Insurance AR Specialist

American Vision Partners • Phoenix, AZ

3d

About The Position

As an Insurance A/R Specialist, you'll collect payments for an assigned segment of the insurance accounts receivable and performs insurance follow up duties in accordance with established federal and state regulations. You'll also appeal claim denials as necessary and appropriate.

Requirements

• High School diploma or equivalent
• 2 years medical billing experience
• Active knowledge of CMS guidelines, contracted insurance guidelines and coding policies
• Demonstrates computer literacy
• Well-organized with attention to detail
• Ability to read and understand oral and written instructions
• Excellent math skills
• Ability to establish and maintain effective working relationship with team members, clinic staff, payers and patients
• Professional customer service skills
• Has a desire and dedication to work with self-discipline

Nice To Haves

• Ophthalmology background desired

Responsibilities

• Follows-up with insurance companies and ensures claims are paid/processed
• Services each account in priority of importance and independently billing accounts with understanding of all applicable insurance and/or CMS regulations
• Resubmits insurance claims that have received no response or are not on file, in a timely manner according to each insurance’s contracted filing limits
• Reviews and appeals unpaid and denied claims, includes analysis of coding that assures proper billing
• Makes changes to demographic information as necessary in order to produce a clean claim
• Researches and prepares insurance credits for refund approval
• Maintains an error rate in accordance with departmental policy
• Performs all other assigned duties

Benefits

• Your health, happiness and your future matters!
• At AVP, we offer everything from medical and dental insurance, significant eye care discounts, child care assistance, pet insurance, continuing education funds, 401(k), paid holidays, PTO, Sick Time, opportunity for growth, and much more!

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED