visionworks
visionworks
visionworks sprijină activități în domeniile artelor, culturii, educației, comunicării și științei printr-un portofoliu variat de proiecte și inițiative. Programele sale includ Week of Learning, Museum of Shadows, XPurple, Learn with Joy, Communication 3.0, MAP, LiveSafer, Zwirbler și BiodiversityLove. Împreună, aceste proiecte indică o organizație axată pe implicarea publicului, învățare și impact social, cu activități care acoperă inițiative educaționale, culturale, științifice și de comunicare.

Billing Operations Associate

Process insurance claims, appeals, payments, and patient balances for Visionworks. Help ensure accurate reimbursement for vision exams and products across insurance plans.

Descriere

  • Submit accurate insurance claims electronically or on paper in line with payer rules and contract terms
  • Review first-pass rejected claims, identify issues, and correct them for resubmission
  • Check claim status with assigned insurance plans and follow up as needed
  • Evaluate claim appeals and resubmit them with complete supporting records
  • Assess third-party account collectability and recommend adjustments or write-offs to the Manager
  • Help store staff confirm customer demographics and authorizations are in place for clean claims
  • Escalate claim issues, errors, and discrepancies to management to help identify billing trends
  • Prepare and send monthly patient balance statements using insurance explanations of benefits
  • Handle point-of-sale account billing, payment posting, contractual write-offs, adjustments, follow-up, and collection of overdue balances
  • Maintain accurate, compliant, and timely billing and reimbursement for vision and medical exams and vision products

Cerințe

  • High school diploma, GED, or equivalent work experience
  • Medical insurance claims billing experience of up to one year preferred
  • Proficiency with Microsoft Excel and Word
  • Ability to use a 10-key keypad by touch
  • Strong verbal, listening, and telephone communication skills
  • Clear written communication and ability to draft routine correspondence
  • Ability to perform arithmetic with whole numbers, common fractions, and decimals
  • Ability to define problems, gather information, establish facts, and identify trends
  • Sound judgment and ability to escalate issues appropriately
  • Strong organizational skills and accuracy with detailed manual tasks
  • Customer-focused approach and commitment to service
  • Ability to build and maintain effective working relationships with teammates
  • Ability to work effectively with people with diverse personalities
  • Tact, maturity, and flexibility
  • Ability to work onsite and attend regular, predictable in-person meetings
  • Ability to initiate prompt coordination and collaboration with team members, clients, and customers
  • Compliance with HIPAA requirements and company data security guidelines
  • Ability to frequently lift or move up to 20 pounds

Beneficii

  • Remote work designation or work-from-home arrangement
  • Equal opportunity employment
  • Reasonable accommodations for people with disabilities

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