A/R Insurance Specialist – Medical Billing & Appeals

Heaton Eye Associates; Tyler (TX); On-site; USD 42,000 - 54,000; Full time

Benefits offered by this job

Affordable Health and Dental

Vision Care

Life Insurance

PTO

401K

Job summary

Heaton Eye Associates in Tyler, TX seeks an A/R Insurance Specialist to manage commercial collections, interpret EOBs, and process appeals. The ideal candidate has at least 2 years in revenue cycle and medical office experience, plus familiarity with practice management software and Excel.

This full-time role emphasizes exceptional customer service, teamwork, and accurate balance verification, with opportunities to grow in a dynamic ophthalmology practice.

Qualifications

• Minimum of 2 years medical office experience.
• Minimum of 2 years insurance A/R experience.
• Knowledge of BCBS A/R processes is preferred.
• Proficient with Excel spreadsheets and data bases.
• Experience with practice management software a plus.

Responsibilities

• Work all denied COMMERCIAL insurance claims over 14 days EXCLUDING BCBS.
• Handle appeals, reconsiderations, and insurance overpayments.
• Process compensation and re-bill denied claims as needed.
• Check Claim Status using available tools and resources.
• Complete and process required paperwork efficiently.
• Follow-up on non-payment claims over 30 days old.
• Correct errors and rebill as necessary; respond to team inquiries.

Skills

Customer Service

Team Player

Communication Skills

Multitasking

Time Management

Organizational Skills

Attention to Detail

Dependable

Willingness to Grow

Professional Appearance

Computer Skills

Education

High School Diploma or equivalent

Tools

NextGen

Waystar

Availity

Job description

Heaton Eye Associates in Tyler, TX seeks an A/R Insurance Specialist to manage commercial collections, interpret EOBs, and process appeals. The ideal candidate has at least 2 years in revenue cycle and medical office experience, plus familiarity with practice management software and Excel.

This full-time role emphasizes exceptional customer service, teamwork, and accurate balance verification, with opportunities to grow in a dynamic ophthalmology practice.