Accounts Receivable Specialist

Shoptikal, LLC•Mount Clemens, MI

3d•Onsite

About The Position

Apply payment to outstanding claims and follow up on any unpaid claims or late payments to assigned accounts. Accurately log reconciliation information so timely follow up may be completed with Payers.

Requirements

High School Diploma or equivalent
2+ years’ health care business experience; retail optical business desired
Able to work cross-functionally with excellent attention to detail and follow through
Strong interpersonal relationship skills
Analytical, organizational and problem-solving skills
Good oral and written communication skills; able to communicate effectively across all levels of the organization and with Lead or AR Manager
Proven ability to work collaboratively in a matrix environment
Proficient with the Microsoft Office Suite of programs
Ability to effectively communicate at all levels within the organization through written and two-way verbal communication
Able to read and write at a high school graduate level
Able to lift 10 to 20 pounds
Able to sit or stand for extended periods of time
Able to operate various office equipment (e.g., personal computer, telephone, fax machine, copier, etc.)
Able to work normal office hours to meet established deadlines
Able to travel independently to support Company objectives and personal development

Responsibilities

Apply 3rd party payments to accounts receivable in a timely manner
Respond promptly and professionally to mail, email and phone inquiries from insurance companies, stores, Safety customers and on occasion patients
Download and run remittance files provided by 3rd party payers; including 835 when available
Print and mail paper claims as needed
Monitor Service Now tickets and resolve issues as required
Utilize insurance company portals to reconcile claims when necessary
Communicate with teammates and internal business partners as needed
Manage assigned accounts to identify outstanding AR, identify root cause for lack of payment and follow up as necessary
Research and reconcile unpaid or underpaid claims, including aged claims
Inform manager of any issues or unusual occurrences as they happen and escalate issues appropriately
Correct if necessary and resubmit claims as needed and communicate with stores when store billing processes need correction
Engage with insurance companies via email and/or phone meetings to address and resolve claim issues