Medical Billing Specialist
3 weeks ago
At Shopko Optical, we are seeking a highly skilled Medical Billing Specialist to join our team. As a Medical Billing Specialist, you will be responsible for applying payment to outstanding claims and following up on any unpaid claims or late payments to assigned accounts.
Key Responsibilities:
- 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, and 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
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
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