EyeCare Partners is the nation’s leading provider of clinically integrated eye care. Our national network of over 300 ophthalmologists and 700 optometrists provides a lifetime of care to our patients with a mission to enhance vision, advance eye care and improve lives. Based in St. Louis, Missouri, over 650 ECP-affiliated practice locations provide care in 18 states and 80 markets, providing services that span the eye care continuum. For more information, visit www.eyecare-partners.com.
OPT Bill Edit Lead Role
Our growing eye care organization has an immediate need for a revenue cycle Bill Edit Specialist with a baseline knowledge of Insurance requirements and revenue cycle functions.
Essential Responsibilities
- Serve as the first point of contact for internal bill edit issues and practice management system mapping requests from various departments within ECP
- Identifies opportunities for edits from current denial and rejection trending, with a goal to create a complete and accurate claim.
- Complete all insurance payer mapping within the internal practice management system
- Complete review of bill edit reports to understand where current/new edits need to be adjusted within the practice management system
- Keep in contact with internal IT resources for any updates or changes made to the system
- Responsible for reviewing bill overrides for potential improvements to edits
- Lead system mapping efforts for onboarding acquisitions to prepare for integration before and during the sale
- Keep in constant communication with the internal leadership team regarding changes and updates that need to be made
- Keep all training documentation up to date for insurance payer requirements
Requirements: Education, Experience & Skills
- Minimum 2 years healthcare billing experience
- High school diploma or equivalent required
- Excellent verbal, written, and social skills
- Strong knowledge of the full scope of RCM
- Ability to work overtime if/when needed
- Ability to diagnose and resolve root cause issues within internal practice management system
- Strong excel skill set
- Excellent organizational skills
- Desire to gain industry knowledge and training
- Demonstrates initiative in accomplishing goals
- Ability to grow, adapt, and accept change
- Consistently creating a positive work environment by being team oriented
- Demonstrated ability to work efficiently and effectively in a fast-paced, matrixed environment, and ability to execute despite ambiguity