Insurance Authorization Specialist

at  Eye Care Partners Career Opportunities

EyeCare Partners is the nation’s 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: RCM A/R Specialist

SUMMARY

The Accounts Receivable Specialist research unpaid claims and follows up on the insurance end. Accounts Receivable Specialists work in our Revenue Cycle Management department to provide administrative and bookkeeping support, streamlining financial recordkeeping.

QUALIFICATIONS

• Excellent verbal, written, and interpersonal skills
• Knowledge of explanation of benefits (EOB’s)
• Detail-oriented with strong organizational skills EDUCATION AND/OR EXPERIENCE
• Minimum Required: HS Diploma or G.E.D.
• Minimum Required: 1+ years of experience in accounts receivable LICENSES AND CREDENTIALS
• Minimum Required: None SYSTEMS AND TECHNOLOGY
• Proficient in Microsoft Excel, Word, PowerPoint, Outlook
  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

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 (636) 227-2600
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

• Manages all communications relating to invoices and incoming bills and may work with Accounts Payable Specialists to balance company financial records.
• Maintain knowledge of company bookkeeping policies, audit business ledgers, organize invoices and begin the collections process for client accounts with past-due balances.
• Process and record any unique billing situations that fall outside of regular operations such as custom payment plans.
• Review unpaid claims and research reasons for delay.
• Initiate collection follow up of unpaid or denied claims with the appropriate payer.
• Research appeal and resolve claim rejections, underpayments, and denials with payers.
• Process appeals by gathering information and resubmitting claims.
• Create reports and balance sheets that document overall profits and losses.

• Communicate payment or denial trending that impact revenue to leadership.

  Develop and maintain positive working relationships with team members and payer representatives. Update client accounts based upon payment or contact information. Contact insurance companies to address discrepancies and ensure claims are paid.

• Review outstanding accounts and aging reports.

• Process any adjustments ad hoc.