Accounts Receivable Specialist

Shoptikal•Green Bay, WI

12d•Onsite

About The Position

This position is responsible for applying payments to outstanding claims and following up on unpaid claims or late payments for assigned accounts. The role involves accurately logging reconciliation information to ensure timely follow-up with Payers. Key duties include processing payments, managing accounts receivable, reconciling claims, and communicating with various stakeholders.

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

Nice To Haves

retail optical business desired

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 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 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.