Accounts Receivable Specialist

 

Who We Are

At Panorama Eyecare, we create centers of excellence in eye care by exceeding national benchmarks for clinical quality, providing unrivaled patient experience, and by being a provider of choice within the regions we serve. We strive to be the model for “Employer of Choice” and we will accomplish this through the integration of education, research, and our commitment to excellence for all our team members. Here at Panorama Eyecare we are all about the word TEAM.

The Role

The successful Accounts Receivable (AR) Specialist will contribute to the fulfillment of the (location) Mission Statement by performing AR activities for the organization. They will be responsible for, in coordination with administration, month, quarter and year-end activities and for accomplishing goals.

· Timely processing and follow-up on claims submitted to insurance companies and other entities for payment.

· Analyze and review insurance claims for accuracy, completeness, and eligibility.

· Perform in-depth review of claims to determine appropriate actions to recover claim payments.

· Read, evaluate, and appropriately analyze Explanation of Benefits (EOB) for accuracy and determination of appropriate follow up actions with insurance companies

· Responsible for providing research and root cause analysis for claim remediation.

· Analyze medical records and other applicable information for determination of appropriate appeal process.

· Identifying and correct billing errors and resubmitting claims to insurance carriers Review claims for eligibility to be reimbursed

· Call insurance companies regarding payments and denials

· Identify and bill secondary or tertiary insurances.

· Maintain updated records and prepare required documentation.

· Contact policyholders about claims

· Detects payer and provider trends that are indicative of underlying coverage issues and payer issues.

· Retrieve benchmarking information from the medical management software system.

· Prepare various monthly/quarterly reports.

· Maintain effective and efficient filing system.

· Suggest innovations or modifications in AR procedures to maintain or create overall efficiency.

· Analyze the appropriateness of adjustments/write-offs.

· Identify, manage, and correct complex process issues.

· Other duties as assigned.

Who You Are

· Minimum Education: High school education or GED

· Minimum of 2 years’ experience in insurance billing or insurance collections required, including submitting and following up on claims.

· Advanced computer knowledge of MS Office and Excel

· Knowledge of a variety of insurance online systems as well as online status/eligibility inquiry sites

· Knowledge of general insurance guidelines

· Ability to identify provider credentialling issues.

· Advanced organizational and communication skills required.

· Excellent analytical skills, solutions orientated.

· Can provide explanations and interpretations within area of expertise.

· Ability to work independently.

· Ability to communicate with leadership regarding complex insurance issues.

· Demonstrates ability to multi task.

· Demonstrates knowledge of English, grammar, and spelling

· Possesses exceptional customer service skills.

· Demonstrates ability to maintain confidentiality of sensitive information (HIPAA compliance)

· Excellent interpersonal skills

· Flexibility and ability to work in a team environment and to remain calm and professional under stress.

· Ability to effectively handle many situations at a time and meet deadlines.

· Builds constructive and effective relationships and establishes credibility; gains the trust of others through open communication and honest, constructive feedback.

· Puts the needs of the organization first and acts with the customer in mind.

· Relates well to people at all levels inside and outside of the organization.

· Demonstrates a high level of emotional intelligence.

· Solves difficult problems through rigorous analysis, probing of resources and by looking beyond the obvious

· Demonstrates respect.

· Motivated self-learner works well under pressure/fast paced environment.

· Demonstrates a passion for people, service, and results.

Additional Job Details:

· This is a remote position.

· This is a Full-Time Position.

· Compensation for this role will be $24 - $25 an hour based on experience/certification.

Our Growth Opportunities

At Panorama Eyecare, we care about our employees’ ability to grow within the company. Therefore, we have created career growth plans that allow employees the ability to work toward their professional growth. We encourage all employees to apply for internal openings they may be qualified for, and we welcome the opportunity to interview and coach employees on how to grow.

Our Employee Perks

· PTO Accruals Start at 3 Weeks

· Comprehensive Medical and Dental Insurance

· Company Paid Optical Allowance

· Company Paid Routine Eye Care

· Short Term and Long-Term Disability Insurances

· Educational Allowance

· Generous Paid Holiday Program

· 401K With Company Match

EEOC

Panorama Eyecare is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any characteristic protected by law.

Job Type: Full-time

Pay: $24.00 - $25.00 per hour

Benefits:

• 401(k) matching
• Dental insurance
• Employee assistance program
• Employee discount
• Health insurance
• Paid time off
• Tuition reimbursement

Schedule:

• Monday to Friday

Experience:

• Microsoft Excel: 1 year (Preferred)
• Accounts Receivable: 1 year (Required)

Work Location: Remote

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