- Follows-up with insurance companies and ensures claims are paid/processed
- Services each account in priority of importance and independently billing accounts with understanding of all applicable insurance and/or CMS regulations
- Resubmits insurance claims that have received no response or are not on file, in a timely manner according to each insurances contracted filing limits
- Reviews and appeals unpaid and denied claims, includes analysis of coding that assures proper billing
- Makes changes to demographic information as necessary in order to produce a clean claim
- Researches and prepares insurance credits for refund approval
- Maintains an error rate in accordance with departmental policy
- Performs all other assigned duties
- High School diploma or equivalent
- 2 years medical billing experience
- Ophthalmology background desired
- Active knowledge of CMS guidelines, contracted insurance guidelines and coding policies
- Demonstrates computer literacy
- Well-organized with attention to detail
- Ability to read and understand oral and written instructions
- Excellent math skills
- Ability to establish and maintain effective working relationship with team members, clinic staff, payers and patients
- Professional customer service skills
- Has a desire and dedication to work with self-discipline
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Remote Insurance Specialist
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Soleo Health Inc Tempe, United StatesJob Description · Job DescriptionDescription:Soleo Health is seeking a Clearance Specialist/Intake Coordinator to support our Phoenix, AZ, Specialty Pharmacy. This is an in-person role. Join us in Simplifying Complex Care · Acute Home Infusion experience required. · Soleo Health ...
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USAA Phoenix, United States Full timeWhy USAA? · Let's do something that really matters. · At USAA, we have an important mission: facilitating the financial security of millions of U.S. military members and their families. Not all of our employees served in our nation's military, but we all share in the mission to g ...
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Doordash Tempe, United States Full timeThe Risk & Insurance team at DoorDash is responsible for all things corporate insurance at the company.The team is divided into three separate subgroups: Actuarial, Claims Operations, and Risk Management & Mitigation.We are looking for an experienced claims specialist who will be ...
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Vensure Employer Solutions Chandler, United StatesAbout Us · Vensure Employer Solutions is the largest privately held organization in the HR technology and service sector, providing a comprehensive portfolio of solutions, including HR/HCM technology, managed services, and global business process outsourcing (BPO). The company a ...
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GetixHealth Glendale, United States Full timeSchedule: · Monday - Friday · Shift can be a consistent 8 hour shift between the hours of 5:00am to 5:00pm local time · Compensation: $18 - $20/hr based on experience; Quarterly Bonus Eligible · Principal Responsibilities · Follow-up with Out-of-State Medicaid billed claim ...
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Lighthouse Psychiatry Brain Health Center Gilbert, United States Full timeAbout the Job: · We are a growing mental and behavioral health company based in Arizona's East Valley that is currently looking for qualified individuals to join our growing team. Lighthouse offers a positive and healthy work environment with opportunities to learn new clinical m ...
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IRONWOOD PHYSICIANS,P.C. Gilbert, United StatesJob Description · Job DescriptionInsurance Accounts Receivable Specialist · Ironwood Cancer & Research Centers provides a superior cancer care environment with a full spectrum of cancer related services for patients. Our multi-disciplinary team approach includes surgical oncology ...
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W.R. Berkley Corporation Scottsdale, United StatesCompany Details · Berkley Aspire is an excess & surplus lines insurer of commercial risks unable to find a home in the standard markets. We are an operating unit of WR Berkley, a publicly traded (NYSE "WRB") global insurer founded in 1967. · We make excess & surplus lines easy - ...
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TTF Recruitment Phoenix, United StatesTTF is looking for a few A/R Specialists for full-time, contract-to-hire positions in Phoenix, AZ. These are Monday through Friday positions with a starting pay rate depending on experience. · Job duties primarily include insurance follow-up with all medical insurance payors for ...
Insurance AR Specialist - Phoenix, United States - American Vision Partners
Description
Company Intro:
At American Vision Partners (AVP), we partner with the most respected ophthalmology practices in the country and integrate best-in-class management systems, operational infrastructure, and advanced technology to provide the highest quality patient care possible. Our practices include Barnet Dulaney Perkins Eye Center, Southwestern Eye Center, Retinal Consultants of Arizona, M&M Eye Institute, Abrams Eye Institute, Southwest Eye Institute, Aiello Eye Institute, Moretsky Cassidy Vision Correction, Wellish Vision Institute, West Texas Eye Associates and Vantage Eye Center. We are focused on building the nations largest and most comprehensive eye care practices and currently operate more than 100 eye care centers in Arizona, New Mexico, Nevada, California and Texas including 25 ambulatory surgical centers.
At AVP we value teamwork, providing exceptional experiences, continuous improvement, financial strength, and hard work. We are committed to providing best-in-class patient care, pioneering research and technology, and most importantly, rewarding and recognizing our employees
Overview:
As an Insurance A/R Specialist, you'll collect payments for an assigned segment of the insurance accounts receivable and performs insurance follow up duties in accordance with established federal and state regulations. You'll also appeal claim denials as necessary and appropriate.
Responsibilities:
Your health, happiness and your future matters At AVP, we offer everything medical and dental insurance, significant eye care discounts, child care assistance, pet insurance, continuing education funds, 401(k), paid holidays plus PTO, Sick Time, opportunity for growth, and much more