Accounts Receivable Specialist II

DVC MSO LLC; Independence (MO); On-site; USD 65,000 - 85,000; Full time

Benefits offered by this job

Health and Dental insurance

401(k) with employer match

Paid Time Off (PTO)

Ongoing training and professional dev

Job summary

Discover Vision Centers is seeking an Accounts Receivable Specialist II to join our Revenue Cycle Management team. You will optimize reimbursement, resolve complex billing issues, and support our growing organization in delivering exceptional patient care.

You will manage high-dollar AR, analyze trends, and mentor team members while collaborating across departments to improve revenue cycle efficiency. Prior experience in ophthalmology RCM and CMBS certification is valued.

Qualifications

• Minimum of 5 years of ophthalmology Revenue Cycle Management experience.
• At least 3 years of advanced accounts receivable follow-up in a multi-specialty or high-volume environment.
• Advanced proficiency in NextGen Practice Management, including reporting and system functionality.
• Strong knowledge of TriZetto clearinghouse operations.
• Experience with payer guidelines, denials, appeals, and reimbursement methods.
• Strong Excel skills with pivot tables, data analysis and reconciliation.
• Experience leading AR projects or process improvements.
• Excellent analytical, organizational and problem-solving skills.
• Strong communication skills and ability to work independently across departments.
• Revenue cycle or medical billing certification (e.g., CMBS) preferred.

Responsibilities

• Manage complex patient and insurance AR, focusing on high-dollar, aged, and escalated accounts.
• Investigate and resolve claim denials, underpayments, billing discrepancies, and reimbursement issues.
• Analyze AR trends, identify root causes, and recommend process improvements.
• Serve as NextGen Practice Management super-user, generating advanced reports and improving workflows.
• Monitor TriZetto clearinghouse activity for rejections and processing issues.
• Interpret payer contracts and guidelines to ensure accurate claim resolution.
• Lead AR clean-up initiatives to reduce outstanding balances and improve collections.
• Prepare financial reports and KPIs; present findings to leadership.
• Mentor AR team members on complex claims and appeals.
• Collaborate with billing, payment posting, compliance, and other departments.

Skills

Analytical skills

Communication skills

Problem solving

Excel skills

AR follow-up

Education

High school diploma or GED

Associate degree or Bachelor's degree preferred

Tools

NextGen Practice Management

TriZetto clearinghouse

Microsoft Excel

Job description

Description

Join Kansas City’s leading eye care team! At Discover Vision Centers, we believe teamwork, dedication, and excellence are the foundation of delivering exceptional patient care. We’re currently seeking an experienced Accounts Receivable Specialist II to join our Revenue Cycle Management (RCM) team. This position plays a key role in optimizing reimbursement, resolving complex billing issues, and supporting the financial success of our growing organization.

Why Join Discover Vision Centers?

We invest in our people. At Discover Vision Centers, you’ll have the opportunity to apply your revenue cycle expertise in a collaborative and supportive environment. As an Accounts Receivable Specialist II, you’ll work closely with our billing team and leadership to improve processes, analyze financial performance, and develop solutions that strengthen our revenue cycle operations.

This is an excellent opportunity for an experienced professional who enjoys problem-solving, working with data, mentoring others, and making a meaningful impact within a respected healthcare organization.

Responsibilities

• Manage complex patient and insurance accounts receivable, focusing on high-dollar, aged, and escalated accounts


• Investigate and resolve claim denials, underpayments, billing discrepancies, and reimbursement issues


• Analyze accounts receivable trends, identify root causes, and recommend improvements to billing and collection processes


• Serve as a NextGen Practice Management super-user, generating advanced reports and identifying opportunities for workflow improvements


• Monitor clearinghouse activity through TriZetto, including claim rejections, submission errors, and processing issues


• Interpret payer contracts, reimbursement guidelines, and billing requirements to ensure accurate claim resolution


• Lead special projects and accounts receivable clean-up initiatives to reduce outstanding balances and improve collections


• Prepare financial reports, track key performance indicators, and communicate findings and recommendations to leadership


• Mentor and support AR team members by providing guidance on complex claims, appeals, and payer follow-up procedures


• Collaborate with billing, payment posting, compliance, and other departments to improve revenue cycle efficiency


• Provide operational support and coverage for team members as needed

Qualifications

• High school diploma or GED required; Associate or Bachelor's degree preferred


• Minimum of 5 years of progressive experience in ophthalmology Revenue Cycle Management required


• At least 3 years of advanced accounts receivable follow-up experience in a multi-specialty or high-volume environment


• Advanced proficiency in NextGen Practice Management, including reporting and system functionality


• Strong working knowledge of TriZetto clearinghouse operations


• Experience with complex payer guidelines, claim denials, appeals, and reimbursement methodologies


• Strong Microsoft Excel skills, including pivot tables, data analysis, and reconciliation


• Experience leading accounts receivable projects or process improvement initiatives


• Excellent analytical, organizational, and problem-solving skills


• Strong communication skills with the ability to work independently and collaborate across departments


• Revenue cycle or medical billing certification, such as CMBS, preferred

Benefits

We value work-life balance and want our employees to thrive both personally and professionally. Our competitive benefits package includes:

• Health and Dental insurance


• 401(k) retirement plan with employer match


• Generous Paid Time Off (PTO) program


• Ongoing training and professional development


• Opportunities for career growth within our expanding organization