Job Title: Medical Billing AR Specialist
Department: Billing Department
Reports To: Revenue Cycle Manager
Orion Eye Center is a top-rated, specialty ophthalmology practice with Central Oregon’s only ophthalmic Ambulatory Surgery Center (ASC). With 5 providers, spreading among 3 diverse specialties, we strive to deliver quality, specialty care in a timely manner. Employee satisfaction is an integral part to what sets us apart from others. Let us show you how!
Orion Eye’s Core Values:
· Emotional Intelligence
· Lead by Example
· How Can I Help You?
· Pursuit of Mastery
· Efficiency with Precision
Orion Eye Center hires and manages to these values and we expect each employee to display these values each day through communication and actions with both patients and co-workers.
Job Summary:
This position posts incoming insurance payments for services rendered in both our clinic and ambulatory surgery center, as well as conducts research and submits appeals for any claim denials. This role is responsible for pulling reports to actively work and monitor aging accounts. This position additionally performs general billing duties including answering incoming phone calls and addressing billing and financial inquiries.
Responsibilities and Duties:
· Proficiently operate multi-line phone systems, including answering and transferring calls, and routing callers to appropriate voicemails when necessary.
· Assist incoming callers with billing-related questions and patient account inquiries.
· Download and post insurance payments to EMR system that are received via EFT through the clearinghouse.
· Process and post credit card or paper check insurance payments received via mail.
· Investigate denied claims with individual payers upon discovery.
· Actively work and monitor aged accounts, which includes correcting and submitting denied claims for reprocessing, submitting appeals for denied claims, and tracking claims that are pending payment.
· Manage insurance requests for refunds due to processing error or overpayment and submit to RCM/bookkeeper.
· Run reports to monitor unapplied insurance credits and initiate refunds as needed.
· Prepare, review and transmit paper and electronic claims via EMR and clearinghouse software.
· Post patient payments received via phone, mail or online to appropriate entity and patient accounts.
· Process individual daily reconciliation of monies collected and place cash, checks, receipts and deposit slip into deposit box at the end of each day.
· Accurately complete financial estimates for ASC and clinic procedures based on individual patient insurance benefits as needed.
· Monitor billing fax folder and direct or address faxes as needed.
· Oversee or assist with nonrecurring billing projects and initiatives when they arise and as tasked.
· Receive cross-training and provide coverage for other relevant billing and administrative roles, including other departments, as established and necessary.
Qualifications:
- Education level: High school diploma or equivalent
- Medical Accounts Receivable experience preferred
Job Type: Full-time
Pay: $24.00 - $30.00 per hour
Benefits:
- 401(k)
- Dental insurance
- Flexible spending account
- Health insurance
- Paid time off
- Vision insurance
Experience:
- Medical Accounts Receivable: 1 year (Preferred)
Work Location: In person
