarding skills

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