Client Success Specialist-Optometric/Ophthalmic Billing (REMOTE)
5 days ago
Woodbridge
Job Description Job description Knack RCM (CS EYE) is an industry leader in providing compliance, education, and billing services for clients nationwide. We are currently looking for a Client Success Specialist to add to our team. Qualified candidates will have two years of experience in medical billing for Optometry or Ophthalmology and routine vision billing, insurance, and/or claims filing. CPOC certification is preferred but not required. This position is Remote. PLEASE DO NOT APPLY IF YOU DO NOT HAVE OPTOMETRIC AND/OR OPHTHALMIC BILLING. Responsibilities • Build and maintain strong, positive relationships with clients., • Oversee the filing of medical and/or routine vision claims for assigned clients, ensuring the claims filing team follows established CMS guidelines, standards, and coding requirements., • Supervise payment posting activities performed by the payment posting team to ensure accuracy and timeliness., • Manage accounts receivable processes for assigned client accounts., • Ensure all client claims are submitted, processed, and followed up on in a timely manner., • Monitor claim accuracy and compliance, ensuring appropriate coding (ICD-10, CPT, and HCPCS) is utilized to maximize reimbursement., • Identify and resolve billing, reimbursement, and claims-related issues while maintaining high levels of client satisfaction. Qualifications • Working knowledge of CPT, ICD-10, and HCPCS coding., • Experience with vision plan claim filing and reimbursement processes., • Ability to read, understand, and accurately interpret billing regulations and payer guidelines., • Ability to review and interpret insurance Explanation of Benefits (EOBs)., • Strong attention to detail with excellent analytical and organizational skills., • Proven ability to identify, research, evaluate, and resolve complex billing and claims issues., • Self-starter with strong time management skills and the ability to prioritize, multitask, and work independently., • Excellent verbal and written communication skills, with a strong customer service focus., • Professional, dependable, and collaborative team player., • Proficient in internet-based research and navigating web-based systems., • Adaptable and willing to learn new software platforms and technologies. Preferred Qualifications • Self-motivated with the ability to work effectively with minimal supervision., • Experience in ; industry certification is preferred but not required., • Experience with one or more of the following practice management systems: Compulink, OfficeMate, RevolutionEHR, Crystal PM, EPM, MVE, Uprise, Practice Director, Barti, Liquid EHR or EyeCloud Pro., • Experience working with clearinghouses and payer portals, including TriZetto/Gateway EDI, Apex EDI, ZirMed, VisionWeb, Availity, and Eyefinity.