What are the responsibilities and job description for the Client Success Specialist - RCM Optical Billing position at Knack BPO?
Company Overview: Knack RCM is an industry leader in providing comprehensive compliance, education, and billing services to clients nationwide, with a specialized focus on Optometry and Ophthalmology practices. Our mission is to streamline the revenue cycle management (RCM) process for our clients while ensuring accuracy, efficiency, and optimal reimbursement.
Job Overview: We are seeking a dedicated and detail-oriented Client Success Specialist to join our team. The ideal candidate will have at least two years of experience in medical billing for Optometry or Ophthalmology, including experience with routine vision billing, insurance claims filing, and working with optical elements. Certification in CPOC is preferred but not required.
Key Responsibilities:
- Oversee and manage client medical and routine vision claims, ensuring compliance with CMS standards and optical billing regulations.
- Ensure timely and accurate processing of all client claims.
- Utilize the correct coding (e.g., ICD-10, CPT, HCPCS) to facilitate appropriate reimbursement.
- Collaborate with clients to resolve complex billing issues and discrepancies.
- Review insurance EOBs and work with clients to address claim denials or underpayments.
- Work closely with clients to educate and guide them on best billing practices for Optometry and Ophthalmology claims.
- Monitor the claims lifecycle, from submission to resolution, ensuring timely reimbursement for services rendered.
Qualifications:
- Strong knowledge of CPT, ICD-10, and HCPCS codes as they relate to Optometry, Ophthalmology, and routine vision services.
- Familiarity with Vision Plan Claims filing and optical-related billing.
- Ability to interpret and apply insurance company Explanation of Benefits (EOBs) effectively.
- Detail-oriented, analytical, and highly organized, with the ability to manage multiple priorities.
- Problem-solving skills to identify, research, and resolve billing issues independently.
- Strong written and verbal communication skills, with a focus on providing excellent customer service.
- Ability to quickly adapt to new software programs and systems.
- Excellent interpersonal skills and the ability to build strong relationships with clients.
Ideal Candidate:
- Self-motivated and able to work independently with minimal supervision.
- Experience with optometric and ophthalmic billing; certification is a plus but not required.
- Familiarity with optometric practice management systems, including Compulink, Officemate, Revolution, Crystal, EPM, MVE, Uprise, Practice Director, EyeCloud Pro, and MaximEyes.
- Experience with clearinghouses such as Trizetto/Gateway, Apex, RPA, Zirmed/Waystar, Vision Web, Inovalon, Availity, and Eyefinity.
- Ability to quickly navigate the internet and learn new systems and technologies.
