Accounts Receivable Specialist II

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.

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.

• 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 Next Gen Practice Management super-user, generating advanced reports and identifying opportunities for workflow improvements
• Monitor clearinghouse activity through Tri Zetto, 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

• 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 Next Gen Practice Management, including reporting and system functionality
• Strong working knowledge of Tri Zetto 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

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