What are the responsibilities and job description for the BILLING SPECIALIST position at Eye Care Partners?
EyeCare Partners is the nations 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 timeframe
Timely review / handling of insurance claim denials, exceptions, or exclusions
Forwards requests for medical records to appropriate internal resources
Addresses / corrects demographic information requested by insurance company
Ability to read and accurately interpret insurance Explanation of Benefits (EOBs)
Verifying insurance payments for accuracy / compliance based on contracts to ensure correct reimbursement is received
Following up directly with insurance companies regarding payment discrepancies
Utilizing aging reports and work flow statuses provided by Supervisor to address any unpaid or open claims over 30, 60, 90, and 120 plus
Coordination of Benefits (COB) Ability to Identifying and bill secondary or tertiary
Documenting denials associated with Patient responsibility to forward to the collection team
Ability to research and appeal denied claims
Answering all patient or insurance telephone inquiries pertaining to assigned accounts
Report payment discrepancies or denial trends identified to Supervisor as soon as they are identified for assigned accounts
Perform additional duties as requested by Supervisor or Upper Management Team
QUALIFICATIONS
clearing houses, MS Office, and spreadsheet applications
EDUCATION AND / OR EXPERIENCE
LICENSES AND CREDENTIALS
SYSTEMS AND TECHNOLOGY
Physical Requirements :
If you need assistance with this application, please contact [phone removed]
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.
Employment Type : Full Time
