BILLING & DENIAL ASSOCIATE Job in Lawrenceville 30046, Georgia US
National Vision, Inc. (NVI) is the fourth largest optical retailer in the United States, operating over 670 retail locations in 44 states through the U.S. National Vision employs over 6,000 employees and our retail divisions include America's Best Contacts Eyeglasses, Eyeglass World, Vision Centers inside select Wal-Marts, Vista Optical inside Fred Meyer and Optical Centers on select military bases. National Vision has plans to open over 40 America's Best and Military locations annually.
We are hiring for an: Billing Denial Associate
Essential Duties and Responsibilities/Store Operations:
- Prepare and generate clean claims for submission to all payor types, including 3rd party payers, Medicare and Medicaid. Submission of claims to be done via 837 electronic, CMS-1500 and on-line web portal.
- Process all rejections from electronically or paper submitted claims. Obtain information from carrier/patient when services billed and denied for reasons such as incorrect insurance information, demographic information and/or authorization. Appealing denials when necessary.
- Develop and maintain working relationships with internal/external providers to ensure billing and collection procedures are current.
- Research and resolve all zero payment explanations of benefits and exercise all options to obtain claim payments; initiates adjustments as necessary.
Company Responsibilities:
- Follows all company procedures and policies.
- Follows all department procedures and policies.
- Creates solutions.
- Adheres to NVI's guiding principals of honest and professionalism.
Job Skills:
- Minimum of 3 years experience in medical billing and denial processing for HBO insurance.
- Demonstrate expertise and experience in area of billing, denials review and accounts receivable processes.
- Knowledge of CPT-4, ICD9, HCPCS, Medicare/Medical terminology
- Strong interpersonal and communication skills with the ability to work with a wide range of employees, teams, supervisors, directors
- Ability to plan, prioritize, and complete multiple demands while maintaining control of the work flow
No Phone Calls, Please.
NVI is an Affirmative Action Employer EOE/M/F/D/V
Req. Code : 680
Division/Department : Corporate