A/R Billing Specialist II at EYE SPECIALISTS OF MID FLORIDA PA – Winter Haven, Florida

POSITION SUMMARY

The Billing Specialist II is responsible for the timely collection of insurance and patient accounts receivable for the practice. Duties for this position would include the successful completion of all activities pertaining to the billing and collection of patient and insurance accounts.

Please note that this job description is not exhaustive, and additional duties may be assigned as needed.

MINIMUM QUALIFICATIONS

Education and Experience:

High school diploma or GED requiredBachelor Degree or Associate Degree in Business or a related field preferredTwo years of experience in medical billing requiredMinimum two years of experience in ophthalmic billing, patient collections and coding preferredCPC Certification and Ophthalmic certification in coding required

ESSENTIAL SKILLS AND ABILITIES

Proficient computer skillsAbility to problem solveDetail orientedGain a complete understanding of Medicare, Medicaid and commercial insurance plansFamiliarity with ICD-9/10 and CPT CodesFamiliarity with ophthalmic terminology and diseases that affect the eyeExcellent communication skills, proper grammar and writing capabilityTeam-orientedSelf-directed, highly motivated, able to multi-task and work under pressure in a fast-paced environmentExceptional interpersonal skillsPossess a caring, patient and friendly attitudeFamiliarity with all forms associated with the patient’s medical recordMust have the ability to perform all functions the Accounts Receivable/Billing Department

DUTIES AND RESPONSIBILITIES

Possess a complete hands-on working knowledge of applicable billing & collections softwareReview the aging collection report as appropriate to ensure the timely collection of receivablesProvide billing and collections training education and development for the staff as neededReview, submit and monitor collection agency accountsMonitor changes in insurance plans and policies. Inform management of such changes on an immediate basisOn an ongoing basis, monitor insurance websites for updates and policy changesAnswer the telephone and responds to all billing questions in a timely and efficient mannerProvide additional information as requested by insurance companies on claims that have been denied within 48 hours of denialTrack surgical volumes to ensure timely payment of surgical claimsEnter notes on patient ledger regarding information sent or received from insurance companies and from patientsCoordinates weekly transmittal of patient statements with outside vendorsAttaches documentation as needed to paper claims and prepares for mailingReview patient balances on the aging receivable report and take corrective action as needed to improve insurance and patient collectionsPrepare aging reports for all insurance plansPrepare aging reports for patient balancesIdentify unpaid insurance claims that are more than 30 days old on a continuous basis:Address claims that fall within timely filing deadlines firstAddress highest dollar amount claims secondAddress largest carriers thirdWork the remainder of the report from beginning to end

Identify unpaid patient accounts that are more than 30 days old on a continuous basis:Address highest dollar amount claims firstWork the remainder of the report from beginning to endEstablish patient payment plans as necessaryEnsure collection of accounts receivable are within the MGMA standards for ophthalmologyAccept verbal and written credit card information with the highest level of confidentialityMaintains proper standards of productivity as defined by managementProfessional and Personal Development/Goals and ObjectivesExhibit professional demeanor with a positive attitude at all times when representing the practiceMaintain certification, where applicable, while continuing to improve skills.Must attend all in-service and webinar training as directed by the Director of Managed CareSet goals and objectives for professional growth. Review and revise goals on an ongoing basisProvide input on how to improve customer service, decrease costs and increase revenue for the practiceCustomer ServiceSupport the practice core values and mission statement to develop, enhance and promote quality customer service through team effort.Exhibit flexibility, sensitivity and respect while maintaining an effective working relationship with all team membersMaintain practice confidentiality, follow HIPAA guidelines and the rules and regulations of the practice as documented in the practice employee manualPerform other duties as assigned

PHYSICAL REQUIREMENTS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

The majority of the time on-the-job is spent walking and sittingAt times the job may require weight to be lifted up to 50 poundsThe job requires the following types of vision: close, distance, peripheral and depth perceptionTypical noise level for the work environment of this job is moderate (i.e. business office with computers and printers, light traffic)Must be able to communicate clearly in person and over the telephoneHearing must be adequate to perform job duties in person and over the telephoneReasonable accommodations may be made to enable individuals with disabilities to perform the essential functions

JOB TYPE

Full-time40 hours per week

WORK LOCATION

In person, Winter Haven

SUPERVISORY RESPONSIBILITIES

None

BENEFITS

401(k)401(k) MatchingAD&D InsuranceHealth InsuranceHealth Savings AccountDental InsuranceDisability InsuranceVision Benefits & Discounted ServicesEmployee Assistance ProgramEmployee DiscountLife InsuranceOpportunities for AdvancementPaid Time OffPaid TrainingProfessional Development AssistanceReferral ProgramEQUAL EMPLOYMENT OPPORTUNITY STATEMENT

Eye Specialists of Mid-Florida P.A. is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status. We are a drug and tobacco-free workplace.