Optometry Bill Edit Lead Job in Ballwin, MO

at EyeCare Partners

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