EyeCare Services Partners (ESP) is creating the nation’s leading eyecare services company in both quality and scale by consolidating opthalmologic and optometric practices and ambulatory surgery centers that are locally dominant and clinically differentiated. This Certified Coder/Charge Auditing Manager will be responsible for working our Denver area accounts out of our corporate offices in Dallas, Texas. There will be travel required between Dallas, Texas and Denver, Colorado to successfully fulfill the requirements of this positon. Travel initially may be approx. two days per week winding down to much less as you progress in your position.
Primarily responsible for a certain sub-set of claim edits, denials, and other related functions.
Responsibilities will include processing medical and/or vision claims generated within the practice management software system daily. Batches will be created for each location assigned, claim edits reviewed and appropriate action taken to ensure that claims are clean prior to processing to payors.
AR Follow Up:
Responsibilities will include AR follow-up with insurance payors to correct denied claims including submission of appeal letters, correct claims in accordance with Correct Coding Initiatives (CCI) and all Compliance regulations and work with the clinics to gather information needed to correct and reprocess the claim. Communication of denial trends to Supervisor and Manager to help initiate training to avoid potential denials in the future.
Other Duties and Responsibilities:
In return we offer:
To learn more about us, please visit: www.espmgmt.com Benefits to full time team members that include comprehensive medical, dental and optical coverage, 401K and short and long term disability