SKYGEN USA Companies

 

OUR VISION

To reduce cost for government payers and managed care organizations by providing integrated and flexible solutions within a single, cohesive eye care delivery system.

Scion Dental

Ocular

State & Federal

State & Federal Agencies

Access unparalleled experience in delivering integrated eye care solutions designed specifically for government payers.

Managed Care Organizations

Managed Care Organizations

Choose an experienced partner proven to deliver increased efficiencies and cost containment for eye care benefit programs.

Our Leadership

Lisa Sweeny

Lisa Sweeney

Chief Financial Officer

As Chief Financial Officer, Lisa Sweeney provides fiscal oversight for the SKYGEN USA family of companies, and is responsible for all day-to-day activities in the financial arena. With her significant expertise in financial forecasting, global budgeting, and unique provider reimbursement strategies, she is also actively involved in strategic planning for the company.

Ms. Sweeney has been in financial management roles for more than 25 years, including nearly 15 years in the benefit management industry. Prior, Ms. Sweeney was the Chief Financial Officer of Doral Dental USA, where her position included financial oversight of Doral Dental and all of its subsidiary companies.

Ms. Sweeney earned Bachelor’s Degrees in Accounting and Information Systems from the University of Wisconsin-Madison, and an MBA from Marquette University. She is licensed as a Certified Public Accountant, a Certified Management Accountant and a Certified Financial Manager.

Mark Borca

Mark Borca

Vice President of Business Development

As Vice President of Business Development for Scion Dental and Ocular Benefits, Mark Borca oversees all aspects of business development and monitors client expectations both during and after the implementation process. He is responsible for ensuring a positive experience for all clients, current and prospective, as well as strategies for improving Scion Dental and Ocular Benefits’ value propositions. 

Mr. Borca’s experience in benefit management spans 14 years, and includes business development and client retention responsibilities in the Medicaid managed care arena. He specializes in government programs, including provider network contracting, client management, provider compensation and risk management strategies.

Mr. Borca joined Scion Dental at the company’s formation. Prior, he served in various capacities at Doral Dental USA.  He was asked to step into his current role based on a proven track record for successful new business acquisition and the effective management of client relationships.

Frequently Asked Questions

To help you find the information you need quickly, we've collected answers to some of the most frequently asked questions about Ocular Benefits.  Click on a question to have the answer drop down below.

How is Ocular Benefits able to reduce overall cost?

Our operations are built on a state-of-the-art technology platform developed by our sister company, Wonderbox Technologies. The Enterprise System is flexible, customizable, and designed to efficiently administer managed eye care programs. Our solution brings automation to claims management, provider credentialing, network management, utilization management and other administrative functions. We accept full health plan delegation for these functions.

Do you have flexibility with reimbursement models?

Yes. We currently administer many different fee models ranging from traditional fee-for-service to full-risk capitation with many variations and reimbursement hybrids. We will customize the medical delivery and fee model to meet the specific needs of the health plan or payer.

How can Ocular Benefits compete in the fast-paced retail environment?

We offer a unique, web-based portal for providers to manage administrative tasks associated with patient care with accuracy and efficiency. Our portal enables providers to verify specific patient benefits, submit claims for eye exams and enter prescription information. They’re also able to order vision supplies, such as eye glasses and contact lens, for members at the point of purchase. Our system transmits all of this information directly to a designated lab for fulfillment.

How can Ocular Benefits help improve our HEDIS scores?

Our solution provides several strategies that lead to a healthier member population and improved health plan performance, including wellness programs, access to preventative tests and prevention of redundant tests as well as comprehensive, customizable reporting.

Can you really create a paperless process?

Yes. The Enterprise System is designed to support paperless workflows through web-based architecture, built-in document management system, and fully integrated self-service web portals. Our paperless environment is one of the fundamental ways we maintain low administrative costs.

What steps do you take to prevent fraud?

All providers complete a fraud prevention training course. In addition, we leverage our innovative technology platform for further analysis of fraud circumvention and to detect utilization outliers.

Related Services

Our sister companies are proud leaders in the delivery of specialty benefit management through state-of-the-art technology and best-in-class benefit administration.

Ocular Benefits, LLC

W140 N8981 Lilly Rd.
Menomonee Falls, WI 53051
info@skygenusa.com

  • SKYGEN USA
  • Wonderbox Technologies
  • Scion Dental
  • Vestica Healthcare
  • Ocular Benefits
  • American Therapy Administrators
  • Hylis Pharmacy Solutions
This site is powered by the Northwoods Titan Content Management System