Managed Care Biller Specialist

4 weeks ago


Lawrenceville, Georgia, United States National Vision Full time

Job Summary: We are seeking a skilled Managed Care Biller to join our team at National Vision. The ideal candidate will have experience in submitting, editing, correcting, and researching claims to ensure clean adjudication payment from all payors.

Key Responsibilities:

  • Prepare and generate clean claims for submission to all payor types, including third party payors, Medicare, and Medicaid.
  • Process an average of 20-25 claims per hour.
  • Facilitate all rejections from electronic or paper claims.
  • Develop and maintain working relationships with internal/external providers to ensure billings and collections procedures are current.
  • Research and resolve all zero payment explanations or benefits and exercise all options to obtain claims payments.

Requirements:

  • 2-4 years related experience and/or training or equivalent combination of education and experience.
  • High school diploma or equivalent, plus specialized schooling and/or on-the-job education in a specific skill area.
  • POS System experience preferred.
  • Knowledge of CPT-4, ICD-10, HCPCS, Medicare/Medical Terminology required.

About National Vision: We believe everyone deserves to see their best to live their best. We help people by making quality eye care and eyewear more affordable and accessible. We offer a comprehensive benefits package, including health and dental insurance, 401k retirement savings, and paid time off.



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