As an Insurance Specialist on the Revenue Cycle team, you will help ensure smooth and accurate claims processing for a busy eye care practice. This role supports claim creation, payment posting, payer follow-up, and patient support to keep revenue cycle operations running efficiently.
You will also serve as a lead or mentor for peers on tasks or projects and contribute to a collaborative, fast-paced office environment.
Requirements & Qualifications
Education and Experience
- High school diploma or GED required
- 3 to 5 years of healthcare experience, preferably in billing or clinical settings
- Previous medical billing experience with knowledge of billing-related reporting
- Experience working with medical payers and vision insurance
- Strong knowledge of medical terminology and general medical office procedures
- Working knowledge of medical billing systems; NextGen experience is a plus
- Working knowledge of CPT and ICD-9/ICD-10 coding systems
- Familiarity with HIPAA regulations
- Must be authorized to work in the US
Job Duties
- Enter billing charges in the practice management system and through manual entry
- Correct and refill denied claims
- Post patient and insurance payments manually and electronically
- Follow up with payers on rejections, denials, inquiries, and claim status
- Manage aged accounts receivable for assigned payers
- Respond to patient inquiries via daily phone queue rotation
- Help de-escalate patient complaints with management support
- Participate in meetings and training
- Comply with payment collection rules, regulations, policies, and procedures
Location
Michigan, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
No
Posted
3 weeks ago
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