Billing and Collections Specialist

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Retina Associates of Utah (RAU)  is seeking an individual who will be responsible for performing an extensive number of data collection functions, as delegated by the physician to allow for proper professional diagnosis of patients’ conditions. This candidate will support the clinical needs for our  practice.

Retina Associates of Utah (RAU) is one of the largest and most respected retina-only ophthalmology practices in Utah, committed to Preserving the Patient's Vision. All Retina Associates of Utah physicians are board certified by the American Board of Ophthalmology and specialize exclusively in diseases and surgery of the retina, vitreous, and macula. Our surgeons have studied at some of the most renowned institutions in the nation and all have graduated at the very top of their classes.

Retina Associates of Utah follows all CDC and local authority protocols to ensure the safety and well-being of the patients, providers, employees and communities. 

Retina Associates of Utah is proud to be an Equal Employment Opportunity and an Affirmative Action Employer. We are committed to creating an inclusive work environment that celebrates diversity.

Responsibilities 

Billing and Collections Responsibilities:? 

• Identify coding and billing errors 
• Monitor insurance claims and contact insurance companies on behalf of the practice 

• Update the patient account record to identify actions taken 
• Assign bad debt accounts to the collection agency 
• Monitor accounts receivable 
• Reconciles detailed AR accounts, review and process account adjustments and overpayment refunds in an efficient and timely manner 
• Process claim appeals 

• Respond to detailed questions from patients and payers regarding claims or account status 
• Maintain knowledge of all third party and CMS reimbursement requirements. 
• Participate in a Billing and collection related meetings to discuss new and on-going account resolution 
• Set up payments plans on self-pay accounts. 

Qualifications 

Billing and Collections Qualifications: 

• Must have knowledge of current insurance companies and electronic portals 
• Ability to prioritize tasks properly 
• Excellent communication skills 

• Ability to work in multiple software programs/applications 
• Answer multi-line telephones 
• Exhibit patience and compassion 
• Ability to work in a fast pace environment 
• Knowledge of billing procedures and collection techniques 

• Excellent understanding of AR processes, third party payer and CMS regulations 
• Ability to read and understand EOBs 
• Experience using medical billing software 
• Excellent verbal and written communication skills 
• Proficient in Microsoft Office Suite (Excel, Word, PowerPoint, Outlook) 

• Self- directed with ability to work with minimal supervision