MD EyeCare Services Corporate

Remote Revenue Cycle Associate – Credits Specialist

Job Locations US-TX-Dallas
Posted Date 1 month ago(3/12/2021 3:00 PM)
Job ID
2021-4915
# of Openings
1
Category
EyeCare Services Partners
Type
Regular Full-Time

Overview

Overview of Position

A/R Specialist is responsible for reconciling all accounts with credit balances. The rep will call insurance companies and utilize online resources to determine the validity of payments posted that created credits, resubmit claims as necessary via paper or electronically. Also, ensure timely receipt of payments, and ensure balances on accounts are correct and appropriately prorated.

Responsibilities

Job Duties and Expected Performances:

              

  • Identify credit balances, research the root cause of the credit, and correct transactions or prepare for refund approval.
  • Review encounters via NextGen, reports, and other sources with average productivity of 50 accounts per day. Document follow-up appropriately in the practice management system. Maintain an acceptable error rate within department policy.
  • Identify and bills secondary or tertiary insurances.
  • Reconcile carrier submissions, edits, and rejection reports.
  • Resolve incoming patient calls and excellent customer service skills.
  • Tactfulness in dealing with insurance companies/patients regarding accounts in verbal and written communications; while being professional and courteous.
  • Identify, verify, and document adjustments according to established policy and procedure.
  • Research and prepare credits for refund approval.
  • Performs all other duties as assigned by direct report.

 

Qualifications

Required:

  • High School Graduate or General Education Degree (GED)
  • Associates degree

 Experience:

  • Three years of professional medical billing and collecting experience, or certification obtained from a nationally accredited billing program, i.e., CMBS (Certified Medical Billing Specialist). Required
  • One year of patient collection experience
  • Experience with Excel and Windows-based programs.
  • Experience in performing tasks that require a basic understanding of accounting and math skills.

 Preferred Experience

  • + Experience NextGen PM/EHR
  • + One year of Optometry and Ophthalmology third-party billing guidelines and expertise.

 

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