Job Description
Job Description
EyeCare Partners is the nation's leading provider of clinically integrated eye care. Our national network of over 300 ophthalmologists and 700 optometrists provides a lifetime of care to our patients with a mission to enhance vision, advance eye care and improve lives. Based in St. Louis, Missouri, over 650 ECP-affiliated practice locations provide care in 18 states and 80 markets, providing services that span the eye care continuum. For more information, visit www.eyecare-partners.com.
SUMMARY
We are looking for a knowledgeable Billing Specialist to join our team who possesses a high degree of professionalism, excellent communication skills, is dependable and able to work independently.
ESSENTIAL DUTIES AND RESPONSIBILITIES
- Prepare, review, and transmit claims using billing software including electronic, website
submission, and paper claim processing
Status unpaid claims within standard billing cycle timeframeTimely review / handling of insurance claim denials, exceptions, or exclusionsForwards requests for medical records to appropriate internal resourcesAddresses / corrects demographic information requested by insurance companyAbility to read and accurately interpret insurance Explanation of Benefits (EOB's)Verifying insurance payments for accuracy / compliance based on contracts to ensure correct reimbursement is receivedFollowing up directly with insurance companies regarding payment discrepanciesUtilizing aging reports and work flow statuses provided by Supervisor to address any unpaid or open claims over 30, 60, 90, and 120 plusCoordination of Benefits (COB) – Ability to Identifying and bill secondary or tertiaryDocumenting denials associated with Patient responsibility to forward to the collection teamAbility to research and appeal denied claimsAnswering all patient or insurance telephone inquiries pertaining to assigned accountsReport payment discrepancies or denial trends identified to Supervisor as soon as they are identified for assigned accountsPerform additional duties as requested by Supervisor or Upper Management TeamQUALIFICATIONS
Experience with CPT and ICD-9 / 10; Familiarity with medical terminologyKnowledge of billing procedures and collection techniquesComputer experience is essential, including, but not limited to : practice management software,clearing houses, MS Office, and spreadsheet applications
Adhering to company standards of compliance with policies and proceduresStrong written and verbal communication skillsKeep Supervisor abreast weekly of any concerns or issues associated with accountsDetailed orientedConsistent production resultsGood problem solving and research skillsAble to multi-task and meet deadlinesEDUCATION AND / OR EXPERIENCE
Proven experience as a Collection Specialist or similar role for 2 yearsMinimum High School DiplomaLICENSES AND CREDENTIALS
Minimum Required : NoneSYSTEMS AND TECHNOLOGY
Proficient in Microsoft Excel, Word, PowerPoint, OutlookPhysical Requirements :
While performing the duties of this job, the employee is regularly required to talk and listen.Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.If you need assistance with this application, please contact (636) 227-2600
EyeCare Partners is an equal opportunity / affirmative action employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status. Please do not contact the office directly – only resumes submitted through this website will be considered.
NOTE : Job descriptions are intended to be accurate reflections of those principal job elements essential for making fair pay decisions about jobs. Nothing in this job description restricts management right to assign or reassign duties and responsibilities to this job at any time.
