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EyeMed - Claims Coordinator

Date: Jun 19, 2019

Location: Mason, OH, US, 45040

Company: Luxottica Group

Requisition ID: 103083 
Position:Full-Time

 

Luxottica is a global leader in the design, manufacture and distribution of fashion, luxury and sports eyewear. Our wholesale network covers more than 150 countries and our retail presence consists of over 7,200 retail stores across the globe.

In North America, our wholesale business is the home to global brands like Ray-Ban, Oakley, and many of the top fashion house brands. Our leading retail brands include; LensCrafters, Sunglass Hut, Pearle Vision, Target Optical and Sears Optical. We are also home to EyeMed, the fastest growing vision care company in the United States.

Supporting over 4,500 retail stores in North America, a career in our retail headquarters allows us to stay in touch with the end customer and use their ever-changing behaviors and preferences to shape our offerings of the best eyewear and services.

 

GENERAL FUNCTION

Coordinates the day-to-day activities within the Assignment Claims Department to ensure claims are billed within the timely filing limits provided by each of our constituents (electronically or manually). This position requires significant team interaction, the ability to handle a diverse group of associates and strong analytical / problem solving skills. Back-up and support the Medicare coordinator when needed.

 

MAJOR DUTIES AND RESPONSIBILITIES

  • Monitor quantity and quality of the processes/projects and provide immediate feedback to the Supervisor / Manager
  • Coordinate daily activities to ensure KPIs are met or exceeded
  • Review, analyze and interpret reports to assure appropriate adjustments are made to processes and critical information is communicated upward to the supervisors/managers for continued success and improvement.
  • Work with clients to determine any special plan requirements
  • Ensure team is entering claims in compliance with customer requirements and HIPAA guidelines and regulations, while staying within claims department processes and guidelines
  • Maintain daily processor performance statistics as well as weekly KPI reporting
  • Process claims for more complex Payers
  • Assist Supervisor/ Manager as needed with special projects and training

 

BASIC QUALIFICATIONS

  • High school degree
  • 3+ years’ experience processing Claims
  • Able to quickly grasp and retain information and concepts
  • Able to multi-task and prioritize handling of issues
  • Strong communication skills, both oral and written
  • Strong analytical skills
  • Strong customer service

 

PREFERRED QUALIFICATIONS

  • Knowledge of vision and /or insurance benefits
  • Knowledge or experience in claims processing
  • Proficient in Microsoft Excel application
  • Bachelor’s degree

 

Upon request and consistent with applicable laws, Luxottica will provide reasonable accommodations to individuals with disabilities who need assistance in the application and hiring process. To request a reasonable accommodation, please contact Talent Luxottica at  877-589-8253 (513-765-2256 outside of US) or email TalentLuxottica@luxotticaretail.com

We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, gender, national origin, religion, age, disability, sexual orientation, gender identity or expression, citizenship, veteran or military status, marital status, pregnancy (including unlawful discrimination on the basis of a legally protected pregnancy or maternity leave), genetic information or any other characteristics protected by law.

 

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Nearest Major Market: Cincinnati

Job Segment: Medicare, Healthcare