Client Success Specialist in Woodbridge, New Jersey at Knack BPO LLC

Job description

Knack RCM (CS EYE) is an industry leader in providing compliance, education, and billing services for clients nationwide.

We are currently looking for a Client Success Specialist to add to our team. Qualified candidates will have two years of experience in medical billing for Optometry or Ophthalmology and routine vision billing, insurance, and/or claims filing.

CPOC certification is preferred but not required.

Responsibilities

• Build and maintain strong, positive relationships with clients.
• Oversee the filing of medical and/or routine vision claims for assigned clients, ensuring the claims filing team follows established CMS guidelines, standards, and coding requirements.
• Supervise payment posting activities performed by the payment posting team to ensure accuracy and timeliness.
• Manage accounts receivable processes for assigned client accounts.
• Ensure all client claims are submitted, processed, and followed up on in a timely manner.
• Monitor claim accuracy and compliance, ensuring appropriate coding (ICD-10, CPT, and HCPCS) is utilized to maximize reimbursement.
• Identify and resolve billing, reimbursement, and claims-related issues while maintaining high levels of client satisfaction.

Qualifications

• Working knowledge of CPT, ICD-10, and HCPCS coding.
• Experience with vision plan claim filing and reimbursement processes.
• Ability to read, understand, and accurately interpret billing regulations and payer guidelines.
• Ability to review and interpret insurance Explanation of Benefits (EOBs).
• Strong attention to detail with excellent analytical and organizational skills.
• Proven ability to identify, research, evaluate, and resolve complex billing and claims issues.
• Self-starter with strong time management skills and the ability to prioritize, multitask, and work independently.
• Excellent verbal and written communication skills, with a strong customer service focus.
• Professional, dependable, and collaborative team player.
• Proficient in internet-based research and navigating web-based systems.
• Adaptable and willing to learn new software platforms and technologies.

Preferred Qualifications

• Self-motivated with the ability to work effectively with minimal supervision.
• Experience in optometric and/or ophthalmic billing; industry certification is preferred but not required.
• Experience with one or more of the following practice management systems: Compulink, OfficeMate, RevolutionEHR, Crystal PM, EPM, MVE, Uprise, Practice Director, Barti, Liquid EHR or EyeCloud Pro.
• Experience working with clearinghouses and payer portals, including TriZetto/Gateway EDI, Apex EDI, ZirMed, VisionWeb, Availity, and Eyefinity.