Insurance Follow-up Specialist Job at American Vision Partners

American Vision Partners Phoenix, AZ 85016

At American Vision Partners (AVP), we partner with the most respected ophthalmology practices in the country and integrate best-in-class management systems, operational infrastructure, and advanced technology to provide the highest quality patient care possible. Our practices include Barnet Dulaney Perkins Eye Center, Southwestern Eye Center, Retinal Consultants of Arizona, M&M Eye Institute, Abrams Eye Institute, Southwest Eye Institute, Aiello Eye Institute, and Moretsky Cassidy Vision Correction. We are focused on building the nation’s largest and most comprehensive eye care practices and currently operate more than 100 eye care centers in Arizona, New Mexico, and Texas – including 25 ambulatory surgical centers.

Insurance A/R Specialist - Accounts Receivable
Revenue Cycle Management - Phoenix (Biltmore)

As an Insurance A/R Specialist, you'll collect payments for an assigned segment of the insurance accounts receivable and performs insurance follow up duties in accordance with established federal and state regulations. You'll also appeal claim denials as necessary and appropriate.

Responsibilities:

  • Follows-up with insurance companies and ensures claims are paid/processed
  • Services each account in priority of importance and independently billing accounts with understanding of all applicable insurance and/or CMS regulations
  • Resubmits insurance claims that have received no response or are not on file, in a timely manner according to each insurance’s contracted filing limits
  • Reviews and appeals unpaid and denied claims, includes analysis of coding that assures proper billing
  • Makes changes to demographic information as necessary in order to produce a clean claim
  • Researches and prepares insurance credits for refund approval
  • Maintains an error rate in accordance with departmental policy
  • Performs all other assigned duties

Qualifications:

  • High School diploma or equivalent
  • 1+ year of Accounts Receivable experience
  • 2+ years Medical Billing experience
  • Ophthalmology background desired
  • Active knowledge of CMS guidelines, contracted insurance guidelines and coding policies
  • Demonstrates computer literacy
  • Well-organized with attention to detail
  • Ability to read and understand oral and written instructions
  • Excellent math skills
  • Ability to establish and maintain effective working relationship with team members, clinic staff, payers and patients
  • Professional customer service skills
  • Has a desire and dedication to work with self-discipline

Benefits & Perks:

Your health, happiness and your future matters! At AVP, we offer everything medical and dental insurance, significant eye care discounts, child care assistance, pet insurance, continuing education funds, 401(k), paid holidays plus PTO, Sick Time, opportunity for growth, and much more!

Job Type: Full-time

Pay: $17.00 - $24.00 per hour

Benefits:

  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Employee assistance program
  • Employee discount
  • Flexible schedule
  • Flexible spending account
  • Health insurance
  • Life insurance
  • Paid time off
  • Tuition reimbursement

Schedule:

  • 8 hour shift
  • Monday to Friday

Ability to commute/relocate:

  • Phoenix, AZ 85016: Reliably commute or planning to relocate before starting work (Required)

Experience:

  • Medical Billing: 1 year (Required)
  • Accounts receivable: 1 year (Required)

Work Location: In person




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