Insurance AR Specialist

4 weeks ago


Phoenix Arizona, United States American Vision Partners Full time
Company Intro:
At American Vision Partners (AVP), we partner with the most respected ophthalmology practices in the country and integrate best-in-class management systems, operational infrastructure, and advanced technology to provide the highest quality patient care possible. Our practices include Barnet Dulaney Perkins Eye Center, Southwestern Eye Center, Retinal Consultants of Arizona, M&M Eye Institute, Abrams Eye Institute, Southwest Eye Institute, Aiello Eye Institute, Moretsky Cassidy Vision Correction, Wellish Vision Institute, West Texas Eye Associates and Vantage Eye Center. We are focused on building the nation’s largest and most comprehensive eye care practices and currently operate more than 100 eye care centers in Arizona, New Mexico, Nevada, California and Texas – including 25 ambulatory surgical centers.

At AVP we value teamwork, providing exceptional experiences, continuous improvement, financial strength, and hard work. We are committed to providing best-in-class patient care, pioneering research and technology, and most importantly, rewarding and recognizing our employees

Overview:
As an Insurance A/R Specialist, you'll collect payments for an assigned segment of the insurance accounts receivable and performs insurance follow up duties in accordance with established federal and state regulations. You'll also appeal claim denials as necessary and appropriate.

Responsibilities:

Follows-up with insurance companies and ensures claims are paid/processed

Services each account in priority of importance and independently billing accounts with understanding of all applicable insurance and/or CMS regulations

Resubmits insurance claims that have received no response or are not on file, in a timely manner according to each insurance’s contracted filing limits

Reviews and appeals unpaid and denied claims, includes analysis of coding that assures proper billing

Makes changes to demographic information as necessary in order to produce a clean claim

Researches and prepares insurance credits for refund approval

Maintains an error rate in accordance with departmental policy

Performs all other assigned duties

Qualifications:

High School diploma or equivalent

2 years medical billing experience

Ophthalmology background desired

Active knowledge of CMS guidelines, contracted insurance guidelines and coding policies

Demonstrates computer literacy

Well-organized with attention to detail

Ability to read and understand oral and written instructions

Excellent math skills

Ability to establish and maintain effective working relationship with team members, clinic staff, payers and patients

Professional customer service skills

Has a desire and dedication to work with self-discipline

Benefits & Perks:
Your health, happiness and your future matters At AVP, we offer everything medical and dental insurance, significant eye care discounts, child care assistance, pet insurance, continuing education funds, 401(k), paid holidays plus PTO, Sick Time, opportunity for growth, and much more


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