Medical Billing
4 weeks ago
On Site - Green Bay, WI
For over 40 years, Shopko Optical has been delivering high-quality products and services by combining state-of-the-art technology, exceptional eye care, and hometown Midwestern values to improve the sight and lives of our patients. As we expand, we are continually looking for innovative and motivated people to join in Shopko Optical’s growth and success.
As part of the corporate team, headquartered in Green Bay, WI, you will have the opportunity to support our optical centers and the communities we serve through a variety of roles including finance, marketing, human resources, merchandising, information technology, real estate, and more.
We offer a competitive benefit package including medical, dental and vision plans as well as disability coverage, 401k, and paid time off, including volunteer time.
Our teammates have opportunities for professional development that promotes our company values to ensure we continually deliver great care to our patients, our customers, and each other.
POSITION SUMMARY:
Apply payment to outstanding claims and follow up on any unpaid claims or late payments to assigned accounts. Accurately log reconciliation information so timely follow up may be completed with Payers.
DUTIES AND RESPONSIBILITIES:
PAYMENT PROCESSING & AR MANAGEMENT
- Apply 3rd party payments to accounts receivable in a timely manner
- Respond promptly and professionally to mail, email and phone inquiries from insurance companies, stores, Safety customers and on occasion patients
- Download and run remittance files provided by 3rd party payers; including 835 when available
- Print and mail paper claims as needed
- Monitor Service Now tickets and resolve issues as required
- Utilize insurance company portals to reconcile claims when necessary
- Communicate with teammates and internal business partners as needed
- Manage assigned accounts to identify outstanding AR, identify root cause for lack of payment and follow up as necessary
CLAIM RECONCILIATION
- Research and reconcile unpaid or underpaid claims, including aged claims
- Inform manager of any issues or unusual occurrences as they happen and escalate issues appropriately
- Correct if necessary and resubmit claims as needed and communicate with stores when store billing processes need correction
- Engage with insurance companies via email and/or phone meetings to address and resolve claim issues
MINIMUM KNOWLEDGE, EXPERIENCE & SKILLS REQUIREMENTS:
- High School Diploma or equivalent
- 2+ years’ health care business experience; retail optical business desired
- Able to work cross-functionally with excellent attention to detail and follow through
- Strong interpersonal relationship skills
- Analytical, organizational and problem-solving skills
- Good oral and written communication skills; able to communicate effectively across all levels of the organization and with Lead or AR Manager
- Proven ability to work collaboratively in a matrix environment
- Proficient with the Microsoft Office Suite of programs
ESSENTIAL FUNCTIONS & WORK REQUIREMENTS
- Ability to effectively communicate at all levels within the organization through written and two-way verbal communication
- Able to read and write at a high school graduate level
- Able to lift 10 to 20 pounds
- Able to sit or stand for extended periods of time
- Able to operate various office equipment (e.g., personal computer, telephone, fax machine, copier, etc.)
- Able to work normal office hours to meet established deadlines
- Able to travel independently to support Company objectives and personal development
These statements are intended to describe the general nature and level of work performed by teammates assigned to this job classification. They are not intended to be an exhaustive list of all responsibilities, duties and skills required.
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