Job description
Overview:
This position is responsible for ensuring accuracy in insurance claim follow-up, root cause analysis, appeals and denial management. The Collector is highly attentive to detail, organized, process-driven, collaborative, and possesses strong time management skills. Responsibilities:
NVISION® Eye Centers is the leading ophthalmology partner comprised of the nation’s leading providers of ophthalmic physician services. Based in Aliso Viejo, California, the Company operates over 50 locations (clinics and ASCs). We strive to delight our patients by providing unrivaled care and service that exceeds their expectations. We are The Eye Doctors’ #1 Choice®.
This position is responsible for ensuring accuracy in insurance claim follow-up, root cause analysis, appeals and denial management. The Collector is highly attentive to detail, organized, process-driven, collaborative, and possesses strong time management skills.
- Completes accurate and timely follow up with responsible third-party payer for outstanding accounts receivables
- Research claim denials and rejections, documenting all relevant actions for audit and tracking and taking appropriate steps towards claim resolution
- Write and file appeals as appropriate
- Develops expertise and payer specific knowledge on all aspects of medical claim collections
- Identify and report collection trends and/or issues resulting in delayed claim adjudication
- Interpret explanation of benefits for accuracy and correct payer adjudication
- Ability to prioritize workload and identify key projects that will result in reduction of outstanding accounts receivable
- Collaborate with RCM leadership to implement collection strategies achieving department goals
- Other projects as assigned
- Experience with physician billing
- 2+ years of success in medical billing and/or collections
- Intermediate level experience with Microsoft Word and MS Excel
- Excellent verbal and written communication skills.
- Bilingual in Spanish a plus
- Exceptional people skills
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