MD EyeCare Services Corporate

  • Billing / AR Specialist

    Job Locations US-FL-Mount Dora
    Posted Date 4 weeks ago(9/24/2018 9:42 AM)
    Job ID
    2018-2752
    # of Openings
    1
    Category
    Mid Florida Eye Center
    Type
    Regular Full-Time
  • Overview

    Mid Florida Eye Logo jpg

    Eyecare Services Partners, including our Mid Florida Eye Center brand, is a nationally recognized leader in Ophthalmic and Optometric care with an excellent clinical support team, dynamic leadership and an unwavering commitment to customer service.  We strive to make every interaction extraordinary, inspiring the complete confidence of our patients.  Our employees contribute directly to the success of our practices and take pride in being a member the ESP Management team. We strongly believe that the manner in which our patients, customers and employees is as important as the quality of the services we provide.

     

    The Billing / AR Specialist will be responsible for responsible for working directly with the insurance companies to manage the effective and efficient medical collections, appeals & denials process.

    Responsibilities

    • Follow up on all claims from billing through final resolution.
    • Correct and identify billing errors and resubmit claims to insurance carriers.
    • Follow up on payment errors, low reimbursement, denials etc.
    • Review Insurance EOB and initiate appeals as necessary.
    • Ensure maximization of collection dollars from insurance companies in accordance with the respective contracts.
    • Obtain corrected information and request rebills.
    • Respond to payer’s request for additional information/documentation.
    • Confer with Billers & Coders, as necessary, to obtain additional information/clarification.
    • Co-ordinate requests for medical records.
    • Posting account adjustments as a result of written communication from third parties (i.e. certain contractual adjustments, etc.).
    • Provides balance breakdown to document the status, i.e., primary payor balance, secondary or credit balance, patient balance.
    • Provide clear and concise documentation of every action taken on an account in the system collection notes

    Qualifications

    • 2 years Medical Collection experience
    • Healthcare experience required
    • Knowledge of insurance plans and providers
    • Knowledge of claims and billing
    • Professional appearance and demeanor are required

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