Vision Claim Processor (Remote, Remote)

Job Summary

Key Roles and Responsibilities

• ? Claim Processing:
• o Review and file vision care claims in accordance with company policies and procedures.
• o Verify the accuracy of claim submissions, including patient information, service dates, and procedure codes.
• o Assess claims to determine coverage based on the patient?s vision care insurance plan.
• o Ensure claims are processed correctly and in a timely manner.
• ?
• ? Documentation and Record-Keeping:
• o Maintain accurate and up-to-date records of processed claims.
• o Document any discrepancies, issues, or observations during the claim processing phase.
• o Ensure compliance with federal and state regulations regarding privacy and record-keeping.
• o Customer Service: Provide exceptional customer service to both healthcare providers and policyholders.
• o Respond to inquiries and resolve issues related to claims, benefits, and policy coverage.
• o Guide policyholders and providers through the claims process, clarifying insurance benefits and procedures as needed.