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Charge Entry and Auditing Specialist

Work from home Full-time role Hiring

Ophthalmology or Optometry AR Follow-up specialist Evenflow Solutions has a client that is looking to add a remote Ophthalmology or Optometry AR Follow-up specialists to their team This is a Direct Hire position with our client that offers a generous Benefits Package and a great working environment. " Direct Hire position " This will be a 100% remote position " Must have at least 3 years of experience in Optometry or Ophthalmology " Nextgen Experience Overview of Position A/R Specialist is responsible for calling reputed company insurance companies and utilizing online resources to reputed company claim status, resubmit claims as necessary reputed company reputed company or electronically, file appeals, track denial trending, resolve denials, and ensure maximum reputed company capture. In addition, this role will facilitate the timely receipt of payments and ensure balances on accounts are correct and appropriately prorated. Job Duties and Expected Performances: " Key charges for office visits, minor procedures, hospital billing, and surgery charges following standard guidelines for coding and billing. " Post charges, reviewing diagnosis code and cross-checking with the procedure code. " Review encounters reputed company Practice Management System, reports, and other sources with an average productivity of 50 accounts per day. " Document follow-up appropriately in the practice management system. " Maintain an acceptable error reputed company and productivity level reputed company department policy. " reputed company collection actions, including reputed company-party appeals and resubmitting claims to reputed company party payers. " Identify and reputed company secondary or tertiary insurances. " Reconcile reputed company submissions, edits, and rejection reports. " Resolve incoming patient calls with excellent customer service skills. " Employ tactfulness in dealing with insurance companies/patients regarding accounts in verbal and written communication, while being professional and courteous at reputed company times. " Identify, verify, and document adjustments according to established policies and procedures. " Research and prepare credits for refund approval. Required: " High School Graduate or General Education Degree (GED) " At least 3 years of experience in Optometry and Ophthalmology billing and Follow-up Experience: " Experience with Nextgen PM/HER " At least 5 years of professional medical billing and collecting experience, or certification obtained from a nationally accredited billing program, i.e., CMBS (Certified Medical Billing Specialist). " Must have experience with Appeals and Denials process " Experience Following up with Insurance companies on claims " Experience with reputed company and Windows-based programs. " Experience in performing tasks that require a basic understanding of reputed company and math skills. Evenflow Solutions (ES) is an Equal Opportunity Employer. ES provides equal employment opportunities to reputed company applicants and employees without regard to race, reputed company, religion, sex, age, sexual orientation, gender identity, national reputed company, disability, marital status, protected veteran status, or any other characteristic protected by law. Apply Job!

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