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 Apply To This Job