Remote RCM Account Specialist – EyeCare Payments

EssilorLuxottica Group; United States; Remote; USD 60,000 - 90,000; Full time

Job summary

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.

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.

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

Skills

Customer service

Medical/vision billing

ICD-10 coding

Optometry CPT codes

Communication

Problem solving

Time management

Work from home

Windows/MS Office

Education

CPC or CPOC Certification

Tools

ZirMed

TriZetto

Emdeon

Salesforce

Remote access software

Revolution PM

Crystal PM

Uprise

OfficeMate

Eyefinity

Job description

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.