MD EyeCare Services Corporate

  • Accounts Receiveable Specialist

    Job Locations US-MD-Towson
    Posted Date 2 weeks ago(1/3/2019 8:16 AM)
    Job ID
    2018-2875
    # of Openings
    1
    Category
    National Retina Institute
    Type
    Regular Full-Time
  • Overview

    Natl_Retina_Institute

     

    Responsibilities will include processing medical claims generated within the practice management software system daily.  Batches will be created for each location assigned, claim edits reviewed and appropriate action taken to ensure that claims are clean prior to processing to payors.

     

    Jopb specific taks will also include AR follow-up with insurance payors to correct denied claims including submission of appeal letters, correct claims in accordance with Correct Coding Initiatives (CCI) and all Compliance regulations and work with the clinics to gather information needed to correct and reprocess the claim. Communication of denial trends to Supervisor and Manager to help initiate training to avoid potential denials in the future.

     

    You will work closely with team members and share knowledge of billing with others to have an overall improvement in the team’s performance.

     

    Responsibilities

    • Create claim batches and process all insurance claims daily
    • Understanding of claim edits and know the appropriate actions to take to correct the claim prior to submission
    • Prepare claim resubmissions, appeals and reviews
    • Research correct ICD and CPT codes to get claims paid for any rejections
    • Contact patient when necessary to obtain correct information to get the claim paid
    • Call insurance company when necessary to find out why claim is rejecting, and follow through by correcting information and resubmitting the claim for payment
    • Work with clinics to gather additional information that may be needed to correct a claim for submission to payor
    • Meet timely deadlines specified by management when billing charges
    • Maintain organized filing system for uploaded/completed batchches
    • Work well with team members
    • Support and backup other areas of the department as needed
    • Contact patient when necessary to obtain correct information to get the claims
    • Answer patient and insurance calls
    • Other duties as assigned

     

    Qualifications

    • Positive, upbeat attitude
    • Analytical Problem-Solving Skills
    • Strong attention to detail
    • Effectively manage multiple priorities
    • Proficient computer skills including experience with Microsoft Excel and the internet
    • Effective communication with peers, managers, and all individuals affiliated with the company
    • Ability to work well in a team environment
    • Deadline Driven

     

    Education/Credentials:

    • High school diploma or equivalent is required
    • Medical collections experience Preferred
    • Customer service experience Preferred
    • Experience in Ophthalmology and Nextgen (NG) is preferred

    In Turn We Will Provide:

    • Benefits to full time team members that include comprehensive medical, dental and optical coverage, 401K and short and long term disability
    • Company paid life insurance
    • Paid holidays and generous paid time off
    • Paid parking where applicable
    • Team oriented working environment where you are heard and respected
    • Clear career ladder opportunities

     

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