Claims Coordinator

EssilorLuxottica • Mason, OH

89d

About The Position

Vision Associates is the nation's leading optical dispensary management & consulting company. Our mission is provide the highest level of service and integrity. Our extensive background in the optical industry enables us to provide solutions that promote growth and profitability. In partnership with our clients', our foremost objective is to deliver complete and comprehensive service that reflects our commitment to eye care excellence. Everyday we feel inspired to ignite our passion for patient care. Our people work closely with doctors, learn from complex medical cases, and make a difference in patients' lives. We unleash the power of optical. Vision Associates is part of EssilorLuxottica, a global leader in the design, manufacture and distribution of world-class vision care products, including iconic eyewear, advanced lens technology and cutting-edge digital solutions. 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!

Requirements

• High School diploma or equivalent work experience
• 3+ year(s) of data entry experience
• Knowledge and experience in Microsoft Office Products (Outlook, Word, Excel)
• Ability to work well under pressure and multi-task
• Flexibility working in both a team and individual environments
• Ability to quickly grasp and retain information and concepts

Nice To Haves

• Bachelor's degree
• Claims processing experience
• Strong customer service focus
• Good verbal & written communication skills
• Able to quickly grasp and retain information and concepts
• Able to multi-task and prioritize issues
• Strong attention to details
• Knowledge of Medicare/Medicaid business
• Understand and honor high level of confidentiality
• Knowledge of vision benefits and/or insurance industry
• Working knowledge of interface systems that include: claims data entry processing system (Facets), workflow tools (Filebound and EyeRoute)

Responsibilities

• Efficiently and accurately processes complex claims
• Consistently achieves key performance indicators with respect to production, cycle time, and quality
• Participates on claims project initiatives, including rework and/or payment integrity efforts
• Understands and quickly operationalizes process changes resulting from new plans, benefit designs, regulatory changes, etc.
• Works with manager and co-workers to provide strong customer service and communication with key customer interfaces that include: EyeMed Account Managers, Operations, IT, Client Representatives and EyeMed leadership team
• Frequent communication with internal associates and claims management. Ensure upward and downward communication to keep management and team members properly informed.
• Consistently meets or exceeds agreed upon performance standards in both productivity and accuracy.
• Proactively works with supervisor to develop self-remediation plan when standards are not being met.

Benefits

• Employee pay is determined by multiple factors, including geography, experience, qualifications, skills and local minimum wage requirements.
• Competitive bonus and/or commission plan
• Health care
• Retirement savings
• Paid time off/vacation
• Various employee discounts

What This Job Offers

• Job Type: Full-time
• Industry: Miscellaneous Manufacturing
• Education Level: High school or GED