Our practice is growing and you are part of our growth !come join a team of highly productive members within the eye care industry. Asour lead insurance specialist, we have a wonderful list of paying providers,that require the occasional follow-up and patients that love to be educated on their participation costs whileengaging the top ophthalmology and optometry physicians in the ohio area.
Hereís 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 Ė 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, physicianís 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 # 1363 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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