RCM Account Representative

EssilorLuxottica Group•Dallas, TX

5d•Remote

About The Position

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.

Requirements

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

Nice To Haves

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)

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