Medical Accounts Receivable Specialist

The Eye Institute - Tulsa, OK

Full-time

Tulsa, OK

Ambulatory Health Care Services

About the position

The Eye Institute is seeking a dedicated Medical Accounts Receivable Specialist to join our team. This full-time position is essential for managing the financial aspects of patient care, specifically focusing on the posting and reconciliation of insurance and patient payments. The specialist will be responsible for both manual and electronic remittances, ensuring that all transactions are accurately recorded and reconciled. A critical part of this role involves reviewing and analyzing Explanation of Benefits (EOBs) for accuracy, preparing and sending insurance claims, and generating patient statements. The specialist will also need to identify denials and underpayments, resolving these issues or routing them to the appropriate personnel for further investigation. Additionally, the role includes assisting with phone inquiries within the business office and effectively communicating with both staff and patients regarding their accounts. The ideal candidate will have a strong background in medical billing and posting, with at least three years of experience in the field. Familiarity with reading and understanding medical EOBs is crucial, as is the ability to meet deadlines for posting cut-off dates and month-end processes. Proficiency in Microsoft Word and Excel is required, along with the ability to work in a fast-paced environment. Knowledge of insurance and billing procedures, including Medicare, Medicaid, and Managed Care Plans, is also essential. A high school diploma or equivalent is necessary for this position. The working hours for this role are Monday to Friday, from 7:30 AM to 4:30 PM, providing a stable schedule for our employees.

Responsibilities

• Post and reconcile insurance and patient payments, including manual and electronic remits.
• Review and analyze EOBs for accuracy.
• Prepare and send insurance claims and patient statements.
• Recognize denials and underpayments to resolve or route to appropriate personnel for further investigation.
• Assist with answering phones within the business office and communicate with staff and patients regarding accounts.

Requirements

• Previous medical billing and posting experience (minimum 3 years).
• Experience in reading and understanding medical EOBs.
• Dependable and able to meet deadlines for posting cut-off dates and month-end processes.
• Knowledge of Microsoft Word and Excel.
• Ability to work in a fast-paced environment.
• Knowledge of insurance and billing procedures including Medicare, Medicaid, and Managed Care Plans.
• High school diploma or equivalent.

Benefits

• 401(k)
• Dental insurance
• Disability insurance
• Employee assistance program
• Employee discount
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance
• 6 days paid personal time per year
• 10 days paid vacation per year (15 after 5 years)
• Paid holidays