OPTOMETRIC SPECIALIST

Key Duties

• Patient Order Management: Oversee the full lifecycle of contact lens and eyewear orders and patient management; coordinate and execute specialized after-hours contact lens programs on a quarterly basis.
• Clinical Dispensing Integration: Perform daily activities of the dispensary, assisting patients in selecting and ordering eyewear as the contact lens and optical departments transition into a single unified unit.
• Medically Necessary Lens Coordination: Manage a high volume of specialty and medically necessary contact lens cases, including the intensive processing and approval of prior authorizations for these complex fits.
• Clinical Mentorship Training: Lead the onboarding and clinical training of optometry student interns, including the strategic planning and management of quarterly after-hours training sessions.
• Revenue Cycle Management: Prepare, review, and submit optical and contact lens insurance claims electronically; post payments and ensure accuracy within the EHR system.
• Account Resolution: Follow up with insurance payers on processed claims, denials, or uncompleted claims; perform all refund adjustments and payment corrections.
• Administrative Stewardship: Manage untimely filing and write-offs; partner with management and the contracting department to ensure insurance contracts are up to date to minimize loss.
• Patient Counseling: Advise patients on insurance coverage, billing, promotions, and available clinical or lens options.
• Technical Services: Provide fabrication and assembly of eyewear, as well as repairs and adjustments to existing frames.
• Documentation: Accurately document all patient account activity and clinical interactions, both written and oral, within the EHR system.

Requirements

• High School Diploma and three (3) years of related experience required.
• ABO, or NCLE, or COA or willingness to obtain within one (1) year of hire date.
• Technical Skills: Computer proficiency; experience with Microsoft Office programs and Electronic Health Records (EHR).
• Knowledge: Medical or ophthalmic terminology and basic anatomy and physiology preferred.

Qualifications

• ABO: American Board of Opticianry certification required, or willingness to obtain within 1 year of hire.
• NCLE: National Contact Lens Examiners certification preferred.