EyeSouth Partners

EyeSouth Partners.

  • Stockbridge, GA


  • Irreversible.

  • Full-time.

Position Summary

We are actively hiring for an employment opportunity of Billing Specialist, at our Affiliate, Georgia Retina. Georgia Retina is a group practice developed in 1995 concentrated on the treatment of illness effecting the retina, macula, and vitreous of the eye. Ever since we have actually broadened throughout the northern half of Georgia to 12 places and 17 eye doctors and are among the biggest retina professionals practices in the southeast! Our groups work carefully in combination with our board-certified doctors to offer our clients the greatest level of care in an encouraging, customer-focused environment.

If you want to sign up with a growing group with beneficial advantages and benefits, while adding to a finest in class company, please use with your resume.

Georgia Retina uses a competitive advantages plan to its staff members:

  • Medical
  • Dental
  • Vision
  • 401 k w/ Match
  • HSA/FSA
  • Telemedicine (100% business paid)
  • EAP (100% business paid)
  • Group Life/AD & D (100% business paid)
  • STD (100% business paid)
  • LTD (100% business paid)
  • Generous PTO Package
  • 7.5 Paid Holidays
  • Flexible Scheduling
  • Employee Discounts and Perks

Georgia Retina is a level playing field company. We commemorate variety and are devoted to developing an inclusive environment for all workers.

Responsibilities

Overall the incumbent will be accountable for the business’s third-party medical claims processing and helping clients and workplace personnel with concerns on insurance coverage claims, permissions, declarations, and other billing problems. This position will prepare, send and follow-up on medical claims for Managed Care Organization (MCO), Medicaid, Medicare, Other Federal, Private Insurance, and Workers Compensation.

  • Files and procedures main and secondary third-party medical claims.
  • Verifies all the details for claims processing is total and precise.
  • Contacts the proper individual to get missing out on or uncertain billing details.
  • Follows-up by site and/or telephone on all unsettled and rejected claims to identify next strategy, which might need re-billing missing out on claims, rejected claims or sending out extra info on pending claims.
  • Sends appeal letters to insurer.
  • Obtains permissions when required.
  • Identifies and remedies charge entry/ billing mistakes.
  • Provides correct paperwork to insurance provider.
  • Handles insurance provider concerns, grievances, and/or issues.
  • Responds to and connects with clients worrying all elements of billing through phone, email or routine mail in a timely and considerate way.
  • Documents all actions and preserves irreversible records of client accounts.
  • Assists with addressing phones, evaluating calls and following-upon messages.
  • Works with management on client billing and insurance coverage problems.
  • Processes refunds to clients and insurer.
  • Works with outdoors programs (i.e., co-pay support) to make sure appropriate payment.
  • Communicates with front workplace personnel in order to try to gather any exceptional client balances.

This position is presently found in our Stockbridge, Georgia place

Qualifications

  • Minimum of 2 (2) years Medical Insurance/Healthcare Billing and Collections experience in a medical practice or health system. 6 months of previous client service experience chosen.
  • Prior experience with an electronic medical record system needed.
  • Working understanding of medical billing, collections and payment publishing, profits cycle, 3rd party payers, Medicare; and strong understanding of Federal payer guidelines.
  • Working understanding of CPT and ICD10 codes, HCFA 1500, UB04 claim kinds, HIPAA, billing and insurance coverage guidelines, medical terms, insurance coverage advantages and appeal procedures.
  • Ability to manage delicate and secret information in an expert way.
  • Maintains understanding of coordination of advantages requirements and procedures.
  • Demonstrated success operating in a group environment concentrated on conference company objectives and goals is needed.
  • Self-motivated with strong organizational abilities and exceptional attention to information.
  • Ability to examine files for precision and reasonability
  • Ability to work well under pressure.
  • Ability to multi-task, set concerns and follow through without direct guidance.
  • Effectively interact with doctors, clients, insurance providers, associates and personnel.
  • Intermediate computer system abilities consisting of Microsoft Office; specifically Word, Excel, and PowerPoint.
  • Knowledge of policies and treatments to properly address concerns from internal and external consumers.
  • Detail oriented and tolerant of regular disturbances and interruptions from clients and personnel.
  • Excellent social abilities consisting of the capability to connect successfully and expertly with people at all levels; both internal and external.
  • Exercises sound judgment in reacting to queries; comprehends when to path questions
  • Team gamer that establishes strong collective working relationships with internal partners and can efficiently engage and capability to develop agreement amongst cross-functional groups

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EyeSouth Partners.

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