Manager, Managed Vision Care
Warby Parker · New York, NY · 2 wk ago
OTHRFull-time
About the Role
Warby Parker is seeking an operational expert to manage our insurance billing and reimbursement lifecycle. You'll serve as the functional owner of critical financial and operational workflows, collaborating with Accounting and Technology teams to ensure smooth financial and system impacts.
Responsibilities
- Own the insurance revenue cycle: manage billing, claim, and reimbursement workflows to ensure timely payment
- Manage the reconciliation of carrier reimbursements
- Support the monthly accounting close cycle, including journal entries, schedule preparation, and variance analyses
- Partner with the Technology team on fee schedule set-ups and technical implementations
- Support execution through strategy development, testing, and documentation
- Oversee day-to-day tactical work, including quick resolution of exceptions related to claims submissions, front-end denials, and carrier adjudication
- Identify trends in claim exception reasons and recommend process improvements to reduce denial rates
- Manage relationships with claims clearinghouse and vendors to ensure smooth data transmission
- Develop and maintain SOPs, protocols, and policies related to claims and payments
- Serve as the internal coding and claim expert, ensuring compliance and mitigating fraud risks
- Handle fee schedule maintenance and documentation for accuracy across systems
- Oversee testing and maintenance of 837 (claims) automation
- Create reports and analyses to monitor insurance AR performance and support audits
Qualifications
- 5+ years of experience in medical insurance billing and revenue cycle management
- Resourceful self-starter with strong attention to detail and ability to manage tactical workflows and deadlines
- Analytical thinker with strong financial acumen
- Experience managing payment reconciliations, variance analyses, and monthly accounting close cycles
- Process-oriented problem solver who can identify trends and drive system improvements
- Expertise in navigating complex stakeholder environments and building cross-functional alignment
- Well-rounded communicator and presenter, capable of articulating insights to diverse audiences
- Not on the Office of Inspector General's List of Excluded Individuals/Entities (LEIE)