Account Service Representative

Job Description

Are you someone who enjoys taking initiative and being proactive? We are looking for someone who demonstrates leadership skills, efficiency and productivity. You will be responsible for all insurance claims preparation, filing, data entry of surgical and clinic charges, medical record requests, processing payments, AR aging, overseeing collections and collection reports.

Abrams EyeCare is looking for a full-time Account Services Representative whose primary location will be at the North Carmel location. The Account Services Representative will work closely with the Director of Practice Administration to ensure accurate completion of all tasks.

Hours vary from 7:30am – 4:00pm; 8:00am- 4:30pm; 8:30am-5:00pm Monday – Friday.

4 days in office and 1 day remote.

Benefits:

• Health and Dental benefits
• In-house Vision benefits
• PTO
• Paid Holidays
• Short term/ Long term Disability
• Life Insurance
• Employee Assistance Program (EAP)
• 401(k)

Required Qualifications:

• High school diploma or equivalent
• 3-5 years of Medical/Vision insurance experience
• 3-5 years of Ophthalmology/Optometry coding experience
• Knowledge of ICD-10, CPT coding and HCPCS
• Knowledge of Remittance Posting and Reason Code Denials

Preferred Qualifications:

• Insurance credentialing
• EMR experience
• Knowledge of Medicare, Medicaid and Commercial Insurance
• Knowledge of Local Medical Review Policies (LMRP), Correct Code Initiative (CCI) edits, MACRA/MIPS/HIPAA/Medical Records Handling
• Chart Audit Review experience
• Experience handling issues such as medical necessity, claim edits, claim denials, bundling issues, charge, and payment capture

Job Responsibilities:

• Executes and posts accurate payments/write-offs according to patient’s insurance plan and secures payments until posted
• Reviews and balances daily business activities along with checks for deposits and generates necessary reports
• Coordinates with front desk on any fee sheet or charge discrepancies and assists front desk personnel as needed with insurance-related questions
• Performs claim edits with Claims Clearinghouse
• Administers daily claims activity along with third party submissions (paper claim handling)
• Determines necessary EOBs, reports, or original claim forms as needed for appeals
• Contacts insurance companies requesting policy and coverage limits, deductible amounts, and any pre-existing clauses on surgeries or when coverage is in question
• Administers compilation of insurance ageing reports and act upon per schedule
• Determines and corrects filing of incorrect payment amounts or denials
• Determines patient and insurance refunds and report to bookkeeper to issue check
• Manages patient billing inquiries in a timely manner (24-hour turnaround ideal)
• Coordinates with Director of Practice Administration if patterned insurance discrepancies are found
• Handles customer inquiries on billing and insurance matters
• Contacts delinquent patients for collections
• Reviews and responds to COO and/or Director of Practice Administration on collections capture
• Assists with training of billing staff members
• Insurance credentialing and fee schedule negotiations
• Executes any assigned tasks or duties given by the Director of Practice Administration

EQUAL OPPORTUNITY EMPLOYER

Job Type: Full-time

Pay: From $22.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Referral program
• Retirement plan
• Vision insurance

Experience:

• medical insurance: 3 years (Required)
• Medical coding: 3 years (Required)
• CPT coding: 1 year (Required)
• Leadership: 1 year (Preferred)

Ability to Relocate:

• Carmel, IN 46032: Relocate before starting work (Required)

Work Location: In person

Salary : $22