Come grow with us! Jervey Eye Group, the Upstate's premier Ophthalmology practice, is seeking an experienced and enthusiastic candidate to join our team as a Reimbursement Specialist. The successful candidate will be able to accept ownership of their duties, and keep patient satisfaction at the core of every decision and behavior. If you are seeking a place to work where your contributions and ideas are valued, this may be the job for you!
Reimbursement Specialist Essential Functions
Reasonable accommodations may be made to enable individuals with disabilities to perform these essential functions.
- Identifies and resolves patient billing issues/complaints.
- Answers questions from patients, clinical staff, and insurance companies.
- Reviews accounts for insurance trends/report findings to supervisor.
- Reviews and submits clean claims to all insurances.
- Experience working with Electronic Response Admittance's (ERAs) and Explanation of Benefits (EOBS).
- Possess strong knowledge of CPT and ICD 10 coding guidelines
- Manages Accounts Receivable.
- Process refunds for overpayments from insurance and patients.
- Manages bad debt/uncollectible accounts.
- Understands payment and charge postings.
- Reviews and maintains monthly reports.
- Responsible for daily/monthly reconciliation and balancing.
- Processes release of information requests for medical records.
- All other duties assigned.
Reimbursement Specialist Required Skills/Abilities
- Ability to operate a computer and basic office equipment.
- Ability to operate a multi-line telephone system.
- Uses professional étiquette via email, phone, and in- person communications.
- Effective collaboration skills, focusing on strong working relationships with patients, team-members, and other employees.
- Possesses strong knowledge of CPT and ICD 10 coding guidelines.
- Ability to work independently.
- Demonstrates honesty, integrity, and accountability.
- Demonstrates strong organizational and time management skills.
- Excellent critical thinking and problem-solving skills.
- Ability to adhere to HIPAA guidelines and regulations.
Required Education and Experience
- A minimum of 2 years of medical AR/Billing (revenue cycle process experience, preferably in Ophthalmology.
- High School Diploma or equivalent.
- Experience working with Electronic Response Admittance's (ERAs) and Explanation of Benefits (EOBS).
- Experience using an EHR, Modernizing Medicine EHR preferred.
- CPC certification is preferred.
Work Environment and Physical Demands
- A medical office environment with controlled atmosphere. Possible exposure to staff or patients with communicable diseases and blood borne pathogen
- Prolonged periods of sitting at a desk and working on a computer.
- Must be able to communicate via the telephone.
- Must be able to view and type computer data.
Travel
- As needed by the practice
Other Duties
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. The Company reserves the right to change this job description and/or assign tasks for the employee to perform, as the Company may deem appropriate.
Jervey Eye Group is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.
Job Type: Full-time
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Employee assistance program
- Flexible spending account
- Health insurance
- Life insurance
- Paid time off
Experience:
- medical AR/Billing: 2 years (Required)
- EHR systems: 2 years (Preferred)
License/Certification:
- Certified Professional Coder (Preferred)
Work Location: In person
