Billing Representative - Collections

POSITION SUMMARY: With direction from the A/R and Collections Manager, the Collections Billing Representative will collect insurance monies due to Midwest Eye Consultants in a manner that is legal, professional, timely and within the guidelines of Midwest Eye Consultants, Medicare, Medicaid and all third-party payors. 

Locations:  Maumee, OH

ESSENTIAL RESPONSIBILITIES:

• Demonstrate and uphold the mission statement and values of Midwest Eye Consultants.
• Resolve insurance billing related issues with insurance companies in regards to facility and physician billing.
• Correct and re-bill insurance claims for payment per the billing guidelines of the payor.
• Resolve coding and claim discrepancies with insurance companies.
• Expedite payment from Medicare, Medicaid and third-party payors to reduce accounts receivable aging.
• Assist with billing questions from staff at all MWEC sites, by being a resource for insurance coverage and general insurance/software related questions.
• Respond to denied claims quickly and efficiently to ensure prompt payment.
• Communicate common denial errors to the Accounts Receivable and Collections Manager with suggested solutions to improve.
• Assist with the education of the office staff to improve collections performance.
• Perform any other related duties as assigned by Supervisor.

OTHER RESPONSIBILITIES:

• Demonstrate knowledge of the content and context of billing forms and documents such as insurance remittances and HCFA forms.
• Maintain strong working knowledge of Medicare, Medicaid and third party coding, billing and collection policies, procedures and laws.
• Demonstrate a strong working knowledge of CPT and ICD-10 codes and competency regarding procedural, diagnosis and HCPC coding.
• Demonstrate knowledge of insurance companies’ guidelines for claims preparation, billing and collections.
• Demonstrate a strong working knowledge of Compulink EyeMD and claims clearinghouse software.
• Work with ten-key calculators, computers and practice management software in a competent manner.
• Protect MWEC and its assets by following all billing and compliance guidelines, rules and regulations and never knowingly committing a fraudulent act.

EDUCATION AND/OR EXPERIENCE:  

• A minimum of one (1) year experience in patient services and or Medicare/Medical billing.
• Experience in Optometry/Ophthalmology billing preferred.

COMPETENCIES:

• Communication skills
• Attention to detail
• Adaptability
• Customer service oriented
• Problem solving skills
• Integrity
• Confidentiality
• Decision-making skills
• Adaptable to change
• Stress tolerance

PHYSICAL DEMANDS AND WORK ENVIRONMENT (per ADA guidelines):

• Physical Activity: Talking, Hearing, Repetitive motion.
• Physical Requirements: Sedentary work. Involves sitting most of the time.
• The worker is required to have visual acuity to determine the accuracy, neatness, and thoroughness of the work assigned.

PERSONAL DEVELOPMENT:

• Demonstrate and maintain technical knowledge of the job and of related procedures and policies in order to provide high quality support to the department. This may involve participation in advanced training and/or certification in field as appropriate.