Coordinator, Claims

Requisition ID:903149
Store #:J00005 Teamvision_CC 111363 - NY 5th
Position:Full-Time
Total Rewards:Benefits/Incentive Information

TeamVisionhas provided superior patient care in our community and we are committed to hiring team members who are dedicated to ensuring excellent vision care is provided to every patient. Our practice fosters a work culture which supports teamwork and builds upon the skills and talents of our employees. We value individuals of integrity who are positive, dependable, and flexible in their work. In return we provide a positive and supportive work culture, offer tremendous incentive opportunities, and support professional development.

Our Practice strives to improve quality of life for our patients each day by providing the finest in eye care, expert optical professionals, and an inviting environment. We provide a wide range of vision care services including full-scope optometric patient care, ocular disease management, routine comprehensive eye exams, refractive services, Vision Therapy, and more. Our Optometrists utilize their knowledge, efficiency, and the most modern technology to provide the best vision for everyone.

Our Practice is a part of TeamVision, a Management Service Organization withinEssilorLuxottica, a global leader in the design, manufacturing, and distribution of ophthalmic lenses, frames, and sunglasses.Together, we provide operational excellence to eyecare professionals with an aim to be the leading eye care provider in our community.

GENERAL FUNCTION

This role is responsible for monitoring the billing and coding process for optometry practice(s). Submit claims to insurance companies, ensuring accurate coding of procedures and services, and follow up on outstanding payments.

MAJOR DUTIES & RESPONSIBILITIES

• Review patient information and verify insurance coverage to ensure accurate and timely billing.
• Code and submit insurance claims for optometry services using appropriate medical coding systems (such as CPT and ICD-10 codes).
• Review outstanding insurance claims to resolve any billing or coding issues.
• Communicate with insurance companies, patients, and healthcare providers to obtain necessary information for claim processing.
• Ensure compliance with insurance regulations and guidelines to prevent claim denials or delays.
• Handle patient inquiries and address billing or insurance-related concerns.
• Maintain accurate records of billing and insurance activities.
• Provide support to the practice by assisting with administrative tasks as needed.
• Stay current on changes in insurance regulations, coding systems, and billing practices.
• Collaborate with optometrists, practice management, staff, and other healthcare professionals to ensure accurate and timely billing.

BASIC QUALIFICATIONS

• High school diploma
• 3+ years of related work experience
• Experience with routine vision claims, medical vision claims, insurance verification, coding and billing, claim submission, claim processing, patient billing and collections, insurance reimbursement, record keeping and reporting, HIPAA compliance and regulations
• Attention to detail and accuracy
• Effective communication and interpersonal skills (verbal, written, listening, presentation)

PREFERRED QUALIFICATIONS

• Certification (CPB) Certified Professional Biller or (CPC) Certified Professional Coder
• Provider Credentialing

Pay Range: 22.31-30.28

Employee pay is determined by multiple factors, including geography, experience, qualifications, skills and local minimum wage requirements. In addition, you may also be offered a competitive bonus and/or commission plan, which complements a first-class total rewards package. Benefits may include health care, retirement savings, paid time off/vacation, and various employee discounts.

EssilorLuxottica complies with all applicable laws related to the application and hiring process. If you would like to provide feedback regarding an active job posting, or if you are an individual with a disability who would like to request a reasonable accommodation, please call the EssilorLuxottica SpeakUp Hotline at 844-303-0229 (be sure to provide your name, job id number, and contact information so that we may follow up in a timely manner) or email HRCompliance@luxotticaretail.com.

We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, gender, national origin, social origin, social condition, being perceived as a victim of domestic violence, sexual aggression or stalking, religion, age, disability, sexual orientation, gender identity or expression, citizenship, ancestry, veteran or military status, marital status, pregnancy (including unlawful discrimination on the basis of a legally protected pregnancy or maternity leave), genetic information or any other characteristics protected by law. Native Americans in the US receive preference in accordance with Tribal Law.