Detail-oriented Ophthalmic Professional with expertise in patient interaction and insurance billing. Skilled in processing claims and managing medical records while ensuring HIPAA compliance. Delivers organized support in team settings, enhancing patient understanding of benefits and streamlining inventory management.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Ophthalmic Assistant/Optician
Harmony Eyecare
Evansville, IN
10.2019 - Current
Extensive customer service/patient service skills using ERM, Several websites and software. Currently working with Crystal for the last 4 years. My Vision Express and MD previously.
Explained insurance benefits to patients to ensure understanding and clarity.
Filed claims online using VSP, Eyemed, Superior, Davis Medicare, and Medicaid.
Filed claims using modifiers that complemented medical or vision ICD-10 coding.
Pricing claims for patients' eyewear. Also eye exams, medical copays.
Following HIPAA guidelines and requirements regarding patient confidentiality.
Professional phone skills when talking to providers and patients.
Maintaining inventory. Monitor price changes to maximize profits.
Trained and mentored new co-workers on ERM to enhance team competency and service delivery.
Certified Ophthalmic Assistant/Optician
Evansville Eyecare Associates
Evansville, IN
05.2010 - 10.2020
Extensive customer service/patient service skills using ERM, Several websites and software
Processed pricing claims for patients' eyewear, eye exams, and medical copays to ensure accurate billing.
Filed claims online through insurance websites including VSP, Eyemed, Superior, City of Evansville, Medicare, and Medicaid to facilitate timely reimbursements.
Following HIPAA guidelines and requirements regarding patient confidentiality.
Professional phone skills when talking to providers and patients.
Speaking with insurance providers regarding approval and denial for pharmaceuticals sent via ERX.