EyeMed Vision Care hiring Coordinator - Claims (Routine, Team Vision) in Mason, Ohio, United States | LinkedIn (2024)

Requisition ID: 846627

Position:Full-Time

Total Rewards: Benefits/Incentive Information There’s more to EyeMed than meets the eye. EyeMed is the fastest growing managed vision benefits company in the country with consistent double-digit membership growth! Through our commitment to innovation, we’re reimagining the way employers and their employees think about vision care. We want them to see life to the fullest and experience more of what’s best, not more of the same. And if what’s best hasn’t been done yet, it’s our exceptional and passionate employees driving this change. But, our passion for vision isn’t just about vision insurance benefits. Our employees are proud to support and participate in life-altering global and local missions through our partnership with OneSight, a leading not-for-profit organization with a 100% focus on eradicating the world’s vision crisis.

Your family says a lot about who you are. EyeMed is a key member of the Luxottica family of companies, global leaders in the design, manufacture and distribution of fashion, luxury and sports eyewear. In North America, Luxottica is the home to global brands Ray-Ban, Oakley and many top fashion house brands. Our leading retail brands include LensCrafters, Sunglass Hut, Pearle Vision, and Target Optical.

If you’re passionate about driving innovation and change and interested in a career in the optical and insurance industry, EyeMed wants to start the conversation and help provide you a growth-focused opportunity with America’s fastest growing vision benefits company.

GENERAL FUNCTION The Team Vision Claims Coordinator is responsible for the billing and cash collection of all routine vision claims. The coordinator processes claims within various insurance portals within timely filing limits and reviews denials on EOBs to fix and resubmit claims, maximizing cash collection. This position requires significant team interaction and strong analytical / critical thinking skills.

Major Duties And Responsibilities

• Process routine vision claims in various insurance portals.
• Review EOBs for routine vision denials, fix and resubmit in the portal. If a paper claim is denied, send corrections to corporate for resubmission.
• Coordinate daily activities to ensure KPIs are met or exceeded
• Identify and communicate issues to the manager.
• Ensure claims are entered in compliance with customer requirements and HIPAA guidelines and regulations, while staying within billing department processes and guidelines
• Work with clients to determine any special plan requirements
• Identify and implement process improvements after manager approval.
• Assist Manager as needed with special projects and training.

Basic Qualifications

• High school diploma
• 3+ years’ experience processing Claims
• Able to quickly grasp and retain information and concepts
• Able to multi-task and prioritize handling of issues
• Effective communication skills, both oral and written
• Strong analytical skills

Preferred Qualifications

• Knowledge of vision and /or insurance benefits
• Knowledge or experience in claims processing
• Proficient in Microsoft Excel application
• Bachelor’s degree

Employee pay is determined by multiple factors, including geography, experience, qualifications, skills and local minimum wage requirements. In addition, you may also be offered a competitive bonus and/or commission plan, which complements a first-class total rewards package. Benefits may include health care, retirement savings, paid time off/vacation, and various employee discounts.

Upon request and consistent with applicable laws, EssilorLuxottica will provide reasonable accommodations to individuals with disabilities who need assistance in the application and hiring process.  To request a reasonable accommodation, please call the EssilorLuxottica SpeakUp Hotline at 844-303-0229 (be sure to provide your name and contact information so that we may follow up in a timely manner) or email HRCompliance@luxotticaretail.com.

We are an Equal Opportunity Employer.  All qualified applicants will receive consideration for employment without regard to race, color, gender, national origin, social origin, social condition, being perceived as a victim of domestic violence, sexual aggression or stalking, religion, age, disability, sexual orientation, gender identity or expression, citizenship, ancestry, veteran or military status, marital status, pregnancy (including unlawful discrimination on the basis of a legally protected pregnancy or maternity leave), genetic information or any other characteristics protected by law. Native Americans in the US receive preference in accordance with Tribal Law.