RCM - Claims Specialist

Keplr Vision in Bloomington, IL

Summary/Objective The Claims Specialist is responsible for timely and accurate filing of all vision and medical claims for a vision care practice. This position requires working with insurance companies, creating and submitting insurance claims, processing insurance claims, and any necessary follow-up work for rejected claims. Additional responsibilities cash application, and the revision of claims in third-party databases as necessary to secure payment.

Primary Function

• Process insurance claims and follow up
• Apply cash received to open invoices
• Other billing departmental needs as assigned

Minimum Qualifications/Requirements

• Good to excellent spelling, grammar and written communication skills
• Knowledge and understanding of EOBs and HCFA forms
• Ability to analyze and resolve unpaid claims issues
• Knowledge of CPT and ICD codes
• Excellent telephone and oral communication skills
• Must have experience with electronic processing of medical and vision claims
• Experience in Accounts Receivable (A/R)
• 1-2 years of medical and vision claims experience preferred
• Prior use of Practice Management and EHR Systems preferred

Equal Opportunity Employer

Originally posted on Himalayas