Senior AR Specialist II — Ophthalmology Revenue Cycle Expert

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

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.