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11 Knack Global Jobs

Client Success Specialist RCM Optical Billing

2-6 years

Mohali

1 vacancy

Client Success Specialist RCM Optical Billing

Knack Global

posted 3+ weeks ago

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
  • 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.
    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
  • 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.

Employment Type: Full Time, Permanent

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What people at Knack Global are saying

What Knack Global employees are saying about work life

based on 355 employees
69%
95%
78%
62%
Strict timing
Monday to Friday
No travel
Night Shift
View more insights

Knack Global Benefits

Cafeteria
Job Training
Health Insurance
Soft Skill Training
Free Food
Work From Home +6 more
View more benefits

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