Accounts Receivable Representative na 156392

Description

Accounts Receivable Representative – Medical Billing (Ophthalmology)
 

Location: Waterbury, CT (On-site, Monday–Friday, 8:00 am – 4:30 pm)
 

Practice: The Eye Care Group

The Eye Care Group is seeking an experienced, results-driven Accounts Receivable Representative to join our high-volume Ophthalmology practice. Our centralized billing department supports four locations, and we need a seasoned professional who can own the AR process, drive claim resolution, and accelerate payment turnaround.

If you thrive in a fast-paced environment, pride yourself on problem-solving, and want to make a measurable impact on cash flow and revenue cycle performance, we want to meet you.

Requirements

• Resolve insurance and patient AR efficiently; expectation of 75–150 claims worked daily.
• Follow claims through the entire life cycle – from charge submission to final payment.
• Investigate and resolve rejected charges and denials.
• Collaborate with payers via portals and clearinghouses to expedite resolution.
• Conduct patient account and chart audits to ensure compliance and accuracy.
• Manage insurance prior authorizations claim denials, eligibility reviews, and assist with payment posting (ERA and manual).
• Assist with posting charges, scrub claims, and ensure timely and accurate charge submission
• Support the Revenue Cycle Director with special projects and compliance initiatives.

Qualifications

• Minimum 3+ years of medical billing and AR collections (private practice or specialty practice experience preferred).
• Ophthalmology billing knowledge is a plus.
• Strong understanding of medical coding, collections, denials, and authorizations.
• Analytical thinker with proven ability to troubleshoot and resolve payer issues.
• Excellent communication skills with payers, patients, and internal teams.
• Highly motivated, goal-oriented, and performance-driven.
• Proficient with insurance/clearinghouse websites; experience with Nextech Cloud and Trizetto preferred (not required).
• Able to pivot quickly and handle evolving daily priorities.

Soft Skills

• Strong work ethic and commitment to excellence.
• Positive, “can-do” mindset.
• Time management and organizational skills to handle a high-volume workload.
• Team-oriented but able to work independently with minimal supervision.

Benefits:

• 401(k)
• Dental insurance
• Employee discount
• Health insurance
• Life insurance
• Paid time off
• Long Term Disability

*Pay increase based on performance*

*Bonus eligible after one year of employment*

COVID-19 considerations:

We are self-certified with the State of CT, and follow CDC guidelines for COVID.

Must be vaccinated or willing to be vaccinated for COVID-19 prior to employment start date.

Schedule:
- In-office position: Monday to Friday, 8 am - 4:30 pm.
- Remote work is NOT an option.