EyeHealth Northwest is a large, well-established, successful private practice, serving the eye care needs of the Portland Metropolitan and Clackamas County areas.

We have an opening for an experienced Accounts Receivable/Medical Billing Specialist. This position is located at our business office in Milwaukie, Oregon off Hwy 224 and supports the accounts receivable function by processing billing claims, posting payments and investigating denied claims.

Duties include, but are not limited to:

• Process charges that are directly billed to medical and vision insurers; review and process claims daily.
• Calculate, prepare, and issue bills, invoices, account statements and other financial records according to established procedures.
• Review and research all patient accounts for adequate third party billing details.
• Audit insurance claims for accurate charges, ICD.10 and CPT codes and contractual requirements; identifies and resolves coding discrepancies.
• Investigate, resolve and process claim denials; correct claims denied by electronic edits and resubmits according to the insurance company guidelines.
• Receive payments and post amounts paid to patient accounts.
• Locate and monitor overdue accounts.
• Respond to and research patient inquiries regarding accounts; provide superior customer service at every interaction.
• Ensure patient account information is updated in a timely manner, including all patient data and insurance information; purge records as needed.
• Coordinate work with clinic staff to ensure accurate and thorough patient data and claim information.
• Ensure overpayments/refunds are appropriately processed and applied to patient accounts.
• Post cash sheet payment and A/R follow up.

The ideal candidate will have at least one year experience and possess the following qualifications:

• Strong customer service skills
• Experience and proficiency working with insurance billing systems
• Effective communication skills with the ability to communicate clearly and concisely, both orally and in writing
• Well-organized and detail oriented.
• Dependable team player
• Knowledge of medical billing systems and procedures, including CPT and ICD9-10 coding and familiarity with HCPC coding
• Must be computer literate with proficiency in Windows based programs.
• Experience in paperless systems is preferred.

EyeHealth NW offers an excellent compensation package, including competitive pay, medical/dental insurance, company-paid Long-term Disability and Life Insurance, employee discounts on products and services, generous PTO benefit, paid holidays, 401k, Profitsharing, and more!

Work Remotely

• No

Job Type: Full-time

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee discount
• Health insurance
• Life insurance
• Paid time off

Schedule:

• Monday to Friday

Work Location: One location

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