Ophthalmology Accounts Receivable Specialist

at  Abillifeye LLC

JOB SUMMARY:

We are seeking a detail-oriented and organized individual to join our team as an
Accounts Receivable Specialist. In this crucial role, you will play a vital part in ensuring
timely and accurate claim processing and financial health for our Customers. You will be
responsible for submitting claims to insurance companies, managing patient accounts,
and resolving billing issues. This position requires strong analytical skills, attention to
detail, and excellent communication abilities.

QUALIFICATIONS:

• High school diploma or equivalent required.
• Minimum of 3-5 years of experience in medical billing field required.
• Proficiency in medical coding systems (CPT, ICD-10- CM)
• Excellent understanding of healthcare insurance billing procedures.
• Strong analytical and problem- solving skills
• Excellent attention to detail and accuracy.
• Proficient in Microsoft Office Suite (Word, Excel).
• Ability to work independently and as part of a team.
• Excellent communication and interpersonal skills.
• Ability to meet deadlines.
• Strong organizational and time management skills.
• Ability to learn new software and procedures quickly

• Submit claims electronically to insurance companies.
• Review and follow up on denied claims to ensure proper reimbursement. This includes but is not limited to, calling insurance payers for accounts receivable follow-up, resubmitting claims, managing the denial/task worklists, and contacting patients.
• Generate and analyze reports on billing activity and identify areas for improvement.
• Research and resolve discrepancies in patient information and claims.
• Identifies and reports unpaid/underpaid claim trends
• Apply adjustments to patient accounts as appropriate.
• Research and resolve discrepancies in payment postings.
• Prepare and submit daily/weekly/monthly reports on payment activity as directed by management.
• Communicate effectively with other members of the team.
• Maintain a positive and collaborative working environment with other team members.
• Provide excellent customer services to patients and clients.
• Provide support to the client as requested or needed.
• Follow established company policies and procedures.
• Abide by HIPAA Policy.
• Other Duties as assigned.
• Potential opportunity to expand into Appeals Department when approved by Executive Team.