Bridgeview Eye Partners · 3 weeks ago
Billing Representative - Collections
Maumee, OH
Full-time
Onsite
Entry Level
1+ years expBridgeview Eye Partners is a healthcare organization seeking a Collections Billing Representative. The role focuses on collecting insurance payments in a professional and timely manner, resolving billing issues, and assisting staff with insurance-related inquiries.
EyewearHealth CareHospitalMedical
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
A minimum of one (1) year experience in patient services and or Medicare/Medical billing
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
Preferred
Experience in Optometry/Ophthalmology billing preferred
Company
Bridgeview Eye Partners
Bridgeview Eye Partners manages and supports multi-level eye care services and operations for affiliated practices.
501-1000 employees
Funding
Current Stage
Late StageLeadership Team
Cathy Garrett-Smith
President/Chief Operating Officer
Amy Denise Rupert, MBA
Chief Human Resources Officer
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