Westlake Eye Specialists - Killeen, TX

posted 4 days ago

Full-time
Killeen, TX
Ambulatory Health Care Services

About the position

The Billing/Accounts Receivable Specialist is responsible for the effective management and collection of healthcare account receivables, particularly in the ophthalmology sector. This role involves maintaining relationships with various stakeholders, including practice employees, managers, providers, vendors, and payers, to ensure timely collections and adherence to best practices in billing and accounts receivable management.

Responsibilities

  • Manage accounts receivable to ensure timely collections are facilitated
  • Proficient in understanding and posting ERA's
  • Monitor accounts proactively to seek reimbursements from third-party and government payers
  • Collaborate with the team to strategize and implement solutions for reducing AR Aging effectively
  • Prepare and analyze accounts receivable reports, along with weekly and monthly financial reports
  • Adhere to best practice requirements and maintain positive relationships with WES team members
  • Implement processes and action plans directed by the Practice Administrator
  • Review adjustments monthly in the EHR system
  • Assist in payment posting and reconcile payments across various systems to ensure accuracy
  • Utilize practice management and business intelligence software to identify payment trends, and A/R risks, and minimize denials and write-offs
  • Develop and manage relationships with cross-functional teams within the organization to drive growth strategies
  • Ensure compliance with insurance reimbursement and payer regulations
  • Collaborate with the billing team to ensure accurate and timely collections
  • Perform additional office duties as assigned
  • Oversee the collection agency process
  • Provide excellent patient financial counseling and address billing inquiries

Requirements

  • A High School Diploma is required for this position
  • 3-5 years of experience in Medical Account Receivables
  • 3-5 years of EHR experience, with a preference for Advanced MD proficiency
  • A minimum of 3-5 years of experience in claims management, including claim submissions, rejections, edits, statuses, and monitoring clearinghouse activity
  • A strong understanding of payer reimbursement, performance, and updates is necessary
  • Previous experience in payment posting is preferred
  • Effective skills such as critical thinking, decision-making, relationship-building, and problem-solving are essential
  • Deep understanding of third-party and government payers, particularly Medicare and Medicaid
  • Excellent written, oral, and reading communication skills are a must
  • Proficiency in Microsoft Office Suite is required for this role

Benefits

  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Health insurance
  • Paid time off
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