RCM Account Representative

EssilorLuxottica Group; United States; A distancia; USD 60.000 - 90.000; Jornada completa

Descripción de la vacante

EssilorLuxottica Group is seeking a Remote RCM Account Representative to oversee day-to-day insurance operations for Optometry providers across the United States. The role involves analyzing receivables, resolving denials, and ensuring timely reimbursements while delivering excellent client support.

Candidates should have at least three years of optometry billing experience, knowledge of ICD-10 and CPT codes, and strong communication skills.

Formación

• Minimum of three years’ experience with customer facing customer service and medical & vision insurance billing practices in an optometry setting.
• Knowledge of ICD-10 coding and Optometry CPT codes.
• Excellent communication skills, able to communicate with people at all levels through verbal and written modes.
• Great interpersonal and customer service skills, able to act with an appropriate sense of urgency to resolve problems.
• Ability to critically think through problems in a fast-paced environment with changing priorities.
• Ability to multi-task and prioritize.
• Must be able to work a full 8-hour day within the hours of 7:00am – 6:00pm central time, Monday through Friday.
• The ability to work from home with minimal supervision and distraction.
• Stable high-speed internet connection with a quiet, private home office location.
• Strong Knowledge of Windows and Microsoft office suite of products.

Responsabilidades

• Provide customer support via phone, email, and GoToMeeting for RCM customers.
• Monitor customer accounts to identify revenue trends and proactively engage the client with solutions and updates.
• Identify, research, and resolve account concerns or issues; reported by the customer, internal team, and partners.
• Work clearinghouse rejections for customers and create missing information requests or send corrected claims
• Work denials and aging reports to ensure maximum reimbursement for vision and medical claims
• Communicate with payment posting team to ensure customer expectations are being met
• Collaborate with Sales for onboarding new customers and creating a new statement of work for existing customers
• Train client on RCM tools and expectations to obtain maximum reimbursement
• Track and trend product data using multiple complex systems
• Provide basic technical website and PC support to enable customers to use our solutions
• Effectively use Salesforce and other company tools to document customer interactions and account updates

Conocimientos

Customer service

Medical/vision billing

ICD-10 coding

Optometry CPT codes

Communication

Problem solving

Time management

Work from home

Windows/MS Office

Educación

CPC or CPOC Certification

Herramientas

ZirMed

TriZetto

Emdeon

Salesforce

Remote access software

Revolution PM

Crystal PM

Uprise

OfficeMate

Eyefinity

Descripción del empleo

Requisition ID: 948833
Store # : E04004 RCM Insurance - Field US
Position: Full-Time
Total Rewards: Benefits/Incentive Information

If you’ve worn a pair of glasses, we’ve already met.

We are a global leader in the design, manufacture, and distribution of ophthalmic lenses, frames, and sunglasses. We offer our industry stakeholders in over 150 countries access to a global platform of high-quality vision care products such as the Essilor brand, with Varilux, Crizal, Eyezen, Stellest and Transitions, iconic brands that consumers love such as Ray-Ban, Oakley, Persol and Oliver Peoples, as well as a network that offers consumers high-quality vision care and best-in-class shopping experiences such as Sunglass Hut, LensCrafters, and Target Optical, and leading e-commerce platforms.

With a unique global network of commercial subsidiaries and independent distributors across major markets, our customers are offered a strong portfolio of the most popular lens, frames, instruments and equipment brands that can serve every sector of the market. The Professional Solutions team works with our customers one-on-one, developing professional relationships based on trust and care.

Join our global community of over 200,000 dedicated employees around the world in driving the transformation of the eyewear and eyecare industry. Discover more by following us on LinkedIn!

JOB DESCRIPTION

GENERAL FUNCTION

RCM (Revenue Cycle Management) Account Representative is the key to success in helping our customers keep their insurance receivables clean and revenue flowing back into their practice. VisionWeb is currently looking for highly motivated and driven candidates to oversee the day-to-day insurance operations for Optometry providers across the United States. We need someone who loves to analyze insurance receivables and will provide exceptional support to our clients. Candidates should have recent experience in Optometry billing with a strong knowledge of medical and vision payers. This is a remote (work from home) position that requires a full 8 (consecutive) hour workday between the hours of 7:00am – 6:00pm central time, Monday through Friday.

MAJOR DUTIES AND RESPONSIBILITIES

• Provide customer support via phone, email, and GoToMeeting for RCM customers.
• Monitor customer accounts to identify revenue trends and proactively engage the client with solutions and updates.
• Identify, research, and resolve account concerns or issues; reported by the customer, internal team, and partners.
• Work clearinghouse rejections for customers and create missing information requests or send corrected claims
• Work denials and aging reports to ensure maximum reimbursement for vision and medical claims
• Communicate with payment posting team to ensure customer expectations are being met
• Collaborate with Sales for onboarding new customers and creating a new statement of work for existing customers
• Train client on RCM tools and expectations to obtain maximum reimbursement
• Track and trend product data using multiple complex systems
• Provide basic technical website and PC support to enable customers to use our solutions
• Effectively use Salesforce and other company tools to document customer interactions and account updates

BASIC QUALIFICATIONS

• Minimum of three years’ experience with customer facing customer service and medical & vision insurance billing practices in an optometry setting
• Knowledge of ICD-10 coding and Optometry CPT codes
• Excellent communication skills, able to communicate with people at all levels through verbal and written modes
• Great interpersonal and customer service skills, able to act with an appropriate sense of urgency to resolve problems
• Ability to critically think through problems in a fast-paced environment with changing priorities
• Ability to multi-task and prioritize
• Must be able to work a full 8-hour day within the hours of 7:00am – 6:00pm central time, Monday through Friday
• The ability to work from home with minimal supervision and distraction
• Stable high-speed internet connection with a quiet, private home office location
• Strong Knowledge of Windows and Microsoft office suite of products

PREFERRED QUALIFICATIONS

• CPC or CPOC Certification
• Knowledge of spectacle lenses, contact lenses, and frames
• Knowledge of Vision Payers including VSP, Eyemed, Spectera, Versant Health
• Experience working in ZirMed, TriZetto, and/or Emdeon to submit claims, process rejections, and send corrected claims
• Experience working with Salesforce
• Experience using remote connection software
• Experience working in multiple Optometry Practice Management Systems (Revolution, Crystal PM, Uprise, OfficeMate, Eyefinity)

This posting is for an existing vacancy within our business. Employee pay is determined by multiple factors, including geography, experience, qualifications, skills and local minimum wage requirements. In addition, you may also be offered a competitive bonus and/or commission plan, which complements a first-class total rewards package. Benefits may include health care, retirement savings, paid time off/vacation, and various employee discounts.

EssilorLuxottica complies with all applicable laws related to the application and hiring process. If you would like to provide feedback regarding an active job posting, or if you are an individual with a disability who would like to request a reasonable accommodation, please call the EssilorLuxottica SpeakUp Hotline at 844-303-0229 (be sure to provide your name, job id number, and contact information so that we may follow up in a timely manner) or email [e-mail]

We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, gender, national origin, social origin, social condition, being perceived as a victim of domestic violence, sexual aggression or stalking, religion, age, disability, sexual orientation, gender identity or expression, citizenship, ancestry, veteran or military status, marital status, pregnancy (including unlawful discrimination on the basis of a legally protected pregnancy or maternity leave), genetic information or any other characteristics protected by law. Native Americans in the US receive preference in accordance with Tribal Law.