Who We Are

At Denver Eye Surgeons, a Panorama Eyecare company we create centers of excellence in eye care by exceeding national benchmarks for clinical quality, providing unrivaled patient experience, and by being a provider of choice within the regions we serve. We strive to be the model for “Employer of Choice” and we will accomplish this through the integration of education, research, and our commitment to excellence for all our team members. Here at Panorama Eyecare we are all about the word TEAM!

The Role

The successful Medical Accounts Receivable Specialist will contribute to the fulfillment of Panorama Eyecare's Mission Statement by being responsible for the timely processing and follow-up on claims submitted to insurance companies and other entities for payment. This role analyzes and reviews insurance claims for accuracy, completeness, and eligibility, Reviews claims for eligibility to be reimbursed, Maintains updated records and prepares required documentation, Assists in controlling the cost of processing claims, and Contacts policyholders about claims and may provide information regarding the number of benefits. Additionally, this position is responsible for performing more in-depth review of claims to determine appropriate actions to recover claim payments. The Medical Accounts Receivable Specialist will also provide leadership and ongoing guidance to other team members assigned to same/similar project.

• Read, evaluate, and appropriately analyze Explanation of Benefits (EOB) for accuracy and determination of appropriate follow up actions with insurance companies.
• Analyze medical records and other applicable information for determination of appropriate appeal process.
• Reviewing and preparing claims for electronic and hard copy billing submission.
• Responsible for providing research and root cause analysis for claim remediation.
• Uses pertinent data and facts to identify and solve a range of problems within area of expertise.
• Submit on a timely basis to insurance companies’ vision claims for processing.
• Identifying and correct billing errors and resubmitting claims to insurance carriers.
• Providing review and remittance advice for payment errors, denials, and under payments.
• Follow up on unpaid claims within standard billing cycle time frames.
• Call insurance companies regarding payments and denials.
• Identify and bill secondary or tertiary insurances.
• Detect payer and provider trends that are indicative of underlying coverage issues and payer issues.
• Analyze the appropriateness of adjustments/write offs.
• Identifies provider credentialing issues.
• Ability to handle large call volume of incoming phone inquiries from patients and assist them with making payments.

Who You Are

• Minimum of 2 years of experience in insurance billing or insurance collections required, including submitting and following up on claims
• High School Diploma
• Proficiency with MS Office and Excel
• Knowledge of a variety of insurance online systems as well as online status/ eligibility inquiry sites
• Knowledge of general insurance guidelines

Knowledge and Skills

• Excellent analytical skills, solutions orientated
• Ability to handle sensitive material confidentially
• Analyzes and investigates
• Provides explanations and interpretations within area of expertise
• Strong written and verbal communication skills
• Ability to work independently
• Ability to multi-task, this includes ability to understand multiple products and multiple levels of benefits within each project
• Ability to communicate with leadership regarding complex insurance issues
• Identify, manage, and correct complex process issues.

Attributes

• Builds constructive and effective relationships and establishes credibility; gains the trust of others through open communication and honest, constructive feedback
• Put’s the needs of the organization first and acts with the customer in mind
• Relates well to people at all levels inside and outside of the organization
• Demonstrates a high level of emotional intelligence
• Solves difficult problems through rigorous analysis, probing of resources and by looking beyond the obvious
• Demonstrates respect
• Motivated self-learner works well under pressure/fast paced environment
• Demonstrates a passion for people, service, and results
• Acts in alignment with NADG’s core values always

Additional Job Details:

Works at our clinic location, Denver Eye Surgeons.

This is a Full-Time Position.

Compensation for this role will be $19 to $21 an hour based on experience/certification.

Our Growth Opportunities

At Panorama Eyecare, we care about our employee’s ability to grow within the company. Therefore, we have created career growth plans that allow employees the ability to work toward their professional growth. We encourage all employees to apply for internal openings they may be qualified for, and we welcome the opportunity to interview and coach employees on how to grow.

Our Employee 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
• Generous Paid Holiday Program
• 401K With Company Match

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.

Job Type: Full-time

Pay: $19.00 - $21.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Disability insurance
• Employee discount
• Flexible schedule
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Tuition reimbursement
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Ability to commute/relocate:

• Lakewood, CO 80401: Reliably commute or planning to relocate before starting work (Required)

Education:

• High school or equivalent (Preferred)

Experience:

• Medical office: 1 year (Preferred)
• Insurance Billing: 2 years (Preferred)

Work Location: One location

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