Vision Care Medical Billing Specialist – Claims Audit & Revenue

EssilorLuxottica; New York (NY); On-site; USD 62,000 - 88,000; Full time

Job summary

EssilorLuxottica is seeking a Medical Billing Specialist to audit insurance claims for vision and medical care services, ensuring accuracy and compliance with payer requirements. The role supports process improvement and revenue cycle performance across the team.

Responsibilities include verifying eligibility, tracking claim activity, and maintaining compliant billing documentation. Ideal candidates have 3+ years in medical billing and strong problem-solving abilities.

Qualifications

• Minimum 3 years of experience in medical billing, claims auditing, revenue cycle management, or vision insurance.
• Strong knowledge of ICD-10 and CPT coding and general insurance billing procedures.
• Experience reviewing and auditing insurance claims for accuracy and compliance.

Responsibilities

• Audit submitted insurance claims for accuracy, completeness, coding integrity, and compliance with payer requirements, including appropriate use of ICD-10, CPT, and HCPCS codes.
• Monitor claim activity, including submission timeliness, denials, rejections, and billing discrepancies, to support timely reimbursement.
• Identify missing, incorrect, or incomplete information and coordinate with the appropriate teams to resolve issues prior to or following claim submission.
• Verify insurance eligibility, benefits, and payer requirements as needed to support accurate claim submission and resolution.
• Track and analyze claim activity, billing trends, reimbursements, and payer performance to identify opportunities for improved claim accuracy and revenue cycle performance.
• Serve as a resource to internal stakeholders regarding insurance billing requirements, claim status, and payer-specific processes.
• Maintain accurate billing documentation and records in accordance with company policies and applicable regulations.
• Ensure timely invoices by validating client data, billing information, and system setup accuracy.
• Participate in process improvement efforts, system implementations, audits, special projects, and development of billing procedures and workflows.
• Assist with payer portal management, research, and other billing-related administrative responsibilities as needed.
• Perform other duties and responsibilities as assigned.

Skills

Analytical skills

Communication skills

Attention to detail

Time management

Team collaboration

Education

Bachelor's degree

Tools

Billing software

Payer portals

EHR/PM systems

Job description

EssilorLuxottica is seeking a Medical Billing Specialist to audit insurance claims for vision and medical care services, ensuring accuracy and compliance with payer requirements. The role supports process improvement and revenue cycle performance across the team.

Responsibilities include verifying eligibility, tracking claim activity, and maintaining compliant billing documentation. Ideal candidates have 3+ years in medical billing and strong problem-solving abilities.