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Title

Medical Claim Specialist 

Position Business Office Representative  
Description

Associated Eye Care is a multi-specialty group practice providing surgical services and vision care for all ages. We have five locations spanning the eastern Twin Cities of Minnesota and western Wisconsin. Associated Eye Care is dedicated to preserving a lifetime of vision for our patients through our uncompromising commitment to quality care and personal service.

Position Summary

This position is responsible for the submission of medical claims and follow-up on unpaid, unprocessed, or underpaid claims. This position also assists with any other business office function as needed and serves as back-up to a minimum of one other position.

Essential Functions

  • Process charges, payments, and adjustments
  • Claim submission and follow up
  • Manage prior authorizations
  • Provider credentialing
  • Manage patient accounts and inquiries
  • Stay current on all insurance policies and procedures that affect the company and inform others of such changes in a proactive manner
  • Stays current with all CPT and ICD10 changes

Other Essential Functions

  • Must present self at the workstation, ready for work, at the scheduled time
  • Create an exceptional patient experience
  • Communicate effectively with supervisor, manager, and/or director
  • Participate in department and company meetings, as requested
  • Work as a team with other departments
  • Perform other duties as assigned

Job Specific Skills & Knowledge

  • Knowledge of CPT and ICD10 coding, health insurance (HMO, PPO, Commercial, Gov’t programs, Medicare, etc.), medical billing and claim follow up procedures

Associated Eye Care offers a very competitive salary and benefits package including: Health insurance, Dental insurance, Life insurance, Long Term disability, Flex and a 401(k) plan.

Job Type: Full-time

Associated Eye Care is an Equal Opportunity/Affirmative Action Employer

 
Exempt/Non-Exempt Non-Exempt  
Full-Time/Part-Time Full-Time  
Position Requirements

Education & Licensing

  • High School Diploma, or equivalent, required

Experience

  • Health care industry experience required
  • NextGen experience preferred
 
Locations  
EOE Statement We are an equal employment opportunity - Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status or any other characteristic protected by law.  

This position is currently not accepting applications.

To search for an open position, please go to http://AssociatedEyeCare.appone.com



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