PROVIDER RELATION COORDINATOR

4 weeks ago

Carnegie PA USA, United States VBA Full time
As Vision Benefits of America (VBA) continues to enjoy unprecedented growth, we have a business need to expand internal resources to assist optometrists, ophthalmologists, retail locations, and laboratories. As a Provider Relations Coordinator, you will be involved in every aspect of the provider relationship. You will resolve provider issues, aid in the creation of network-related materials, provide benefit coverage guidance, answer payment inquiries, and educate providers on VBA processes. Exemplary customer service, the ability to multi-task, dependability, and top-notch communication skills are necessary for success in this position.

Salary: ABO Certified - $40,000 to $42,000 per year; Non-ABO certified - $35,000-$37,000 per year, contingent on experience. If selected candidate does not posess a current American Board of Opticianry certification, they must complete ABO certification within 1 year of hire date. VBA will provide training for the certification exam and pay the cost of the examination. Upon completion of ABO certification, salary will increase to $40,000-$42,000 per year.

This position is remote. Our office in Carnegie, PA will remain accessible for use as needed. Selected candidate will be required to complete (paid) in-office training for a minimum of 3 weeks at the beginning of employment and must be available to report to our office occasionally for team/company meetings. The working hours for this position are Monday-Friday 10am-6pm with an hour paid lunch,

Computer and software provided by VBA. Employee must have reliable internet connection and a quiet workspace.

ESSENTIAL JOB FUNCTIONS

Provide outstanding service by being proactive and responsive to all provider and lab questions

Educate provider locations on the use of VBA authorization system, policies and procedures

Provide support to providers and labs including entering and editing authorizations, adjusting claims, and researching claim payments

Analyze processes for improved efficiencies and ability to adapt to changes

Maintain provider and location information, including data entry and reconciliation of practice information

Assist with overflow credentialing outreach and research projects, as needed

Process provider and lab applications and contracts for network participation, securing necessary documents, such as licenses and professional liability insurance information

Handle sensitive information in compliance with HIPAA

Maintain a current knowledge of the newest optical technologies

Perform activities and functions of related lower-level personnel as assigned or required

The above statements describe the general nature and level of work being performed by individuals assigned to this classification. This is not intended to be an exhaustive list of all responsibilities and duties required of this position.

Requirements

EDUCATION: Associate's degree or equivalent work experience. Bachelor's degree is preferred.

CERTIFICATION: Current American Board of Opticianry (ABO) Basic or Advanced certification is required*

*If no current ABO certification: ABO certification must be obtained within 1 year of hire date. VBA will provide training for the certification exam and the cost of the examination. Upon completion of ABO certification, salary will increase to ABO certified pay scale.

EXPERIENCE: 2-4 years of full-time experience working in an optician role in an optometrist/ophthalmologist office or an optical provider relations role. Experience educating customers on lens options and frame selection and dispensing glasses is preferred. Experience with vision insurance claims is preferred.

Benefits

Full-time, permanent VBA employees receive a comprehensive benefit package including:
Health, Dental, Vision, Disability, and Life Insurance Benefits Voluntary 401(k) Deferred Compensation Plan with Company Match Education and Student Loan Assistance Paid Holidays, Paid Parental Leave, and Personal Time Off

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