This is your opportunity to join one of the country's most recognized leaders in ophthalmology and optometry. We are a nationally recognized leader in EMR and technology with an excellent clinical support team and dynamic leadership.  We are committed to customer service, and making every interaction extraordinary while inspiring the complete confidence of our patients. Our employees contribute directly to the growth and success of our practices, and take pride in being a member of our team. We strongly believe that the manner in which our patients and customers are treated by our employees is as important as the services provided by the doctor.

Our top candidates will bring extensive, verifiable optometry/Optical billing background and significant revenue cycle management experience in a large optometry/opthalmology group

The Remote Revenue Cycle Administrator reports to the Director of Revenue Cycle. They will oversee the day-to-day operations of the Regional Business office for EyeCare Services Partners Management LLC (ESP). The manager will be responsible for processing claims through the practice management system, the reconciliation of claims to the clearing house, and the follow-up of denials. The manager will assist in change management thorough the organization as business needs and industry standards require change and comply with all corporate and regulatory standards. This position requires a highly motivated, productive, and experienced billing professional who desires to work in a dynamic and fast-paced organization. As ESP expands, the RBO Manager will assist in the growth of their assigned office. 

All of us at Eyecare Services Partners are committed to inclusion and belonging. We believe today more than ever that creating an environment where everyone can bring their authentic selves to work and make it easy for others to do the same will benefit us all.  It isn’t speaking the words, but starts with a culture of caring, listening and service. We would thoroughly enjoy meeting with you and discussing our employment opportunities. For more information, please visit our webpage at espmgmt.com.

*Eyecare Services Partners will now only consider candidates who can verify prior to hire that they either have been fully vaccinated against the Covid 19 virus or have started the vaccine process by having their initial dose before starting in their new position and are committed to completing that process within 30 days of starting work. 

• Directly manage and oversee the staffing, training, support, and development of the Regional Business Office, and maintain an acceptable error rate and productivity level within department policy.
• Support and maintain standardized billing department policies and procedures and ensure clinical operations (i.e., OD’s, MD’s and DO’s) comply with SOPs that ensure maximum collections and regulatory compliance, acting as a liaison among accounting, billing, operations, and clinical staff.
• Perform analytical reviews and quality assurance on all data generated by the Billing and Collection Department to ensure data integrity.
• Work closely with the operations team to ensure communication of information necessary to ensure efficient processes are understood and implemented in accordance with policies and procedures.
• Provide denial reports to management and assist in helping resolve the root cause of denials. 
• Ensure proper billing and collections relating to commercial and government reimbursement.
• Responsibility for regulatory compliance as it relates to payer transactions as well as HIPAA and PHI regulations.
• Responsible for accurate and timely billing, data entry, charge corrections, adjustments, and Denial management.
• Manages the EDI functions related to electronic claims submission, denial management, and related systems for the scope of business.
• Provides reimbursement direction and resources for start-up and newly-acquired locations to ensure a smooth transition and uninterrupted cash flow.
• Generate and distribute billing metrics for dissemination to the Operations and Corporate Services Team.
• Review and approve adjustments to receivables.
• Provide third-party claim resolution processes, including denials and appeals management.
• Review reimbursement levels to determine when changes occur and keep abreast of changes in the industry that will impact charging patterns and reimbursement levels.
• Ensure complete patient confidentiality as established by practice policies and HIPAA.
• Follow the Red Flag Policy and Procedures.
• Considers company budget goals in assessing expenditures for reimbursement management; fiscally prudent.
• Performs all other duties as assigned by direct report.

• Bachelor’s degree in Business Administration, Accounting, Finance or commensurate experience in healthcare industry.
• Must have 5-8 years of progressive work experience in revenue cycle, patient accounts, managed care and/or financial analysis in the healthcare industry.
• 2-3 years of management experience.
• Strong communication skills. Ability to communicate with senior management and hourly associates that report to Manager.
• Thorough knowledge of Microsoft Excel and other billing system platforms is necessary.
• Understanding of medical coding systems. These include ICD-10, CPT, HCPCS, APG, APC, and revenue code structures.
• Financial analysis skills including strong analytical capability.
• Knowledge of industry reimbursement methodologies.
• Must have the ability to identify root cause and problem solve, adaptable communication skills, organizational/multi-tasking skills, prioritizing, etc.
• Must take and successfully pass the AAO Coding Specialist and Retina Specialist Certifications. 

In Turn We Will Provide:

• Benefits to full time team members that include comprehensive medical, dental and optical coverage, 401k and short and long term disability.
• Company paid life insurance.
• Paid holidays and generous paid time off.
• Paid parking where applicable.
• Team oriented working environment where you are heard and respected.
• Clear career ladder opportunities.

To learn more, please visit:  www.espmgmt.com

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