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