Accounts Receivable Representative (Medical-Ophthalmology)

Job Description

Job Description

Accounts Receivable Representative (Healthcare)

Experienced Medical Billing | Multi-Specialty Physician Practice

Location: Garden City, NY
Schedule: Full-Time | Hybrid (3 days in-office / 2 days remote)

Please note: This is a medical billing/insurance accounts receivable position . It is not an accounting or corporate finance role.

We are currently seeking an experienced Medical Billing Accounts Receivable Representative to join our Revenue Cycle team.

Please Note: This is a medical billing/accounts receivable position within a healthcare organization. This is not an accounting, bookkeeping, or corporate finance role.

About Us

Spectrum Vision Partners (SVP), in partnership with OCLI Vision, supports one of the nation's largest multi-specialty ophthalmology networks. With nearly 1,400 employees , 56+ clinic locations , and 5 ambulatory surgery centers across New York, New Jersey, Connecticut, Pennsylvania, and West Virginia , we are committed to delivering exceptional patient care through operational excellence.

Position Summary

The Medical Billing Accounts Receivable Representative is responsible for managing insurance accounts receivable by reviewing outstanding claims, resolving denials, following up with insurance carriers, posting payments and adjustments, and ensuring timely reimbursement.

The ideal candidate has experience working in a fast-paced, high-volume, multi-specialty physician practice and is knowledgeable in commercial and government insurance billing, denial management, payment posting, and insurance collections.

Experience supporting organizations with multiple providers, specialties, and multi-state payer requirements is strongly preferred.

Responsibilities

• Review and follow up on outstanding insurance claims to maximize reimbursement
• Investigate and resolve denied, rejected, underpaid, and unpaid claims
• Contact insurance companies regarding claim status and payment discrepancies
• Submit appeals and corrected claims as needed
• Review Explanation of Benefits (EOBs) and remittance advice
• Accurately post insurance payments, contractual adjustments, and other account transactions
• Research billing edits and resolve claim issues
• Maintain detailed documentation of account activity
• Collaborate with Billing, Coding, Credentialing, and Clinical teams to resolve reimbursement issues
• Ensure compliance with HIPAA, payer guidelines, and company policies

Qualifications

Required

• Minimum 2 years of medical billing/accounts receivable experience
• Experience in physician practice or healthcare revenue cycle
• Experience with insurance claim follow-up and collections
• Knowledge of commercial insurance, Medicare, Medicaid, and other third-party payers
• Experience managing insurance denials and appeals
• Payment posting experience
• Strong understanding of EOBs and remittance advice
• EMR experience (NextGen preferred)
• Microsoft Excel and Word proficiency
• Strong organizational, analytical, and communication skills
• Ability to manage a high-volume workload with attention to detail

Preferred

• Multi-specialty medical billing experience
• Experience supporting large healthcare organizations
• Knowledge of payer requirements across NY, NJ, CT, PA, and WV
• Ophthalmology or ambulatory surgery center experience

Why Join Spectrum Vision Partners?

• Hybrid work schedule (3 days in-office, 2 days remote)
• Competitive compensation
• Comprehensive medical, dental, and vision benefits
• Generous Paid Time Off
• 401(k) with company match
• Career growth opportunities within a large, expanding healthcare organization
• Collaborative and supportive team environment

If you're an experienced Medical Billing Accounts Receivable professional who thrives in a fast-paced healthcare environment and enjoys resolving complex insurance claims, we'd love to hear from you.

Apply today to become part of our growing Revenue Cycle team.

Spectrum Vision Partners is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive workplace for all employees and applicants without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, age, disability, veteran status, or any other protected characteristic under applicable law.