Whether you’re looking to improve the skills of your existing billing manager or trying to hire on new talent, the skills your optometric billing manager possesses can lead to greater profits from insurance claim reimbursements.

We’ll list five skills your optometric biller should possess to effectively manage claim reimbursements. If your biller doesn’t already have these skills, look into ways you can help them further develop their skillset.

Signs of a Successful Optometric Billing Manager

Analytical Skills

With the need to understand the complex coding standards and pair the information with payer requirements, your billing manager should have analytical skills to ensure the claims are processed with the correct codes. As claim rejections come in, your biller needs to be able to decipher the reason for the rejection and address the claim successfully.

One of the most common reasons for claim rejections is missing or inaccurate information. While the optometric billing manager needs to swiftly submit electronic claims, they also have to ensure all the information is accurate and in the right place.

In many optometric practices, the OD doesn’t gain much visibility into the performance of the optometric biller. Not knowing what money is coming in, what claims are being written off, and how many claims are being denied can lose your practice a lot of money.

An optometric biller with the integrity to handle your claim reimbursements while giving you clear and accurate reports on your practice’s claim management performance will enable you to adjust your practice to avoid common claim denials and make more money.

Insurance claims are rarely managed on paper anymore. With a multitude of clearinghouse software solutions available on the market, your biller should possess technical skills to enable rapid learning of new solutions to submit, correct, track, and manage claims throughout the claim lifecycle.

Every payer has different time limits before the timely filing deadline expires. With new claims needing to be submitted daily and rejections needing to be worked and resubmitted, it’s important for your billing manager to be organized and stay on top of the claims, rejections, and deadlines.

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