Eye Health America
1001 - 5000 employees
Founded 2018
🏥 Healthcare
⚕️ Healthcare Insurance
💊 Pharmaceuticals
💰 Private Equity Round on 2018-03
Healthcare • Healthcare Insurance • Pharmaceuticals
Eye Health America is dedicated to providing personalized eye care services, focusing on patient-centered approaches and innovations. With a mission to improve lives through exceptional eye care, the company partners with leading eye care practices in the Southeast region, emphasizing collaboration, quality, and patient satisfaction. Eye Health America aims to grow as a trusted healthcare partner by aligning its values with those of its member practices.
Revenue Cycle Specialist
🔥 0 minutes ago
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Eye Health America
1001 - 5000 employees
Founded 2018
🏥 Healthcare
⚕️ Healthcare Insurance
💊 Pharmaceuticals
💰 Private Equity Round on 2018-03
Healthcare • Healthcare Insurance • Pharmaceuticals
Eye Health America is dedicated to providing personalized eye care services, focusing on patient-centered approaches and innovations. With a mission to improve lives through exceptional eye care, the company partners with leading eye care practices in the Southeast region, emphasizing collaboration, quality, and patient satisfaction. Eye Health America aims to grow as a trusted healthcare partner by aligning its values with those of its member practices.
📋 Description
• Review and audit claims, medical records, and documentation to identify errors, discrepancies, or compliance issues. • Verify that services provided are correctly documented, coded, and billed according to payer and regulatory requirements. • Identify opportunities for additional billable services, coding accuracy, and reduced claim denials to maximize revenue. • Analyze reimbursement rates and fee schedules to ensure appropriate reimbursement. • Provide coding and documentation training and education to clinical and administrative staff. • Monitor changes in coding and billing guidelines and share relevant information with staff. • Monitor compliance with CMS and third-party payer requirements. • Ensure billing and coding practices align with regulatory standards. • Analyze data and prepare reports on revenue-integrity KPIs, including coding accuracy, claim denial rates, and reimbursement trends. • Identify and implement process improvements to enhance revenue integrity, streamline workflows, and reduce errors. • Collaborate with relevant departments to resolve issues and improve revenue cycle processes. • Assist coders and clinical staff with complex coding scenarios and documentation requirements. • Conduct regular chart reviews and provide feedback to improve documentation quality.
🎯 Requirements
• Bachelor's degree in a related field, such as healthcare administration, health information management, or nursing. • Several years of experience in healthcare billing, coding, or revenue cycle management, with a focus on revenue integrity. • Eyecare experience preferred. • Relevant certifications, such as Certified Professional Coder (CPC), may be preferred.
🏖️ Benefits
• Medical, Dental, Vision, Short-term Disability, Long-term Disability, Life Insurance, etc. • Matching 401(k) • Employee Discount • Wellness Program • Paid Vacation & Holidays • Uniform Allowance • Training/Advancement opportunities
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