Share Email Opening Apply Now Title RCM Account Representative  About the Organization   Location Remote   Description GENERAL FUNCTION The RCM (Revenue Cycle Management) Account Representative is the key to success in helping our customers manage their day-to-day insurance operations and to keep 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. This is not a direct input billing position. We need someone who loves to work as a team to audit and 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 during daytime business hours, Monday through Friday. Part time and/or flexible hours are not available for this position. MAJOR DUTIES AND RESPONSIBILITIES Provide consistent and continuous customer support via phone, email, and GoToMeeting for RCM customers with multiple points of contact. Monitor between 15-20 customer accounts to identify revenue trends and proactively engage the client with solutions and updates. Identify, research, and resolve account concerns and claim issues; reported by the customer, internal team, and partner within 24-48 hours. 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. Oversee daily operations of RCM processing teams to ensure continuous flow of revenue for accounts. This is not a direct input billing position. Train clients on RCM tools and expectations to obtain maximum reimbursement Provide basic technical website and PC support to enable customers to use our solutions Effectively use multiple company tools to document customer interactions and account updates (Salesforce, Sharefile, etc.)   Position Requirements BASIC QUALIFICATIONS Minimum of three years’ experience with customer facing customer service Minimum of three years’ experience with medical and/or vision insurance billing practices in an optometry setting Knowledge of ICD-10 coding and Optometry CPT codes Knowledge of spectacle lenses, contact lenses, and frames Knowledge of Vision Payers including VSP, Eyemed, Spectera, Versant Health Experience working in at least one (1) Optometry specific Practice Management System Experience working in ZirMed, TriZetto, and/or Emdeon to submit claims, process rejections, and send corrected claims Excellent communication skills with the ability 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 while working independently Must be able to work a full and consecutive 8-hour day during daytime business hours (40 hours per week), 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 Deep understanding of HIPAA regulations and CMS compliance standards PREFERRED QUALIFICATIONS CPC or CPOC Certification Hands on experience with claims filing for optical orders Experience working with Salesforce Experience using remote connection software Experience working in multiple Optometry Practice Management Systems (Revolution, Crystal PM, Uprise, OfficeMate, Eyefinity)   Tags   Full-Time/Part-Time Full-Time   Exempt/Non-Exempt Non-Exempt   EOE Statement We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law.   Travel Requirements   This position is currently accepting applications. Apply Now WE ALSO RECOMMEND Other Jobs Within Same Category -- None found -- Other Jobs Within 60 Miles -- None found -- Follow us See who works here:

 

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