MD EyeCare Services Corporate

  • Insurance Manager

    Job Locations US-FL-Mount Dora
    Posted Date 1 month ago(10/15/2018 2:47 PM)
    Job ID
    2018-2774
    # of Openings
    1
    Category
    Mid Florida Eye Center
    Type
    Regular Full-Time
  • Overview

    Oversight of the Insurance Department including all aspects of billing, posting, collections, employee management, refunds, credentialing, verifications, pre-certifications and referrals while adhering to existing contracts, policies or regulations.

    Responsibilities

    Employee Management:

            Hire, train and evaluate

            Time card management including scheduling

            Counseling

            Distribute work assignments and evaluate needs

            Employee Moral

     

    Billing:

    Maintain functionality for assigned areas of responsibility (file maintenance)

            Correct daily claim billing electronic claims rejections and errors

            Maintain electronic billing contracts, ERA/EFT and Eligibility functionality

            Review medical record requests for claim payment

     

    Collections:

            Review and approve patient accounts for collections

            Review and respond to written patient complaints regarding invoicing

            Review and respond to credit card charge backs

            Review and respond to requests for adjustments/write-offs

            Review and approve/deny pay plans

     

    Other:

            Medical plan payment posting, portal billing and collections

            Primary point of contact for ambulatory surgery centers; review and respond to requests

    Qualifications

    Education: Bachelor’s degree preferred, and at least 8 years of Billing and Supervisory Experience

     

    Specialized Knowledge: Must be ICD10 proficient with an understanding of CPT and modifiers for professional, anesthesia and ambulatory surgical center services.

    Medical management background consisting of Medicare, managed care and commercial insurance carriers from a billing perspective.

     

     

    Skills: Leadership, computer (Word, Excel, Power-Point), excellent written and verbal communication, ability to critically respond to problems and respond accordingly to conflict or crisis.

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