Company Overview:
Headquartered in Atlanta, GA, EyeSouth Partners is an eye care physician services organization committed to partnering with leading physicians to build a premier network of eye care services in throughout the Southeast. EyeSouth’s partner practices’ clinical mission is to provide high quality medical and surgical specialty eye care. EyeSouth supports its affiliated practices and physician partners with capital, administrative resources, operating expertise, and strategic guidance with an absolute focus on clinical quality and a patient-first culture.
EyeSouth’s affiliate network consists of 30 practices with over 260 doctors providing medical and surgical eye care services at approximately 150 locations including 19 surgery centers throughout Georgia, Louisiana, North Carolina, Florida, Tennessee, Texas, Alabama, Ohio, Kentucky, Pennsylvania, and Illinois.
Position Summary:
The A/R Specialist is responsible for the company’s third-party medical claims processing and assisting patients and office staff with questions on insurance claims, authorizations, statements, and other billing issues. This position will prepare, submit and follow-up on medical claims for Managed Care Organization (MCO), Medicaid, Medicare, Other Federal, Private Insurance, and Workers Compensation.

• Files and processes primary and secondary third-party medical
• Verifies all the information for claims processing is complete and
• Contacts the appropriate person to obtain missing or unclear billing
• Follows-up by website and/or telephone on all unpaid and denied claims to determine next course of action, which may require rebilling missing claims, denied claims or sending additional information on pending claims
• Sends appeal letters to insurance
• Obtains authorizations when needed.
• Identifies and corrects charge entry/ billing
• Provides proper documentation to insurance companies.
• Handles insurance company questions, complaints, and/or responds to and interacts with patients concerning all aspects of billing through phone, e-mail, or regular mail in a prompt and courteous
• Documents all actions and maintains permanent records of patient
• Assists with answering phones, screening calls and following-up on
• Works with management on patient billing and insurance
• Processes refunds to patients and insurance
• Works with outside programs (i.e., co-pay assistance) to ensure proper
• Communicates with front office staff to attempt to collect any outstanding patient
• Contributes to the team effort by completing other tasks and projects as neede