Midwest Eye Consultants · 4 weeks ago
Billing Representative - Collections
Maumee, OH
Full-time
Onsite
Entry Level
1+ years expMidwest Eye Consultants is seeking a Collections Billing Representative to manage the collection of insurance monies in compliance with various guidelines. The role involves resolving billing issues, expediting payments, and assisting staff with billing inquiries.
Health CareMedical
Responsibilities
Demonstrate and uphold the mission statement and values of Midwest Eye Consultants
Resolve insurance billing related issues with insurance companies in regards to facility and physician billing
Correct and re-bill insurance claims for payment per the billing guidelines of the payor
Resolve coding and claim discrepancies with insurance companies
Expedite payment from Medicare, Medicaid and third-party payors to reduce accounts receivable aging
Assist with billing questions from staff at all MWEC sites, by being a resource for insurance coverage and general insurance/software related questions
Respond to denied claims quickly and efficiently to ensure prompt payment
Communicate common denial errors to the Accounts Receivable and Collections Manager with suggested solutions to improve
Assist with the education of the office staff to improve collections performance
Perform any other related duties as assigned by Supervisor
Demonstrate knowledge of the content and context of billing forms and documents such as insurance remittances and HCFA forms
Maintain strong working knowledge of Medicare, Medicaid and third party coding, billing and collection policies, procedures and laws
Demonstrate a strong working knowledge of CPT and ICD-10 codes and competency regarding procedural, diagnosis and HCPC coding
Demonstrate knowledge of insurance companies’ guidelines for claims preparation, billing and collections
Demonstrate a strong working knowledge of Compulink EyeMD and claims clearinghouse software
Work with ten-key calculators, computers and practice management software in a competent manner
Protect MWEC and its assets by following all billing and compliance guidelines, rules and regulations and never knowingly committing a fraudulent act
Qualification
Required
Demonstrate and uphold the mission statement and values of Midwest Eye Consultants
Resolve insurance billing related issues with insurance companies in regards to facility and physician billing
Correct and re-bill insurance claims for payment per the billing guidelines of the payor
Resolve coding and claim discrepancies with insurance companies
Expedite payment from Medicare, Medicaid and third-party payors to reduce accounts receivable aging
Assist with billing questions from staff at all MWEC sites, by being a resource for insurance coverage and general insurance/software related questions
Respond to denied claims quickly and efficiently to ensure prompt payment
Communicate common denial errors to the Accounts Receivable and Collections Manager with suggested solutions to improve
Assist with the education of the office staff to improve collections performance
Perform any other related duties as assigned by Supervisor
Demonstrate knowledge of the content and context of billing forms and documents such as insurance remittances and HCFA forms
Maintain strong working knowledge of Medicare, Medicaid and third party coding, billing and collection policies, procedures and laws
Demonstrate a strong working knowledge of CPT and ICD-10 codes and competency regarding procedural, diagnosis and HCPC coding
Demonstrate knowledge of insurance companies' guidelines for claims preparation, billing and collections
Demonstrate a strong working knowledge of Compulink EyeMD and claims clearinghouse software
Work with ten-key calculators, computers and practice management software in a competent manner
Protect MWEC and its assets by following all billing and compliance guidelines, rules and regulations and never knowingly committing a fraudulent act
A minimum of one (1) year experience in patient services and or Medicare/Medical billing
Communication skills
Attention to detail
Adaptability
Customer service oriented
Problem solving skills
Integrity
Confidentiality
Decision-making skills
Adaptable to change
Stress tolerance
Physical Activity: Talking, Hearing, Repetitive motion
Physical Requirements: Sedentary work. Involves sitting most of the time
The worker is required to have visual acuity to determine the accuracy, neatness, and thoroughness of the work assigned
Demonstrate and maintain technical knowledge of the job and of related procedures and policies in order to provide high quality support to the department
Preferred
Experience in Optometry/Ophthalmology billing preferred
Company
Midwest Eye Consultants
Midwest Eye Consultants provides eye care plans and services.
501-1000 employees
Funding
Current Stage
Late StageTotal Funding
unknown2021-09-13Private Equity
Leadership Team
Cathy Garrett-Smith
Chief Operating Officer
Jennifer Vigar
Chief Administrative Officer
Company data provided by crunchbase