Insurance AR Specialist
American Vision Partners
Welcome page Returning Candidate? Log back in! Insurance AR Specialist Job Locations US-AZ-Phoenix ID 2024-3587 Category Revenue Cycle Management Position Type Full-Time Company Intro 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, Moretsky Cassidy Vision Correction, Wellish Vision Institute, West Texas Eye Associates and Vantage Eye Center. 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, Nevada, California and Texas – including 25 ambulatory surgical centers.
At AVP we value teamwork, providing exceptional experiences, continuous improvement, financial strength, and hard work. We are committed to providing best-in-class patient care, pioneering research and technology, and most importantly, rewarding and recognizing our employees! Overview 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
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
At AVP we value teamwork, providing exceptional experiences, continuous improvement, financial strength, and hard work. We are committed to providing best-in-class patient care, pioneering research and technology, and most importantly, rewarding and recognizing our employees! Overview 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
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!
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