Billing and Accounts Receivables Specialist

Job Description

Job Description

Southern Vitreoretinal Associates (SVA) is seeking a BILLING and ACCOUNTS RECEIVAVABLES SPECIALIST to join our Tallahassee, FL team. SVA is an Ophthalmology practice that specializes in retina care. We have six offices and six physicians. The ideal candidate will thrive in a fast-paced environment, exhibit exceptional attention to detail, and demonstrate the ability to manage multiple priorities with urgency and accuracy. Under general supervision of the Assistant Business Office Manager, the BILLING and ACCOUNTS RECEIVAVABLES SPECIALIST responsibilities will include obtaining prior authorizations, working outstanding insurance balances for services rendered by SVA, ensuring timely reimbursement. The Billing and Accounts Receivables Specialist is responsible for researching, analyzing all open claims and any unpaid insurance balances, resolving outstanding issues in a timely manner. Individual will also be responsible for assisting with authorizations, payments and patient communications as necessary.

PRIMARY AREAS OF RESPONSIBILITIES : The duties identified below are the essential functions of the position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Other duties may be assigned that align with the summary of this position.

• Obtain authorizations for office visits and physician administered medications
• Extensive A / R work, claim denials, submitting appeals, checking claim statuses, confirming payments match fee schedules, calling insurance companies
• Payment posting to accounts receivable system from all insurance carriers, patients, and funding companies
• Obtaining insurance eligibility and benefits information with all major insurance companies
• Able to explain patients benefits to patients in a clear and professional manner
• Obtain authorizations for office visits and physician administered medications
• Calculate patient amount due and contact patient via telephone
• Review schedules prior to date of service
• Will approve scheduled and same day injections after checking for necessary authorizations and communicate such to clinical staff
• Maintains excellent communication skills and interpersonal skills with physicians, patients, and co-workers
• Working with Patient Assistance Programs to enroll patients and the ability to explain these programs to patients
• ICD -10 / CPT Code knowledge
• Knowledge of how to read and interpret explanation of benefits
• Payment posting to accounts receivable system
• Review next day balances

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Why Join Us :

This position offers unparalleled opportunities to learn and grow within a supportive team environment. You'll be challenged daily, allowing you to expand your skill set and make meaningful contributions to our patients' well-being. If you're ready to take your career to the next level and thrive in a role that values empathy and expertise, we invite you to apply and become part of our dynamic team today.

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