RCM/ OPT Accounts Receivable Specialist

Job Title: RCM A/R Specialist _Optometry

Must reside in the following states: AL, AZ, FL, GA, IL, IN, KS, KY, MI, MN, MO, NC, NJ, OH, OK, PA, TX, VA

Job Summary

The Accounts Receivable Specialist focuses on managing the collection of outstanding payments from patients and insurance. The Accounts Receivable Specialist researches unpaid claims and follows up to obtain payment, resolve claim rejections or denials as needed. Accounts Receivable Specialists work in our Revenue Cycle Management department to provide administrative and bookkeeping support, streamlining financial recordkeeping.

Duties and Responsibilities

• • Monitors and manages accounts receivable to ensure timely collection of outstanding accounts.
• • Follows up on unpaid, rejected or denied claims with insurance companies, government payers, vision insurance, and patients.
• • Maintains compliance with federal, state and payer regulations related to medical billing and collections.
• • Accurately documents all collection actions in the practice management system.
• • Process appeals by gathering information and resubmitting claims.
• • Develop and maintain positive working relationships with team members and payer representatives.
• • Communicates with patient regarding outstanding balances.
• • Adhere to ECP confidentiality policy which includes verbal, written, computer-generated, computer accessed, filmed, and recorded information related to patients, their family and visitors, staff, physicians, clients, and is responsible for the protection of the confidentiality of data at all times.
• • Adheres to all safety policies and procedures in performing job duties and responsibilities while supporting a culture of high quality and great customer service.
• • Performs other duties as assigned that may be necessary or in the best interest of the organization.

Education, Licensure & Certification Requirements

HS Diploma or GED

Experience Requirements

• Minimum Required: 1+ years of experience in accounts receivable

Knowledge, Skills and Abilities Requirements

• Professional in appearance and actions
• Logical and Critical thinking skills 
• Enjoys learning new technologies and systems
• Detail oriented, professional attitude, reliable 
• Exhibits a positive attitude and is flexible in accepting work
• Meets attendance and tardiness expectations
• Management and organizational skills to support the leadership of this function 
• Ability to follow or provide verbal & written instructions with sufficient grammar and spelling skills to assignments and priorities
• Interpersonal skills to support customer service, functional, and teammate support 
• Basic to intermediate problem solving, including mathematics & Advanced computer operation skills
• Specialty knowledge of systems relating to job function, knowledge of state and federal regulations for this position; general understanding of HIPAA guidelines sites may be necessary. 

Location/Work Environment: 

For on-site team members, work takes place in a normal office/clinical environment. Travel to other locations may be necessary to fulfill the essential duties and responsibilities of the job. Thus, those needing to travel for work must have access to dependable transportation, and their driving record must meet company liability carrier standards.

For remote team members, HIPAA compliant home office environment. Ability to work in a remote environment while performing required duties and remaining patient focused. Able to work varying shifts including early mornings/evenings to attend meetings and cross training or support other initiatives.

If you need assistance with this application, please contact (636) 227-2600

Please do not contact the office directly – only resumes submitted through this website will be considered.

EyeCare Partners is an equal opportunity/affirmative action employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status. Please do not contact the office directly – only resumes submitted through this website will be considered.

NOTE:  Job descriptions are intended to be accurate reflections of those principal job elements essential for making fair pay decisions about jobs. Nothing in this job description restricts management right to assign or reassign duties and responsibilities to this job at any time.