Manages and resolves outstanding insurance and patient accounts receivable to ensure timely reimbursement and reduce aging AR, working directly with payers, practices, and internal teams. Specializes in vision/ophthalmology revenue cycle work across a multi-location practice group.
Key responsibilities:
- Reviews assigned AR inventory daily, analyzing unpaid, underpaid, and denied claims
- Submits corrected claims, appeals, and reconsiderations with supporting documentation
- Investigates denial trends and prepares appeals within payer filing deadlines
- Researches underpayments and contractual discrepancies, coordinating resolution with payers
- Partners with Billing, Cash Posting, Patient Collections, Credentialing, and Practice Operations teams
- Maintains compliance with payer regulations and HIPAA requirements
Requirements:
- High school diploma/GED
- 3-5 years of vision medical billing, AR, collections, or denial management experience
- Knowledge of EOBs, ERA remittances, claim appeals, and payer follow-up
- Ophthalmology/optometry revenue cycle experience strongly preferred
- Experience with vision-specific practice management systems (OfficeMate, RevolutionEHR, Eyefinity, Compulink, AcuityLogic) a plus