Client Success Specialist RCM Optical Billing
- Knack Global
- 2 - 6 years
- Mohali, Chandigarh
- 3 months ago
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Job Description
- Oversee and manage client medical and routine vision claims, ensuring compliance with CMS standards and optical billing regulations.
- Ensure timely and accurate processing of all client claims.
- Utilize the correct coding (e.g., ICD-10, CPT, HCPCS) to facilitate appropriate reimbursement.
- Collaborate with clients to resolve complex billing issues and discrepancies.
- Review insurance EOBs and work with clients to address claim denials or underpayments.
- Work closely with clients to educate and guide them on best billing practices for Optometry and Ophthalmology claims.
- Monitor the claims lifecycle, from submission to resolution, ensuring timely reimbursement for services rendered
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Qualifications :
- Strong knowledge of CPT, ICD-10, and HCPCS codes as they relate to Optometry, Ophthalmology, and routine vision services.
- Familiarity with Vision Plan Claims filing and optical-related billing.
- Ability to interpret and apply insurance company Explanation of Benefits (EOBs) effectively.
- Detail-oriented, analytical, and highly organized, with the ability to manage multiple priorities.
- Problem-solving skills to identify, research, and resolve billing issues independently.
- Strong written and verbal communication skills, with a focus on providing excellent customer service.
- Ability to quickly adapt to new software programs and systems.
- Excellent interpersonal skills and the ability to build strong relationships with clients.
- Ensure timely and accurate processing of all client claims.
- Utilize the correct coding (e.g., ICD-10, CPT, HCPCS) to facilitate appropriate reimbursement.
- Collaborate with clients to resolve complex billing issues and discrepancies.
- Review insurance EOBs and work with clients to address claim denials or underpayments.
- Work closely with clients to educate and guide them on best billing practices for Optometry and Ophthalmology claims.
- Monitor the claims lifecycle, from submission to resolution, ensuring timely reimbursement for services rendered
-
Qualifications :
- Strong knowledge of CPT, ICD-10, and HCPCS codes as they relate to Optometry, Ophthalmology, and routine vision services.
- Familiarity with Vision Plan Claims filing and optical-related billing.
- Ability to interpret and apply insurance company Explanation of Benefits (EOBs) effectively.
- Detail-oriented, analytical, and highly organized, with the ability to manage multiple priorities.
- Problem-solving skills to identify, research, and resolve billing issues independently.
- Strong written and verbal communication skills, with a focus on providing excellent customer service.
- Ability to quickly adapt to new software programs and systems.
- Excellent interpersonal skills and the ability to build strong relationships with clients.
Job Classification
Industry: Medical Services / HospitalFunctional Area / Department: Customer Success, Service & OperationsRole Category: Customer SuccessRole: Customer Success - OtherEmployement Type: Full timeContact Details:
Company: Knack GlobalLocation(s): Mohali, Chandigarh
Keyskills: client success operations management project management team management cpt customer service client servicing icd hcpcs medical coding client relationship management people management skills writing client relationship communication skills
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Knack Global
Knack Systems is a Global Information Technology Services company providing a full spectrum of IT Services in the marketplace with a focus on end-to-end SAP solutions. Additionally, we offer superior expertise in e-Business Consulting
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