Medical Insurance AR Follow-Up Specialist
Description: Who We Are: At Panorama Eyecare, we are not just a team; we are a community of dedicated professionals united in our quest to provide the best eyecare anywhere. Our unflinching commitment to excellence and our core values make us an Employer of Choice. Join us in shaping the future of eyecare as we thrive together! The Position: The Medical Insurance AR Follow-Up Specialist is responsible for managing and resolving unpaid, denied, or underpaid insurance claims to ensure timely reimbursement and maximize revenue. This role requires strong problem-solving skills, attention to detail, and expertise in medical billing and insurance processes. The ideal candidate excels at claims resolution, appeals, and working with payers to identify trends and prevent future denials. Responsibilities:
- Review and follow up on unpaid, denied, or underpaid medical claims with insurance carriers.
- Utilize payer portals, phone calls, and email communications to resolve outstanding claims.
- Research and resolve claim discrepancies, including coding errors and eligibility issues.
- Identify the root causes of claim denials and initiate appeals or corrections as required.
- Maintain accurate documentation of all follow-up actions in the system.
- Collaborate with billing and coding teams to prevent future claim issues.
- Communicate with patients when necessary, regarding claim status and balances.
- Prepare and submit timely appeals for denied claims with appropriate documentation.
- Ensure compliance with healthcare regulations, payer-specific guidelines, and company policies.
Requirements: Performance/Skills Requirements:
- Insurance Claims Expertise: Strong knowledge of claim submission, follow-up, denials, and appeals.
- Analytical Thinking: Ability to identify patterns, resolve claim issues, and improve processes.
- Communication Excellence: Strong verbal and written communication skills for interacting with payers, patients, and internal teams.
- Attention to Detail: Ability to manage high volumes of claims with accuracy.
- Technical Proficiency: Experience with insurance payer systems, portals, and medical billing software.
Education/Certifications/Experience:
- Minimum of 2 years of experience in medical billing, coding, or accounts receivable follow-up.
- High school diploma or equivalent; Associate’s degree or certification in medical billing and coding preferred.
- Proficiency in MS Office (Word, Excel) and experience with the EHR system, NextGen.
- Strong knowledge of Medicare, Medicaid, and commercial insurance policies.
Additional Job Details:
- This is a Full-Time remote position approved for candidates who reside in one of the following states CO, FL, KS, MA, MI, MO, NM, OR, PA, SC, VA, WY, TX, or NC.
- Compensation for this role will be $20.26 - $23.91 based on experience.
The Perks:
- PTO Accruals Start at 3 Weeks
- Comprehensive Medical and Dental Insurance
- Company-Paid Optical Allowance
- Company-Paid Routine Eye Care
- Short-Term and Long-Term Disability Insurances
- Educational Allowance
- Paid Holiday Program
- 401K with Company Match
Join Our Team! Embark on a rewarding journey with Panorama Eyecare and become part of a team that embodies the values of Partnership, Engagement, Excellence, and Stewardship. As an Eyecare Professional, you will not only provide exceptional patient care but also shape the future of our practices. Together, we are transforming the eyecare landscape. Our job postings are open for 30 days or until a qualified candidate is hired. Click "apply" now and let your passion for excellence and patient well-being shine! EEOC: Panorama Eyecare is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any characteristic protected by law. Apply tot his job Apply To this Job