Billing Specialist at Eye Care Partners

SUMMARY

We are looking for a knowledgeable Billing Specialist to join our team who possesses a high degree of professionalism, excellent communication skills, is dependable and able to work independently.

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Prepare, review, and transmit claims using billing software including electronic, website
  submission, and paper claim processing
  Status unpaid claims within standard billing cycle timeframe
  Timely review/handling of insurance claim denials, exceptions, or exclusions
  Forwards requests for medical records to appropriate internal resources
  Addresses/corrects demographic information requested by insurance company
  Ability to read and accurately interpret insurance Explanation of Benefits (EOBs)
  Verifying insurance payments for accuracy/compliance based on contracts to ensure correct reimbursement is received
  Following up directly with insurance companies regarding payment discrepancies
  Utilizing aging reports and work flow statuses provided by Supervisor to address any unpaid or open claims over 30, 60, 90, and 120 plus
  Coordination of Benefits (COB) Ability to Identifying and bill secondary or tertiary
  Documenting denials associated with Patient responsibility to forward to the collection team
  Ability to research and appeal denied claims
  Answering all patient or insurance telephone inquiries pertaining to assigned accounts
  Report payment discrepancies or denial trends identified to Supervisor as soon as they are identified for assigned accounts
  Perform additional duties as requested by Supervisor or Upper Management Team

QUALIFICATIONS

• Experience with CPT and ICD-9/10; Familiarity with medical terminology
• Knowledge of billing procedures and collection techniques
• Computer experience is essential, including, but not limited to: practice management software,
  clearing houses, MS Office, and spreadsheet applications
• Adhering to company standards of compliance with policies and procedures
• Strong written and verbal communication skills
• Keep Supervisor abreast weekly of any concerns or issues associated with accounts
• Detailed oriented
• Consistent production results
• Good problem solving and research skills
• Able to multi-task and meet deadlines

EDUCATION AND/OR EXPERIENCE

• Proven experience as a Collection Specialist or similar role for 2+ years
• Minimum High School Diploma

LICENSES AND CREDENTIALS

• Minimum Required: None

SYSTEMS AND TECHNOLOGY

• Proficient in Microsoft Excel, Word, PowerPoint, Outlook

Physical Requirements:

• While performing the duties of this job, the employee is regularly required to talk and listen.
• Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.

If you need assistance with this application, please contact [phone removed]

EyeCare Partners is an equal opportunity/affirmative action employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status. Please do not contact the office directly only resumes submitted through this website will be considered.

NOTE: Job descriptions are intended to be accurate reflections of those principal job elements essential for making fair pay decisions about jobs. Nothing in this job description restricts management right to assign or reassign duties and responsibilities to this job at any time.