A/R Insurance Specialist

About the Practice:
Heaton Eye Associates has been serving East Texas vision needs for more than 40 years, with three locations offering state-of-the-art technology and services, including primary vision care, pediatrics, oculoplastic, glaucoma, cosmetic, and world-class laser surgery. Recently, Heaton Eye was named Best Place in East Texas to have LASIK by Tyler Morning Telegraph readers. Our dedicated physicians strive to enhance the quality of our patient's lives by providing reassurance, improving and maintaining vision, and preventing blindness through treatment and education.
About the Area:
Our East Texas locations in Tyler, Longview and Athens offer year-round activities the entire family can enjoy. In Longview, you can experience Texas' rich history and culture. Tyler is surrounded by 25 prime sporting lakes, offering wonderful opportunities for fishing and boating. In the spring, Tyler residents enjoy the colorful spring flowers. Athens, whose tag line is Hamburgers-Heritage-Texas, has the charm of a small, southern town while still retaining many qualities of a larger city and is home to the East Texas Arboretum and Botanical Society.

Job Summary and Responsibilities:
A/R Specialist will be responsible for collecting from insurance companies, reading EOBs, doing appeals/reconsiderations, reviewing patient balances to make sure they are true, answering incoming calls from insurance companies, and possess no less than 2 years of revenue cycle knowledge.

Experience:
Minimum of 2 years of medical office experience
Minimum of 2 years insurance A/R experience 

Certification/Licensure:
None Required

Education:
High School Diploma or equivalent
Job Duties Include:

• Working all denied COMMERCIAL insurance claims over 14 days EXCLUDING Blue Cross Blue Shield (BCBS)
• Appeals, reconsiderations, and insurance overpayment.
• Compensation. Work all denied claims and any appeals.
• Check Status of Claims. Use all measures available to check status of claims.
• Form Completion. Complete and process any paperwork.
• Follow-up: Checking status of non-payment claims over 30 days old.
• Correcting errors and re-billing claims, as needed.
• Be available for additional questions and queries from other TEAM members.

Qualifications:

• Extraordinary Customer Service and Team Member Relations – REQUIRED!
• Must have minimum 2 years BCBS A/R Experience currently.
• Must have minimum 2 years medical office experience currently.
• General knowledge of practice management software
• Excel spreadsheets and or other data base software
• Preferred NextGen, Waystar, Availity
• Dependable
• Good communication skills
• Willingness to grow
• Driven, responsible, take ownership of the position
• Kind, compassionate, servant’s heart
• Professional appearance
• Computer skills
• Multitasking
• Time management
• Organizational skills
• Attention to detail
• Valid driver’s license

Benefits:

• Affordable Health and Dental 
• Vision Care
• Life Insurance 
• PTO
• 401K