Our practice is growing and you are part of our growth in columbus area, ohio ! come join a team of highly productive members within the eye careindustry. As our lead insurance specialist, we have a wonderful list of payingproviders, that require the occasional follow-up and patients that love to be educated ontheir participation costs while engaging the top ophthalmology and optometryphysicians in the ohio area.
Here’s the heavy stuff:
Responsibilities:
· Contact payers to verifypatient eligibility and product specific coverage information.
· Interface withphysicians, advocates, patients, and manufacturer representatives to obtain andprovide drug specific coverage information.
· Provide priorauthorization assistance as well as claims assistance, including billing andcoding instructions, to physicians and/or office staff.
· Provide accurate andtimely follow-up to all reimbursement inquires in accordance with programguidelines.
· Ensure that the intakeinformation is accurate and complete in order to perform all reimbursementresearch.
· Research and compilepayer specific information for reimbursement database.
· Utilize internalresources to identify and provide alternate funding sources for patientswithout insurance or adequate coverage through their insurer.
· Obtains payer specificprior authorization procedures and documentation requirements, if applicable,and facilitates the prior authorization process for patients and health careproviders.
· Works daily withcommercial payers to ensure appropriate coverage and reimbursement in a varietyof eye – optometry /ophthalmology areas.

To be our superstar! requirements:
· High School Diploma orEquivalency.
· 1 year of health carerelated reimbursement experience.
· Must have a solidworking knowledge of insurance plans and benefit structures in order to obtaindetailed benefit information and maximize plan benefits.
· Must be able to composeand document benefit investigation outcomes.
· Must have experience andknowledge of ICD-9, HCPCS, HCFA and CPT.
· Familiarity withmedicare, Medicaid, blue cross and commercial health insurance carriers.
· Experience in the healthcare industry including, but not limited to, insurance verification and/orclaim adjudication, physician’s office or outpatient billing, pharmacy and/orpharmaceutical manufacturers is preferable.
Abundant benefit package is available, including a greatstaff, medical, dental, 401k, and relocation candidates will be considered. toapply please mention career opportunity # 1367 send your resume tocharisse@imatters.net for more information call us toll free at 866.412.4115x700, or fax to 866.461.4097!
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