SEE how you can make a difference! Be part of an innovative company that cares about its associates and helps members enjoy the wonders of sight through healthy eyes and vision.
Versant Health provides vision care to 37 million members nationwide! To ensure your continued success we provide opportunities for advancement and development.
Our associates remain engaged through a comprehensive compensation and benefits package which includes health and dental insurance, tuition reimbursements, 401(k) with company match, pet insurance and FREE vision insurance for you and your family.
Scope and Purpose of Position
Responsible for managing the day-to-day workload associated with billing and processing invoices. Ensures timely filling on claims, researches denied or pended claims, and post payments in a timely manner.
Essential Functions
- Performs clerical duties: Bills Claims on a daily/weekly basis. Posts payments received by insurance as assigned. Monitors EFT/ACH sites for deposits and explanation of benefits delivery. Ensures aging is performed on claims past 60 days on a monthly basis.
- Prepare and process referral requests
- Resolves a high volume of disputed claims by gathering, verifying, and providing additional information; following-up on claims.
- Monitors collections of receivables.
- Monitor and resolve AR report receivables over 90 days old.
- Monitor timely filing deadlines for each designated payer and ensure processing is completed in that timeframe.
- Correct claims when errors occur (ex: ICD-10, Authorization number, etc).
- Collaborate with Store Managers to ensure collection and resolve disputes throughout the lives of claims.
- Maintains, develops and updates essential billing records.
- Assists in preparation of reports required by regulatory agencies as directed
- Call or email past due accounts for collection
- Keep updated log of past due accounts for reporting purposes
- Effectively communication with internal departments on issues
- Regular reliable attendance is required
Education and Experience
- High school Diploma/GED or equivalent
- Bachelor’s or Associate Degree preferred
- Must have prior billing and account receivable experience
- Excellent computer skills and proficiency in Excel and Macros
- Demonstrated ability to reconcile billing payments in a high volume environment
HIPAA & Security Requirements
All Associates must comply with the Health Insurance Portability Accountability Act of 1996 (HIPAA) as it pertains to disclosures of protected health information (PHI) as described in the Notice of Privacy Practices and HIPAA Privacy Policies and Procedures. As a component of job roles and responsibilities, Associates may have access to covered information, cardholder data or other confidential customer information which must be protected at all times. As a result, Associates must explicitly adhere to all data security guidelines established within the Company’s Privacy & Security Training Program
We take pride in our recruiting process and follow a merit-based employee recruitment practice with extensive screening steps. We will never request money from candidates who seek employment with us and will never ask for any payment as part of the recruitment process.
We provide equal employment opportunities (EEO) to all associates and applicants for employment without regard to race, color, religious beliefs, age, sex (including pregnancy), sexual orientation, gender identity or expression (including transgender status), national origin, ancestry, status as a protected veteran or disabled veteran, physical or mental disability or history of disability, genetic information, marital status, or any and all other categories protected by under applicable Federal, state or local law.
This policy extends to all associates and to all aspects of the employment relationship. Any associate who violates this policy will be subject to disciplinary action up to and including termination.
