What are the responsibilities and job description for the Reimbursement Financial Specialist position at Eye Care Partners Career Opportunities?
EyeCare Partners is the nation's leading provider of clinically integrated eye care. Our national network of over 300 ophthalmologists and 700 optometrists provides a lifetime of care to our patients with a mission to enhance vision, advance eye care and improve lives. Based in St. Louis, Missouri, over 650 ECP-affiliated practice locations provide care in 18 states and 80 markets, providing services that span the eye care continuum. For more information, visit www.eyecare-partners.com.
SUMMARY
Under the strategic direction of the Vice President of Payor Contracting, the Reimbursement Financial Specialist will oversee the collection, management, financial modeling and review of Managed Care / Payor Fee Schedules.
ESSENTIAL DUTIES AND RESPONSIBILITIES
- Work with VP and Managed Care Contracting team to provide tracking and management of the EyeCare Partner's associated fee schedules.
- This will include oversight and on-going management of payor fee schedules, including working with ECP Revenue Cycle Management to obtain training and access to payor's claim system to obtain provider fee schedules.
- In collaboration with the VP of Payor Contracting and the Regional Directors, prioritize the payors, needed CPT codes and develop, implement and maintain processes to update the fee schedules annually.
- Create reports for VP and team performing renegotiations to initiate renegotiation as applicable.
- Provide assistance to obtaining necessary CPT codes to support negotiations in a timely and collaborative manner.
- Assist with payor contract financial modeling and scenario development.
- Provide support to the Revenue Cycle Management team on fee schedules using the identified CPT codes and on a priority / adhoc basis as needed.
- Data management and obtaining appropriate and necessary documentation.
- Perform other work-related duties as assigned.
QUALIFICATIONS
EDUCATION AND / OR EXPERIENCE
SYSTEMS AND TECHNOLOGY
LOCATION
NOTE : Job descriptions are intended to be accurate reflections of those principal job elements essential for making fair pay decisions about jobs. Nothing in this job description restricts management right to assign or reassign duties and responsibilities to this job at any time.
If you need assistance with this application, please contact (636) 227-2600. Please do not contact the office directly - only resumes submitted through this website will be considered.
EyeCare Partners is an equal opportunity / affirmative action employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.
