Coordinator; Implementation
Davis Vision Incorporated - Latham, NY

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The Implementation Coordinator will work as a member of a team responsible for coordinating intradepartmental work efforts to ensure effective and efficient business operations are maintained and customer expectations are met during group implementations of Davis Vision’s vision benefits.

Essential Responsibilities:
  • The Implementation Coordinator will manage the end-to-end group implementation process and provide performance related feedback to respective business units’ managers to ensure timely and quality service is delivered
  • Develop and manage tactical plans for the implementation of Vision Care programs. This includes development of timelines and documentation regarding the implementation process.
  • Define customer needs and implement Vision Care programs to meet those needs.
  • Work closely with other areas including Client Administration, IT, BMT, Documentation, Member Benefits, Billing, Claims, and Sales to ensure customer needs are met while meeting internal objectives.
  • Partner with the management team to recommend implementation strategies and develop process and procedures focused on continued improvement.
  • Participate in presentations to customers.
  • Conform with and abide by all federal, state, and local regulations, company policies and procedures, and instructions.
  • Adhere to privacy and confidential and proprietary company policies and procedures (i.e. HIPAA).
  • Participate in any/all training and educational activities necessary to fulfill at least the minimum requirements as specified within your departmental goals.
Education:
  • Associates Degree or equivalent combination of experience and education.

Experience & Background:
  • Minimum of four (4) years customer service experience in the health insurance industry with experience in physician/adjunct/ancillary/hospital insurance billing requirements, payment reconciliation procedures required.
  • Public speaking experience, including presentations to group audiences and conducting educational seminars is required.
  • Strong managed care product experience is required.
  • Access to reliable transportation and a valid driver’s license is required. Must be willing to travel and conduct educational visits.
  • Demonstrated ability to coordinate the implementation of initiatives with internal departments and external entities is required. Demonstrated ability to analyze, identify, implement and monitor outcomes is required.
  • Working experience in MS Office Suite and Windows environment is required.
  • Comprehensive knowledge and understanding of claims payment processing and medical management processes is required.
  • Verifiable experience in completing large claims/appeals research projects independently and accurately within established deadlines involving all aspects, including analysis through resolution is required.
  • Demonstrated ability to work well in a team environment and train staff and external customers on processes, products, data requests, and/or customer service is required.

Davis Vision Incorporated - 23 months ago - save job