Duties and Responsibilities
- Review and process patient statements for multiple locations.
- Process refund requests and post refunds into the system.
- Read and interpret insurance Explanations of Payment (EOP) and Explanations of Benefits (EOB) and take appropriate next steps to resolve issues.
- Post payments, charge backs, adjustments, and remark codes in a timely and accurate manner.
- Research difficult ERAs/EOBs.
- Research open accounts receivable, resolve claims errors, and reprocess claims for successful payment.
- Maintain the integrity of patient ledgers and manage balances according to guidelines.
- Submit claims electronically and by paper as required, including secondary claims with attached explanation of benefits.
- Answer questions from patients and clinic team members regarding open account balances and billing issues.
- Ensure compliance with HIPAA/HITECH requirements and all applicable federal, state, and local regulations.
- Act as a liaison and provide excellent customer support to teammates in optometry practices.
- Perform additional duties as assigned.
- Minimal travel to field practices may be required to meet with peers, develop rapport, and understand the business.
Requirements & Qualifications
Qualifications
- Excellent customer service skills.
- Professional presentation and clear communication.
- Ability to work in a paperless environment.
- Strong problem-solving skills and ability to work positively on a team.
- Technologically savvy and open to improving processes.
- Ability to stay focused, multitask, and adapt as needed.
- Positive attitude and desire for a long-term growth opportunity.
Additional Desired Experience
- Healthcare payment posting.
- Healthcare insurance and patient collections.
- Experience with Acuity Logic, Compulink, Eyefinity PM, and/or Officemate is a plus.
- Optical billing, vision therapy billing, Medicare, and Medi-Cal billing experience is a plus.
Physical Requirements
- Ability to hear and understand spoken communication.
- Good hand dexterity and eye-hand coordination.
- Ability to lift up to 20 pounds occasionally and up to 10 pounds frequently.
- Ability to sit for long periods of time.
- Ability to stand for sustained periods.
- Ability to communicate clearly by speaking.
- Ability to travel between practices as needed.
- Ability to read a computer screen for long periods of time.
- Ability to walk between work areas as needed.
Location
California, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
1 month ago
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