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Form of workWe are building West Central Florida's premier destination for fully-integrated ophthalmology, medical optometry and optical retail services.
At Sight360, we believe sight is our most important sense. It is a priceless gift that goes far beyond how you see the world. Sight is how we move through life, enjoy its wonders and form the memories that define us. That is why we are dedicated to care for our patient's sight every day.
We've assembled the most capable and credentialed multidisciplinary teams across every specialty of vision health - ophthalmology, optometry and optical retail services - to deliver a complete, 360-degree approach to vision care. One seamless patient experience. While we do share a single medical record that allows us to collaborate and coordinate care across all locations and providers, more importantly, we share a common belief and set of principles that guide us as we care for our patients.
That's the Sight360 difference!
The Optical Accounts Receivable Specialistwill be responsible for documenting patient accounts with claim status, composing targeted appeals for claims that have either denied or not paid appropriately, and researching and reporting denial trends to management.
Essential Functions and Responsibilities:
- Review outstanding claims to determine what action needs to take place and make status calls to insurance companies
- Request claims to be reprocessed where necessary or prepare and submit corrected claims to the insurance companies for payment
- Review delinquent accounts and initiate appropriate collection action including telephone calls and correspondence to patients
- Answer patient calls relating to questions about their bills
- Update demographic and payer related information obtained from the patient
- May correct errors including misapplied payments/adjustments and applying account credits
- Prepare refund requests for management approval
- Responsible for the generation and mailing of claims
- Work payer rejects and denials
- Support and train site checkout staff
- Support management on special projects
- Maintain a high level of customer satisfaction as reflected on patient satisfaction surveys and other measurement tools
- Assist front desk staff with billing/account questions
- Answer patient phone calls regarding statements/billing
Position/Type/ Expected Hours of Work:
- This is an ONSITE full-time position and core hours of work and days are Monday through Friday 8:00 a.m. to 5:00 p.m.
- Potential for evening and weekend hours as required.
Qualifications:
Required:
- Two (2) years' minimum experience in Accounts Receivable including patient collections.
- Demonstrated knowledge of Accounts Receivable, collections, rejects, denials, appeals, and research billing guidelines and policies
- Demonstrated knowledge of CPT, CDT, ICD-9/ICD-10, HCPCS, and ADA
- Working knowledge of current Microsoft Office applications
- Working knowledge of various reimbursement methodologies, including reimbursement reductions, fee schedule calculations and comparisons, and review of claims for correct payment
Preferred
- Optometry, Ophthalmology, and ASC Accounts Receivable experience
- Nextech experience
Skills and Abilities:
- Ability to navigate various websites and carrier portals
- Highly organized with developed time management skills
- Excellent customer service and telephone etiquette
- Excellent verbal and written communication skills
- Strong research and problem-solving skills; attentive to details
- Ability to operate a computer and general office machines
- Must be self-directed, able to work independently, as well as work in a team-oriented and fast paced environment
Benefits:
Medical, Dental, Vision insurance
401k and employer match
Paid Time Off (PTO)
8 Paid Holidays
Employee Recognition Programs
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