As Vision Benefits of America (VBA) continues to enjoy unprecedented growth, we have a business need to expand internal resources to assist optometrists, ophthalmologists, retail locations, and laboratories. As a Provider Relations Coordinator, you will be involved in every aspect of the provider relationship. You will resolve provider issues, aid in the creation of network-related materials, provide benefit coverage guidance, answer payment inquiries, and educate providers on VBA processes. Exemplary customer service, the ability to multi-task, dependability, and top-notch communication skills are necessary for success in this position. Direct experience working in an optical field is required.
Salary: $40,000 - $42,000 per year, contingent on experience.
This position is remote. Our office in Carnegie, PA will remain accessible for use as needed. Selected candidate will be required to complete (paid) in-office training for a minimum of 3 weeks at the beginning of employment and must be available to report to our office occasionally for team/company meetings. The working hours for this position are Monday-Friday 10am-6pm with an hour paid lunch,
Computer and software provided by VBA. Employee must have reliable internet connection and a quiet workspace.
ESSENTIAL JOB FUNCTIONS
Provide outstanding service by being proactive and responsive to all provider and lab questions
Educate provider locations on the use of VBA authorization system, policies and procedures
Provide support to providers and labs including entering and editing authorizations, adjusting claims, and researching claim payments
Analyze processes for improved efficiencies and ability to adapt to changes
Maintain provider and location information, including data entry and reconciliation of practice information
Assist with overflow credentialing outreach and research projects, as needed
Process provider and lab applications and contracts for network participation, securing necessary documents, such as licenses and professional liability insurance information
Handle sensitive information in compliance with HIPAA
Maintain a current knowledge of the newest optical technologies
Perform activities and functions of related lower-level personnel as assigned or required
The above statements describe the general nature and level of work being performed by individuals assigned to this classification. This is not intended to be an exhaustive list of all responsibilities and duties required of this position.
Requirements
EDUCATION: Associate's degree or equivalent work experience. Bachelor’s degree is preferred.
EXPERIENCE: 2-4 years of full-time experience working in an optician role in an optometrist/ophthalmologist office or an optical provider relations role. Experience educating customers on lens options and frame selection and dispensing glasses is preferred. Experience with vision insurance claims is preferred.
Benefits
Full-time, permanent VBA employees receive a comprehensive benefit package including:
Improving the Human ExperienceThe ability to see clearly is key to optimal living and quality of life for all people and extends beyond health to every person’s ability to participate in and contribute to society.VBA’s mission is to improve the human experience by utilizing innovative models of service, delivery and advocacy to reduce barriers to high-quality eye care.A Personal ApproachEveryone gets a uniquely personal approach to vision and dental benefits with VBA’s customized plans, personalized service and the latest products. Whether you’re a member, administrator, provider or lab, working with VBA is a simple process. At VBA, you’re our focus.Since 1965, we’ve provided comprehensive vision coverage to corporations, municipalities, schools, health and welfare funds, hospitals and health maintenance organizations in Pennsylvania.Our focus on personalized service has helped us build and maintain long-term relationships – like the one we still have with our first customer that joined us more than 50 years ago.
