Note: The job is a remote job and is open to candidates in USA. EssilorLuxottica is a global leader in the design, manufacture, and distribution of ophthalmic lenses, frames, and sunglasses. The RCM Account Representative oversees day-to-day insurance operations for optometry providers, supporting revenue cycle management customers through account monitoring, claims resolution, reimbursement activities, training, and technical assistance.
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
Skills
- 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
- 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)
Benefits
- This is a remote (work from home) position
- You may also be offered a competitive bonus and/or commission plan
- Benefits may include health care
- Benefits may include retirement savings
- Benefits may include paid time off/vacation
- Benefits may include various employee discounts
Company Overview