Accounts Receivable Specialist

Shoptikal, LLC•Green Bay, WI

1d•Onsite

About The Position

This role focuses on applying payments to outstanding medical claims, following up on unpaid or late payments, and accurately logging reconciliation information for assigned accounts. The specialist will handle payment processing, AR management, and claim reconciliation, interacting with insurance companies, internal departments, and occasionally patients.

Requirements

High School Diploma or equivalent
2+ years’ health care business experience
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

Nice To Haves

Retail optical business experience 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.
Communicate with teammates and internal business partners.
Manage assigned accounts to identify outstanding AR, determine root causes 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 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.