A/R SPECIALIST

Accounts Receivable Specialist

Columbia Eye Center and the Columbia Eye Surgery Clinic has operated in the Midlands of South Carolina for nearly 100 years. Our vision is to provide the most advanced treatment options to generations of patients. With a team of 15 American Academy of Ophthalmology certified physicians and more than 100 expertly trained staff in three locations, Columbia Eye Clinic is the largest medical and surgical ophthalmology practice in the Midlands and one of the largest in South Carolina.

Competitive Benefit Package: medical, dental, Health Savings Plan, employer paid Vision, employer paid Life & AD&D, 401k, pension plan, voluntary Term Life, short-term disability, employer paid long-term disability, shoe reimbursement, employer paid scrubs, 7 holidays, day off for your birthday, and PTO, bereavement, continuing education reimbursement.

JOB SUMMARY: This position is responsible for the timely submission and follow-up of technical or professional claims to insurance companies.

ESSENTIAL JOB FUNCTIONS AND RESPONSIBILITIES:

1. Balances daily posted batches from previous day.
2. Posts monthly refund checks.
3. Claim follow-up of assigned insurance companies for CEC and CESC.
   1. Generates reports to identify claim errors prior to claim filing
   2. Tracks denials
   3. Sends medical records
   4. Sends appeals as needed
   5. Performs audit functions as needed
4. Contacts patients, when necessary, to obtain necessary information for accurate claim processing.
5. Communicates with physicians and lead technicians to ensure accurate claim processing.
6. Identifies any patterns of denials and reports to Billing Supervisor.
7. Properly notates accounts with information related to claim follow-up status.
8. Corrects rejected claims in clearinghouse system.
9. Participates in answering patient phone call rotation.
   1. Explains charges and/or balances
   2. Obtains and processes patient payments
   3. Sends patient requested information
   4. Collects DMV payments and email appropriate physician
10. Must comply with all HIPPA and safety policies, procedures, and regulations.
11. This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job.  To meet the business needs of the company duties, responsibilities, and activities may change at any time with or without notice.

Qualifications

EDUCATION AND EXPERIENCE:

1. Associates degree in accounting and 2 years’ experience, or equivalent combination of education and experience.

KNOWLEDGE, SKILLS AND ABILITIES:

1. Proficient in Microsoft Office applications
2. Knowledge basic accounting principle
3. Strong attention to detail with a dedication to accuracy
4. Excellent verbal and written communication skills
5. Excellent customer service skills
6. Familiarity with accounts receivable function
7. Ability to work independently and as part of a team
8. Knowledge of NextGen preferred

WORKING CONDITIONS AND PHYSICAL EFFORT:

• Full-time position with a work schedule of Monday through Friday 8:00am to 5:00pm.
• Position operates in a professional office environment requiring minimal physical activity. 
• Building meets required ADA standards and we will make reasonable accommodations to enable individuals with disabilities to perform the essential functions of the job.
• Physical demands include but are not limited to:

• The ability to sit, stand, walk, and use hands and fingers to operate a computer keyboard, mouse, and telephone to talk and hear.
• The ability to frequently sit and reach with hands and arms.
• The ability to occasionally lift and/or move up to 25 pounds.

• Must be able to utilize office equipment such as desktop/laptop computers, copiers, printers, scanners, telephones and calculators.

Salary : $16 - $20