ASC Revenue Cycle Specialist

This role is responsible for the billing, follow-up and collections, denials resolution, payment posting, and reconciliation of accounts for MVP Ambulatory Surgery Centers. This position performs various accounting, customer services, and organizational tasks to promote the financial health of the organization, and may also oversee the intake of patient calls. PLEASE READ...Please note that this position is remote; however, it is only open to candidates residing in Ohio. Applicants outside of Ohio will not be considered or contacted.

WHAT YOU WILL BE WORKING ON:

• Accounts Receivable follow-up, both collection and denials resolution: Requires direct calling to payers and use of payer portals, working in patient account system, work queues, and use of Excel documents

• Credit balance resolution, requiring the ability to interpret a variety of Explanation of Benefits (EOB) to reconcile the patient account. Determining appropriate balance and actions needed to reconcile account to determine if credit is accurate and take appropriate action for refund/takeback

• Compliant billing to all papers promptly

• Payment posting and reconciliation for insurance and self-pay

• Place outgoing calls to insurance companies to resolve outstanding claims/balances

• Perform month-end close procedures within the established time frame

• Communicate with the manager regarding any payer and account issues promptly

• Monitor accounts for other opportunities (i.e. copay, deductible, and coinsurance)

• Enter appropriate comments in the software system clearly and concisely for tracking and documentation

• Ensure adherence to HIPAA standards and all other privacy and compliance policies

• Staying knowledgeable on Payer/Contract updates and bulletins

• Perform other duties as assigned to support the financial health of the organization

KNOWLEDGE, EDUCATION, and SKILLS REQUIREMENTS:

• High School diploma or equivalent

• Previous Healthcare experience in Accounts Receivable Management

WHAT WILL MAKE YOU AWESOME:

• Excellent written and verbal communication skills

• Excellent computer skills, including Excel, Word, and RCM systems as needed

• Highly organized, detail-oriented, strong work ethic, and demonstrated teamwork skills

Ability to multi-task and meet deadlines Knowledge of HST Pathways, ASC software

• Knowledge of Waystar

WHAT YOU KNOW:

To be successful in this role you will have the following experience or knowledge:

• Ability to read various Explanation of Benefits (EOB)

Experience working in payor portals Working knowledge of Medicare, Medicaid, government, and commercial payors

• Ability to trend and communicate payor scenarios

• Experience working with ambulatory surgery centers (ASC)

About Midwest Vision Partners

Midwest Vision Partners was founded in 2019 to build a premier eye care platform in partnership with Alpine Investors, a San Francisco-based private equity firm. Alpine is a strong supporter of MVP, given their PeopleFirstâ„¢ philosophy, unparalleled track record, significant financial resources, and commitment to building a platform that includes physician leadership at the highest levels.

Headquartered in Chicago, our mission is to provide world-class support to ophthalmologists and optometrists, enabling them to focus on improving patients' vision to help people live their best lives. Today, MVP's network consists of 16 practices, 125 physicians, and roughly 1500 employees providing medical and surgical eye care services at over 60 locations throughout the Midwest. We strive to be the premier provider of eyecare in the Midwest through a culture of collaboration and excellence.

Job Type: Full-time

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Tuition reimbursement
• Vision insurance

Schedule:

• 8 hour shift

Application Question(s):

• Do you live in the Ohio area?

Location:

• Cleveland, OH (Required)

Work Location: Remote