RCM - Pre Access Specialist at Keplr Vision in Bloomington, Illinois

Job Description:

DO YOU HAVE A PASSION FOR HUMAN RESOURCES AND ENJOY WORKING WITH DIVERSE TEAMS PROVIDING EXCEPTIONAL SERVICE? 
  
 

Keplr Vision is a business support services company focused on investing and partnering with medically focused optometry practices and providing best in class lens technology and patient experience. Keplr currently has over 200 + practices in 30 states and is able to provide exceptional levels of clinical, operational and marketing support with its more than decade-old business services platform. 

Keplr Vision is currently going through tremendous growth and expanding its Pre-Access Department. We are seeking a Pre-Access Specialist – Bloomington, IL to join our team and be a part of this growth.

The Pre-Access Specialist will work with other dedicated, detail-oriented, enthusiastic, professionals to perform accurate insurance verification and pre-authorization prior to patient services to ensure faster and more efficient payments, minimize insurance claim rejections and denials, and increase patient satisfaction.

Responsibilities: 

• Work directly with multiple insurance websites to obtain benefits and authorization validation for routine vision and medical encounters


• Secure insurance authorization and complete appropriate electronic forms with detailed benefit and pre-certification/ authorization information to ensure a clean claim


• Update the client system with correct information obtained thru insurance verification or address verification


• Identify inaccurate plan codes and correct in the client system


• Adhere to the guidelines set forth in the Health Insurance Portability and Accountability Act (HIPPA), designed to prevent or detect unauthorized disclosure of Protected Health Information (PHI)


• Meet or exceed daily production goals.


• Complete other assignments and duties as requested and assigned to accomplish the goals and objectives of the organization 

Requirements:  

·       High School diploma or equivalent

·       Knowledge of obtaining benefit information, co-pay, co-insurance, out/in network benefits, obtaining authorization and pre-authorization

·       Ability to organize and prioritize multiple projects, activities and deadlines

·       Ability to work positively and productively in fast-paced environment

·       Must abide by HIPPA regulations regarding confidentiality

·       Excellent customer service skills exhibiting good oral and written communication skills

·       Ability to type fast and accurately

·       Basic Word/Excel

Keplr Vision offers a competitive salary and benefits, 401K and a generous PTO plan.

BE A PART OF THIS AMAZING GROWTH AND JOIN OUR TEAM TODAY! 

EEO