What are the responsibilities and job description for the Denials Specialist position at Midwest Vision Partners?
This role is responsible for the follow-up and collection of accounts on the accounts receivable. This includes general payer collections and denial follow-up. In addition, this role could oversee the intake of patient calls. This position performs various accounting, customer services, and organizational tasks to promote the financial health of the organization.
What you will be doing
- Accounts Receivable follow up, both collection and denials resolution
- Requires direct calling to payers and use of payer portals
- Working in Patient Account system, work queues, and use of Excel documents Credit balance resolution
- Ability to interpret a variety of EOBs to reconcile the patient account. Determining appropriate balance and actions needed to reconcile account to determine if credit is accurate and take appropriate action for refund/takeback
- Place outgoing calls to insurance companies to resolve outstanding claims/balances
- Working knowledge of Medicare, Medicaid, Government, and Commercial payers
- Ability to trend and communicate payer scenarios
- Perform month-end close procedures within the established time frame
- Communicate with the Manager payer and account issues promptly
- Monitor accounts for other opportunities (i.e. copay, deductible, and coinsurance)
- Enter appropriate comments in the software system clearly and concisely for tracking and documentation
- Ensure adherence to HIPAA standards and all other privacy and compliance policies
- Staying knowledgeable on Payer/Contract updates and bulletins
- Perform other duties as assigned to support the financial health of the organization
What you know
- High School diploma or equivalent
- Previous Healthcare experience in Accounts Receivable Management
- Excellent written and verbal communication skills
- Excellent computer skills, including Excel, Word, and RCM systems as needed.
- Highly organized, detail-oriented, strong work ethic, and demonstrated teamwork skills
- Ability to multi-task and meet deadline
- Ability to read various EOBs
- Payer Portals
- Medicare/Medicaid Knowledge
What you will receive
- Competitive wages
- Robust benefit package including medical, dental, life, and disability (short- and long-term) insurance
- Generous paid time off (PTO) program
- Seven (7) company paid holidays
- 401(k) retirement plan with company match
- An organization focused on People, Passion, Purpose,e and Progress
- Inspirational culture
About Midwest Vision Partners
Midwest Vision Partners was founded in 2019 to build a premier eye care platform in partnership with Alpine Investors, a San Francisco-based private equity firm. Alpine is a strong supporter of MVP, given its PeopleFirst™ philosophy, unparalleled track record, significant financial resources, and a commitment to building a platform that includes physician leadership at the highest levels.
Headquartered in Chicago, our mission is to provide world-class support to ophthalmologists and optometrists, enabling them to focus on improving patients' vision to help people live their best lives. Today, MVP's network consists of 16 practices, 125 physicians, and roughly 1500 employees providing medical and surgical eye care services at over 60 locations throughout the Midwest. We strive to be the premier provider of eyecare in the Midwest through a culture of collaboration and excellence.