Overview: EyeCare Services Partners (ESP) is creating the nation's leading eyecare services company in both quality and scale by consolidating ophthalmologic and optometric practices and ambulatory surgery centers that are locally dominant and clinically differentiated. Our Accounts Receivable Specialist will be assigned to one area. They will be a claims processor or an AR follow-up associate upon hire. We will cross train all associates in each area. The responsibilities are listed below and associates will be rotated to do both roles once training is complete. This is an in office position in our Owings Mills, Md. location. Eyecare Services Partners will now only consider candidates who can verify prior to hire that they either have been fully vaccinated against the Covid 19 virus or have started the vaccine process by having their initial dose before starting in their new position and are committed to completing that process within 30 days of starting work. This position is being published in an effort to build our candidate pipeline for our upcoming opportunities. If an opportunity opens that matches your qualifications, we will reach out to you at that time. EyeCare Services Partners, our parent group, is creating the nation's leading eye care services company in both quality and scale and we appreciate your interest in joining our team. Responsibilities: Claims Processing:Responsibilities will include processing medical and/or vision claims generated within the practice management software system daily. Batches will be created for each location assigned, claim edits reviewed and appropriate action taken to ensure that claims are clean prior to processing to payors. AR Follow Up:Responsibilities will include AR follow-up with insurance payors to correct denied claims including submission of appeal letters, correct claims in accordance with Correct Coding Initiatives (CCI) and all Compliance regulations and work with the clinics to gather information needed to correct and reprocess the claim. Communication of denial trends to Supervisor and Manager to help initiate training to avoid potential denials in the future. Other Duties and Responsibilities: Create claim batches and process all insurance claims dailyUnderstanding of claim edits and know the appropriate actions to take to correct the claim prior to submissionPrepare claim resubmissions, appeals and reviewsResearch correct ICD and CPT codes to get claims paid for any rejectionsContact patient when necessary to obtain correct information to get the claim paidCall insurance company when necessary to find out why claim is rejecting, and follow through by correcting information and resubmitting the claim for paymentWork with clinics to gather additional information that may be needed to correct a claim for submission to payorContact patient when necessary to obtain correct information to get the claim billedMeet timely deadlines specified by management when billing chargesMaintain organized filing system for uploaded batchesSupport and backup other areas of the department as needed Qualifications: High school diploma is requiredUndergraduate Degree preferredMedical collections experience preferredCustomer service experience preferredExperience in Ophthalmology and NextGen is preferredIn Turn We Will Offer:Benefits to full time team members that include comprehensive medical, dental and optical coverage, 401K and short and long term disabilityCompany paid life insurancePaid holidays and generous paid time offPaid parking where applicableTeam oriented working environment where you are heard and respectedClear career ladder opportunitiesTo learn more about us, please visit: www.espmgmt.com #ESP2