Aldie, Virginia
Optometric Billing & Insurance Specialist Job Opening in Aldie, Virginia - Associates in Eyecare - Optometrists, P.C., a growing optometric group with multiple locations in Northern VA and Washington, DC is looking for an experienced Optometric Medical Billing Specialist with expertise in insurance credentialing and patient billing to include AR follow up.
Maintaining positive cash flow through effective account management, collections, and accounts receivable is critical to the success of the position. The key responsibility of the Billing & Insurance Specialist is to ensure accurate and timely billing of all patient accounts and insurance.
A thorough understanding of all participating insurance plans and third party payors is required. The Billing & Insurance Specialist is expected to communicate with all patients regarding their plan and benefits as appropriate. This includes all patient questions before, during and after their visit to the practice. The Insurance & Billing Specialist will therefore keep up-to-date with all plan changes, regulations and requirements. This is to include compliance with HIPAA and ICD-10 requirements.
Job Responsibilities:
Insurance verification to ensure which services are covered by their insurance plan(s) prior to services rendered.
Communicating with patients regarding their coverage, plan and benefits where applicable.
Handling all patient insurance and billing questions.
Maintain all accounts receivable and records.
Audits of delinquent accounts and collections.
Managing patient payments, AR and collections.
Demonstrates an appropriate level of knowledge using the Practice Management (PM) software system.
Reporting to the status of all accounts receivable on a monthly basis.
Reporting practice-wide to the appropriate managing partner(s) any significant changes to insurance plans that directly affect patient care.
Compliance with HIPAA, ICD-10 and CPT requirements.
Competencies:
Detail Oriented - Adhere to all policies and procedures set forth by the participating insurance plans. Must be able to spot and correct accounting and billing errors.
Communication Skills - The Billing & Insurance Specialist must have the ability to effectively communicate complex plan information relative to patient care to all patients. Must also have the ability to communicate effectively and develop relationships with all insurance providers.
Patient Oriented - The Billing & Insurance Specialist will interact frequently with our patients and potential patients relative to their insurance and billing. As these interactions can often be stressful for the patient, approaching these exchanges in a caring and helpful way is vital.
Consistency of Work - The Billing and Insurance Specialist position requires consistent repetition of several insurance and billing tasks. A displayed comfort level and accuracy of accomplishing tasks of this nature is required.
Communication with patients - The Billing specialist is expected to communicate with patients in-person, via telephone and by electronic means. Ability to manage work flow and prioritize appropriately is required
Job Type: Full-time
Required education:
High school or equivalent
Required experience:
optometric billing: 1 year
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