Medical Accounts Receivable Specialist

EyeCare Partners - New Albany, IN

Full-time - Entry Level

Onsite - New Albany, IN

501-1,000 employees

Ambulatory Health Care Services

About the position

The Medical Accounts Receivable Specialist plays a crucial role in the Revenue Cycle Management department by researching unpaid claims and following up with insurance companies. This position is responsible for managing communications related to invoices, maintaining financial records, and initiating the collections process for overdue accounts. The specialist will also handle unique billing situations, review unpaid claims, and resolve claim rejections, underpayments, and denials, ensuring a streamlined financial operation within the organization.

Responsibilities

• Manage all communications relating to invoices and incoming bills.
• Work with Accounts Payable Specialists to balance company financial records.
• Maintain knowledge of company bookkeeping policies and audit business ledgers.
• Organize invoices and begin the collections process for client accounts with past-due balances.
• Process and record unique billing situations that fall outside of regular operations.
• 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.
• Create reports and balance sheets that document overall profits and losses.
• Communicate payment or denial trending that impacts revenue to leadership.
• Develop and maintain positive working relationships with team members and payer representatives.
• Update client accounts based upon payment or contact information.
• Contact insurance companies to address discrepancies and ensure claims are paid.
• Review outstanding accounts and aging reports.
• Process any adjustments ad hoc.

Requirements

• High School Diploma or GED
• 1+ years of experience in accounts receivable
• Excellent verbal, written, and interpersonal skills
• Knowledge of explanation of benefits (EOB's)
• Detail-oriented with strong organizational skills
• Proficient in Microsoft Excel, Word, PowerPoint, Outlook