Patient Accounts Specialist

Midline Vision Group•Wausau, WI

6d•Onsite

About The Position

Midline Vision is seeking a self-motivated, accountable, and detail-oriented Patient Accounts Specialist to join their Central Billing Department. This role is crucial for maximizing revenue flow by managing insurance verification, claims editing, payment posting, credit review, and handling denials and no-responses. The ideal candidate will be proactive in identifying efficiencies, improving best-practice processes, and contributing to business growth. This position involves direct communication with patients, the Central Billing Manager, and staff across multiple optometry locations to ensure an excellent eye care experience through accurate and timely information regarding insurance eligibility and payment status.

Requirements

Understanding of vision and medical terminology.
Ability to provide enthusiastic and concise communication to meet/exceed patient and coworker expectations.
Develops and maintains positive working relationships with other employees and doctors.
Ability to manage priorities through adaptability and flexibility.
Willingness to take calculated risks.
Proficiency with using computers and willingness to learn new software are required.
Ability to work in a fast-paced optometric facility while adhering to HIPAA compliance regulations.
Demonstrates knowledge of proper, safe, efficient usage of office equipment, computers, and software; working knowledge of Microsoft Office.
Attention to detail and a focus on accuracy are needed for success in this position.
A proactive approach to problem-solving and a positive, professional attitude are required.
Ability to effectively communicate at all levels within the organization through written and two-way verbal communication.
Able to sit or stand for extended periods of time.
Ability to lift 10 to 20 pounds.
Ability to see (Near, Distance, Color, and Depth Perception).
Good eye and hand coordination.
Manual and finger dexterity, as well as hand/arm steadiness.
Ability to grip and hold items.
Able to operate a cash register, various optical equipment, office equipment, and tools.
Able to work normal and/or extended (evenings, nights, and weekends) office hours to meet established deadlines.
Able to travel independently to support Company objectives and personal development.

Nice To Haves

Post-secondary training in finance, business administration, or healthcare management is preferred.

Responsibilities

Support in-store staff through the proper verification of insurance and billing of patients and insurance companies.
Manage patient billing responsibilities including sending statements, payment posting, and credit review.
Add insurance carrier and plan information to patient charts with accurate information needed for processing of claims.
Review claims for errors prior to sending to the insurance companies.
Edit claims as needed to ensure proper pricing and coding.
Adhere to timely filing requirements.
Investigate credit balances on insurance and/or patient accounts and resolve discrepancies.
Research claims that have been denied by the insurance companies and take action to resolve for correct processing.
File appeals and corrected claims as needed.
Follow the workflow of patient billing and insurance claims posting and reconciliation.
File all types of insurance claims and post payments.
Manage the accounts receivables list and follow up on unpaid claims.
Perform provider insurance credentialing to the appropriate carriers.
Develop working relationships with insurance companies, research issues as needed, staying informed of and communicating to the team about any changes with carrier rules.
Answer inquiries by phone, email, and paper mail from patients, and take appropriate actions to resolve their questions and concerns.