Medical Billing Specialist - Accounts Receivable

As a

Medical Billing Specialist - Accounts Receivable , you will be responsible for the insurance billing and collections function for an Ophthalmology practice consisting of 10 doctors. A key aspect of this role is to prioritize and manage patient financial obligations efficiently. Your success in this position will be driven by your ability to complete billing and/or accounts receivable follow-up while achieving the expected quality and productivity requirements.

Essential Responsibilities:

Responsible for billing, charge entry, payment posting, eligibility, coverage, patient collections, and overpayment resolution.
Contact payers for appeals, documentation needs, reconsiderations, adjustments, claim corrections and any other activity that pertains to resolution of claim issues.
Complete follow-up of patient accounts to maximize reimbursement.
Monitor and execute work on assigned claim worklists, AR worklists.
Ensure that all patient information is accurate and complete and request any missing patient information.
Interact with physicians to obtain billing and documentation clarification.
Resolve posting issues, manage remittance and all correspondence.
Illustrate excellent knowledge of healthcare industry regarding the revenue cycle, coding, and claim processing.
Strong attention to detail, commitment to service, and ability to follow through on assigned responsibilities.
Work effectively with others and as a team member.
Answer patient inquiries regarding account status professionally, accurately, and timely; Maintain HIPAA confidentiality of patients.
Complete other duties/projects as assigned to help support the overall billing function.

What You'll Need:
5+ years of billing and/or medical collections experience or equivalent accounting experience; Prior ophthalmic or optometric medical billing experience
Knowledge of principles and practices of medical billing and ICD-10
Ability to communicate clearly and professionally to patients over the phone.
Ability to effectively interpret and post various payer EOB payments.
Enthusiasm and patient relationship focused - must be able to work with patients on the phone to resolve payment issues in a mutually satisfactory manner.
Proven dependability and reliability.
Organization in how you go about your work, able to multi-task when needed.
Discretion and professionalism - which is expected due to the exposure to sensitive operational and financial information.
Self-motivation and flexibility to handle tasks as they arise in addition to those already scheduled.
Demonstrated skills in problem solving, time management, and adaptability to a changing environment.
Computer literacy and strong keyboarding skills

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