Medical Accounts Receivable

November 7

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Claris Vision

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Cataract • Glaucoma • Diabetic Retinopathy • LASIK • Oculoplastic

201 - 500

Description

• The Accounts Receivable Specialist will have strong attention to detail and analytical skills. • The successful candidate will have a strong working knowledge of revenue cycle management and a proven track record in a healthcare practice environment in accounts receivable. • Ensure that patients and insurance companies are properly billed for all services, and that payments are received and processed in a timely manner. • Analyze excel spreadsheets and raw data. • Denial management process. • Telephone insurance carrier/patient to seek resolution on accounts. • Resolve inappropriate payments with insurance carriers. • Utilize specialized knowledge of contracts and guidelines to determine an account’s ability to pay. • Coordinate duplicate billings and expedite payment of insurance claims. • Identify trends in payer non-compliance. • Negotiate within specified guidelines with payers. • Ensure secondary carrier is appropriately billed or self-pay portion is pursued. • Follow up with appropriate staff to locate missing information. • Maintain necessary logs. • Participate in departmental meetings as necessary.

Requirements

• 1-3 years of accounts receivable experience working in a medical practice/healthcare field. • 1 year experience with denial management • Excellent attention to detail, customer service skills, and confidentiality • Proficiency in Microsoft Applications • Excellent written and verbal skills • Ability to develop/implement team ideas and projects both independently and with others • Ability to work in a fast-paced environment. • Must possess the physical, mental, and cognitive skills needed to complete essential tasks, including abilities such as learning, remembering, focusing, categorizing, and integrating information for comprehension, problem-solving, and timely decision-making.