Overview
As an Insurance A / R Specialist, you'll collect payments for an assigned segment of the insurance accounts receivable and performs insurance follow up duties in accordance with established federal and state regulations. You'll also appeal claim denials as necessary and appropriate.
Responsibilities
- Follows-up with insurance companies and ensures claims are paid / processed
- Services each account in priority of importance and independently billing accounts with understanding of all applicable insurance and / or CMS regulations
- Resubmits insurance claims that have received no response or are not on file, in a timely manner according to each insurance’s contracted filing limits
- Reviews and appeals unpaid and denied claims, includes analysis of coding that assures proper billing
- Makes changes to demographic information as necessary in order to produce a clean claim
- Researches and prepares insurance credits for refund approval
- Maintains an error rate in accordance with departmental policy
- Performs all other assigned duties
- Please note this role is onsite Monday-Friday
Qualifications
High School diploma or equivalent2 years medical billing experienceOphthalmology background desiredActive knowledge of CMS guidelines, contracted insurance guidelines and coding policiesDemonstrates computer literacyWell-organized with attention to detailAbility to read and understand oral and written instructionsExcellent math skillsAbility to establish and maintain effective working relationship with team members, clinic staff, payers and patientsProfessional customer service skillsHas a desire and dedication to work with self-disciplineBenefits & Perks
Your health, happiness and your future matters! At AVP, we offer everything from medical and dental insurance, significant eye care discounts, child care assistance, pet insurance, continuing education funds, 401(k), paid holidays, PTO, Sick Time, opportunity for growth, and much more!