Accounts Receivable Specialist

EyeCare Partners - Glasgow, KY

Full-time - Entry Level

Glasgow, KY

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. As the nation's leading provider of clinically integrated eye care, we are dedicated to enhancing vision, advancing eye care, and improving lives. The ideal candidate will be responsible for researching unpaid claims and following up on the insurance end, ensuring that all claims are processed efficiently and effectively. This role requires a compassionate and helpful individual who is willing to work through problems to achieve successful resolutions. In this position, you will review unpaid claims and investigate the reasons for delays. You will initiate collection follow-ups on unpaid or denied claims with the appropriate payers and research appeals to resolve claim rejections, underpayments, and denials. Additionally, you will process appeals by gathering necessary information and resubmitting claims, while also communicating any payment or denial trends that may impact revenue to leadership. Building and maintaining positive working relationships with team members and payer representatives is crucial for success in this role. You will also be responsible for contacting insurance companies to address discrepancies and ensure claims are paid. Regularly reviewing outstanding accounts and aging reports, as well as processing any necessary adjustments, will be part of your daily responsibilities. This position is vital to the financial health of our organization and requires a detail-oriented individual with strong communication skills.

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)