Visionworks Medical Billing Operations Associate in San Antonio, Texas

Job Description:

Associate, Billing Operations

The HVHC family is a quickly growing corporation with the opportunities you need to excel in your career. Headquartered in San Antonio, Texas, HVHC Inc. and its affiliates, Visionworks and Davis Vision, make up one of the largest vertically integrated optical companies in the United States and are leaders in integrated vision care solutions. At HVHC, every employee strives to create the best possible customer experience, from on-trend fashions to state-of-the-art eye care.

Join our team and be a part of our company mission to lead the industry with the most frames, the right prices, and the best people.

Visionworks is currently hiring for a top notch individual to office in San Antonio, Texas for the position of Medical Billing Operations Associate. The Associate will be responsible ensure accurate, compliant, timely billing and appropriate reimbursement for all professional vision or medical exams and vision material services from all vision insurance payers. This may include accurate and timely identification and completion of point of sale customer account, billing, payment posting, contractual write-offs, adjustments, follow-up, and collection of unpaid accounts, per state and federal insurance regulations for members receiving services at Visionworks retail stores.

**Summary of Responsibilities:

  1. Prepare and submit clean claims to various insurance companies either electronically or by paper in accordance with specific payer guidelines and/or contract requirements.

  2. Analyze and correct first pass rejected claims for completeness and accuracy of information for second pass clean claim submission.

  3. Research and preform all primary and secondary billing claim status follow up activities for assigned insurance plans.

  4. Review, evaluate and process all claim appeals through resubmission to insurance carriers with complete and accurate supporting documentation required.

  5. Research and recommend any third party customer account adjustments and/or write-offs to Manager based upon collectability of account.

  6. Support and assist store associates with ensuring all proper customer demographic and authorizations are present for clean claim submittal to insurance carriers for accurate claims processing and payment.

**Education:

  • High School Diploma, GED, or equivalent work experience

**Experience & Background:

  • One to three (3) years billing experience

  • Proficiency in MS Excel and Word

  • 10 key by touch

_If you are prohibited from working on a government contract, this may disqualify you from consideration for this position.


**HVHC provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religious beliefs, sex, gender, sexual orientation, age, marital status, national origin, ancestry, physical or mental disability or history of disability, genetic information, status as a protected veteran or disabled veteran, or any other status protected by Federal, state or local law.

Job Requisition ID: LB22932

Job Title: Medical Billing Operations Associate

Job Type: Full-Time

Location: San Antonio, TX

Post Date: 07/28/2017