Billing Specialist
Company: Eye Care Partners
Location: Richmond
Posted on: April 18, 2024
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Job Description:
EyeCare Partners is the nations leading provider of clinically
integrated eye care. Our national network of over 300
ophthalmologists and 700 optometrists provides a lifetime of care
to our patients with a mission to enhance vision, advance eye care
and improve lives. Based in St. Louis, Missouri, over 650
ECP-affiliated practice locations provide care in 18 states and 80
markets, providing services that span the eye care continuum. For
more information, visit www.eyecare-partners.com. Job Title:
Billing Specialist ** REMOTE ** 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. Billing Specialist 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 Requirements: Proven experience as a Collection
Specialist or similar role for 2+ years 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 Physical Requirements: While performing the duties of
this job, the employee is regularly required to talk and hear. The
employee is occasionally required to stoop, kneel, crouch or crawl.
The employee must frequently lift and/or move up to 10 pounds.
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. Employment Type: Full Time
Keywords: Eye Care Partners, Tuckahoe , Billing Specialist, Accounting, Auditing , Richmond, Virginia
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