Medical Billing Specialist Job at Center for Advanced Eye Care, Langhorne, PA

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  • Center for Advanced Eye Care
  • Langhorne, PA

Job Description

As a  Medical Billing Specialist – Accounts Receivable , you will be responsible for the insurance billing and collections function for an Ophthalmology practice consisting of 10 doctors.  A key aspect of this role is to prioritize and manage patient financial obligations efficiently.  Your success in this position will be driven by your ability to complete billing and/or accounts receivable follow-up while achieving the expected quality and productivity requirements.

Essential Responsibilities:
  • Responsible for billing, charge entry, payment posting, eligibility, coverage, patient collections, and overpayment resolution.
  • Contact payers for appeals, documentation needs, reconsiderations, adjustments, claim corrections and any other activity that pertains to resolution of claim issues.
  • Complete follow-up of patient accounts to maximize reimbursement.
  • Monitor and execute work on assigned claim worklists, AR worklists.
  • Ensure that all patient information is accurate and complete and request any missing patient information.
  • Interact with physicians to obtain billing and documentation clarification.
  • Resolve posting issues, manage remittance and all correspondence.
  • Illustrate excellent knowledge of healthcare industry regarding the revenue cycle, coding, and claim processing.
  • Strong attention to detail, commitment to service, and ability to follow through on assigned responsibilities.
  • Work effectively with others and as a team member.
  • Answer patient inquiries regarding account status professionally, accurately, and timely; Maintain HIPAA confidentiality of patients.
  • Complete other duties/projects as assigned to help support the overall billing function.
What You’ll Need:

 
  • 5+ years of billing and/or medical collections experience or equivalent accounting experience; Prior ophthalmic or optometric medical billing experience
  • Knowledge of principles and practices of medical billing and ICD-10
  • Ability to communicate clearly and professionally to patients over the phone.
  • Ability to effectively interpret and post various payer EOB payments.
  • Enthusiasm and patient relationship focused – must be able to work with patients on the phone to resolve payment issues in a mutually satisfactory manner.
  • Proven dependability and reliability.
  • Organization in how you go about your work, able to multi-task when needed.
  • Discretion and professionalism - which is expected due to the exposure to sensitive operational and financial information.
  • Self-motivation and flexibility to handle tasks as they arise in addition to those already scheduled.
  • Demonstrated skills in problem solving, time management, and adaptability to a changing environment.
  • Computer literacy and strong keyboarding skills

Job Tags

Full time,

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