Medical Billing Specialist Job – Golden Valley, MN

Medical Billing Specialist Job – Golden Valley, MN

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With five locations throughout the Twin Cities metro area, Northwest Eye is among the largest specialty eye care providers in the Midwest. Our environment is both dynamic and adaptable! The variety of patients you interact with each day and cutting-edge eye health practices will keep you at the top of your game.
 
Northwest Eye Clinic has an opening for a full-time Medical Billing Specialist in our Revenue Cycle department. This position can be full time hybrid or remote!

KEY DUTIES AND RESONSIBILITIES 

  • Resolve electronic claim submission errors and rejections
  • Verify patient and insurance eligibility on payer website
  • Review and respond to patient inquires
  • Respond and resolve clinical and front office staff inquires and problems
  • Post insurance remittances by 835 electronic download or through the EFT system
  • Post insurance remittances and/or summaries by data entry
  • Post payments for medical record release
  • Balance insurance receipt batches to reflect payments, adjustments, and billing patient responsibility amounts accurately with completed reports
  • Follow up on insurance denials and rejections from remittance advice or summary
  • Knowledge of claim appeals process to file with appropriate documents and requirements to insurance payer
  • Scan batches to Laserfische (EOB’s)
  • Submission of secondary insurance claims and attachments electronically
  • Audit patient accounts and request patient or insurance refunds in a timely manner
  • Monthly follow up of insurance aging reports to meet or exceed company standards
  • Attends weekly staff meetings
  • Retrieve and follow up on overnight and daytime voicemail messages to business office
  • Other duties as assigned
  • Attends workshops, seminars, and classes to further education and stay abreast of current billing service requirements and changes
  • Participant in billing audits for compliance
  • Maintain current knowledge of coding and medical policy and changes professional billing services
  • Awareness of collection laws and regulations
  • Maintain HIPAA privacy and security regulations
  • Communicate pertinent billing and insurance payer changes and regulations to providers, clinical staff, and management by reviewing payer websites, newsletters, and alerts
JOB SUMMARY Responsible for posting insurance payments, account follow-up including aging and resolving insurance claims, auditing for maximum insurance reimbursement, credit balance refunds, and responding to patient inquires with timely resolution

QUALIFICATIONS

  • Must be able to perform each key duty satisfactorily.
  • The requirements listed below are representative of the knowledge, skill, and/or ability required.
EDUCATION AND EXPERIENCE
  • AA or Bachelor’s degree in Business or Finance with healthcare emphasis preferred
  • Completion of accredited medical billing programs a plus
  • Previous healthcare experience in accounts receivables preferred
 
About Us:
Northwest Eye Clinic provides a wide range of service offerings from comprehensive pediatrics, cataract surgery and premium lens implants, treatment of corneal and retinal disease and glaucoma, oculofacial and esthetic services to LASIK and total eye care that allow us to care for all ages, from newborns to seniors. Our doctors, surgeons, and eye care professionals are true professionals with uncommon enthusiasm for education patients about eye care. We make patient education our focus and encourage patients to Be Eye Wise about their eye health.
 
Northwest Eye and MN Eye Consultants are now sister companies under Unifeye Vision Partners! To view employment opportunities at all of our locations go to www.unifeyejobs.com.
 
Unifeye Vision Partners provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

Job Number: 8a78859e8f504136018f59f2a5e66146

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