Billing Associate

DescriptionAzul Vision is the largest eye care practice in Orange County, Inland Empire, and the Los Angeles area, with Twenty-Five locations and our newest location is Palm Desert to serve you conveniently and comfortably. Our world-class eye doctors are experts in all aspects of eye care as well as leading specialists in vision correction, cataract surgery, and laser eye surgery. We offer everything from cataract removal to cosmetic procedures such as eyelid surgery. You can rest assured you will receive cutting-edge treatment in a comfortable, friendly, and high-tech environment.

The billing associate is responsible for organizing patient medical costs and sending invoices to collect payment from patients and their insurers. Their duties include calling patients to discuss payment and develop reasonable payment plans, entering patient data into administrative systems and recording information about outstanding claims

KEY RESPONSIBILITY:

Prepares and submits clean paper/ electronic claims.
Verifies patients benefits and eligibilities and obtains appropriate authorizations when necessary.
Perform various collection actions including contacting, correcting, and re-submitting denials and correspondences from insurances companies.
Files appeals as appropriate.
Bills secondary carriers and/or patients for amounts owed by said party per primary insurers payment.
Processes and reviews patients delinquent account weekly by mailing out statements and/or generates phone calls.
Identifies and resolves patient billing complaints in a courteous and professional manner.
Reviews and monitors accounts for possible collection and/or adjustments and obtain all relevant documentations for justification
Processes refunds as appropriate and in a timely manner
Posts payments efficiently and accurately to accounts and date of services.
Ensures all checks are accounted, recorded, and reconciled with high accuracy
Contacts insurance companies on payment discrepancies; underpaid, overpaid, unknown check.

LEADERSHIP:

Problem assessment.
Creative problem solving.
Interpersonal skills.
Leadership abilities.
Oral and written communication skills.
Proactively sets, meets, and strives to exceed expectations

QualificationsQUALIFICATIONS:

Billing: 1 year (Required) Ophthalmology/Optometry preferred
Proficiency in Microsoft Office, NexGen EPM and EMR.
Strong organizational skills with attention to detail.
Knowledge in modifiers and CCI edits

KNOWLEDGE, SKILLS, AND RESPONSIBILITIES:

Experience with Medicare, Medi-Cal, W/C, PPO, HMO and Vision Plans

Excellent verbal and written communication and customer service skills.
Some experience in coding office visits and procedures
Must be willing to work overtime when needed
Friendly, positive, and energetic team player
Excellent work ethic, strong sense of responsibility, and acute attention to detail
Outstanding follow-up skills- see tasks through to resolution/completion
Must possess excellent clerical skills and good interpersonal skills
Experience with electronic medical records (EMR) and other clinical software a plus
Friendly attitude and people skills, with an emphasis on being a team player
Spanish-speaking a plus

Strong communication skills
Comfortable to lead and implement change
Strategic
Has perspective
Proven decision making and problem-solving ability
Ability to build strong positive and enduring relationships internally and externally
Confident
Flexibility / adaptability
Professional
Personal integrity
Sense of humor
Team player