Patient Accounts Specialist

Job Description

Job Description

Patient Accounts Specialist

Are you self-motivated, accountable, and great at managing detailed processes? Consider working with us at Midline Vision! Our practice group owns and operates multiple optometry offices throughout Wisconsin, and we're seeking a Patient Accounts Specialist to help us maximize our revenue flow. The best candidate will be excited about finding efficiencies, following and improving best-practice processes for a centralized billing department, and helping the business grow.

GENERAL FUNCTION:

Within our Central Billing Department, a Patient Accounts Specialist is responsible for insurance verification, claims editing, payment posting, credit review, and managing denials and no-responses. The person in this role will answer inquiries by phone, email, and paper mail from patients, and then take appropriate actions to resolve their questions and concerns.

This position works closely with patients, our Central Billing Manager, and with staff in each of our locations to provide an excellent eye care experience through accurate, professional, and timely communication about patients' insurance eligibility and payment status.

MAJOR DUTIES & RESPONSIBILITIES:

• Support in-store staff through the proper verification of insurance and billing of patients and insurance companies.
• Patient billing responsibilities include sending statements, payment posting, and credit review.
• Adds insurance carrier and plan information to patient charts with accurate information needed for processing of claims.
• Reviews claims for errors prior to sending to the insurance companies. Edits claims as needed to ensure proper pricing and coding.
• Adheres to timely filing requirements.
• Investigates credit balances on insurance and/or patient accounts and resolves discrepancies.
• Researches claims that have been denied by the insurance companies and takes action to resolve for correct processing.
• Files appeals and corrected claims as needed.
• Follow the workflow of patient billing and insurance claims posting and reconciliation.
• File all types of insurance claims and post payments.
• Manage the accounts receivables list and follow up on unpaid claims.
• Perform provider insurance credentialing to the appropriate carriers.
• Develop working relationships with insurance companies, research issues as needed, staying informed of and communicating to the team about any changes with carrier rules.

KNOWLEDGE & SKILLS:

• Understanding of vision and medical terminology.
• Ability to provide enthusiastic and concise communication to meet/exceed patient and coworker expectations.
• Develops and maintains positive working relationships with other employees and doctors.
• Ability to manage priorities through adaptability and flexibility.
• Willingness to take calculated risks.
• Proficiency with using computers and willingness to learn new software are required.
• Ability to work in a fast-paced optometric facility while adhering to HIPAA compliance regulations.
• Demonstrates knowledge of proper, safe, efficient usage of office equipment, computers, and software; working knowledge of Microsoft Office.
• Attention to detail and a focus on accuracy are needed for success in this position.
• A proactive approach to problem-solving and a positive, professional attitude are required.

BENEFITS:

We offer paid time off, professional development assistance, a retirement plan with employer match, as well as employee discounts on vision care, glasses, and contact lenses. We do not currently offer health or dental insurance.

EDUCATION:

High school diploma or equivalent, and experience typically achieved with a minimum of 1-2 years in a retail or healthcare environment. Post-secondary training in finance, business administration, or healthcare management is preferred.

WORK REQUIREMENTS:

• Ability to effectively communicate at all levels within the organization through written and two-way verbal communication.
• Able to sit or stand for extended periods of time.
• Ability to lift 10 to 20 pounds.
• Ability to see (Near, Distance, Color, and Depth Perception). Good eye and hand coordination.
• Manual and finger dexterity, as well as hand/arm steadiness. Ability to grip and hold items.
• Able to operate a cash register, various optical equipment, office equipment, and tools.
• Able to work normal and/or extended (evenings, nights, and weekends) office hours to meet established deadlines.
• Able to travel independently to support Company objectives and personal development.

About the Team

Midline Vision is a family-owned company that owns and operates several optometry practice locations in communities throughout Wisconsin, including northcentral Wisconsin, the Madison area, and greater Milwaukee. Our owners and 25+ team members are committed to serving our local markets, and our practice group has a national support network with Pearle Vision and Target Optical. We are fast-paced, friendly, and always looking for new ways to improve patient satisfaction. Learn more at