Accounts Receivable Credit
4 weeks ago
Accounts Receivable Specialist
The Account Receivable Specialistservices as optical store assistant who helps process insurance claims for insurance companies, make sure claims from the insurance come back, make proper adjustments, and also keep account of unpaid invoices from patients. He/she must be willing to be familiar with insurance diagnosis codes, optical terminology and have a firm understanding of the optical field.
*Gather and review medical documentation for qualifying coverage to ensure payment will be made
Obtain, verify and maintain current insurance info to ensure proper and timely claim payment
Review, correct and submit claims/invoices for payment Obtain Prior Authorizations as necessary by product line and payer Interpret denials/correspondence and work with insurance companies to receive payment.
Document want is claimed and what is reimbursed.
Follow-up on aging accounts receivable from patients who jobs are complete.
Utilize payer resources, web portals and customer service phone lines to communicate with payers regarding timely reimbursement and denials
*Proficient in Microsoft Office, Word and Excel.
Must be comfortable navigating through a variety of software programs and insurance websites.
Maintain thorough understanding of different insurance contracts/payers we handle and keep abreast of any changes with these contracts.
Prior experience in a fast paced medical billing environment is beneficial. Accounting background and education a plus.
First Name Last Name Email Phone Upload your resume/CV You can e-mail your resume later to kennethm@mkeyewear.
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