Accounts Receivable Specialist

EyeCare Partners - New Albany, IN

Full-time - Entry Level

New Albany, IN

501-1,000 employees

Ambulatory Health Care Services

About the position

EyeCare Partners is seeking an experienced Accounts Receivable Specialist to join our growing eye care organization. This position is crucial in ensuring the financial health of our practices by managing unpaid claims and following up with insurance companies. The ideal candidate will possess a compassionate demeanor and a problem-solving mindset, as they will be responsible for researching unpaid claims and working diligently to resolve issues to ensure timely payments. In this role, the Accounts Receivable Specialist will review unpaid claims to identify reasons for delays and initiate follow-up actions with the appropriate payers. They will also be tasked with researching appeals and resolving claim rejections, underpayments, and denials. This involves processing appeals by gathering necessary information and resubmitting claims to the insurance companies. Effective communication is key, as the specialist will need to report payment or denial trends that impact revenue to leadership and maintain positive working relationships with both team members and payer representatives. Additionally, the specialist will review outstanding accounts and aging reports, process any necessary adjustments, and contact insurance companies to address discrepancies and facilitate claim payments. This position requires a proactive approach to ensure that all claims are handled efficiently and effectively, contributing to the overall success of EyeCare Partners in providing exceptional eye care services.

Responsibilities

• Review unpaid claims and research reasons for delay
• Initiate collection follow up of unpaid or denied claims with the appropriate payer
• Research appeal and resolve claim rejections, underpayments and denials with payers
• Process appeals by gathering information and resubmitting claims
• Communicate payment or denial trending that impact revenue to leadership
• Develop and maintain positive working relationships with team members and payer representatives
• Contact insurance companies to work out any discrepancies and get the claims paid
• Review outstanding accounts and aging report
• Process any adjustments as needed

Requirements

• High school diploma or equivalent required
• 1+ years' experience with account follow up, preferably in a healthcare environment
• Excellent verbal, written, and social skills
• Ability to work overtime if/when needed
• Strong knowledge of explanation of benefits (EOB's)