Healthcare Accounts Receivable Specialist
1 week ago
Position: Accounts Receivable - Medical Billing Specialist
Shopko Optical has been a leader in providing exceptional optical services and products for over four decades. We are committed to enhancing the vision and lives of our patients through advanced technology and outstanding customer service.
As a key member of our corporate team, you will play a vital role in supporting our optical centers and the communities we serve. This position offers diverse opportunities across various functions, including finance, marketing, human resources, and more.
Key Responsibilities:
Payment Processing & Accounts Receivable Management
- Timely application of third-party payments to accounts receivable.
- Professional and prompt response to inquiries from insurance companies and customers.
- Management of remittance files from third-party payers.
- Preparation and mailing of paper claims as necessary.
- Monitoring and resolving issues via internal ticketing systems.
- Utilization of insurance portals for claim reconciliation.
- Collaboration with internal teams to manage outstanding accounts receivable.
Claim Reconciliation
- Researching and resolving unpaid or underpaid claims.
- Escalating issues to management as they arise.
- Resubmitting claims and coordinating with stores for billing corrections.
- Engaging with insurance representatives to resolve claim discrepancies.
Qualifications:
- High School Diploma or equivalent required.
- Minimum of 2 years of experience in healthcare billing; experience in retail optical is preferred.
- Strong attention to detail and ability to work collaboratively.
- Excellent interpersonal and communication skills.
- Proficient in analytical and organizational tasks.
- Familiarity with Microsoft Office Suite.
Work Requirements:
- Effective communication skills across all organizational levels.
- Ability to lift 10 to 20 pounds.
- Capability to sit or stand for extended periods.
- Proficient in operating standard office equipment.
- Willingness to travel as needed for professional development.
This description is intended to convey the essential functions and responsibilities of the position and is not an exhaustive list of all duties and skills required.
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