Medical Insurance Verification Specialist

If you’re looking for a career where you can make a difference in people's lives through vision correction, come join our team! We offer competitive pay, on-the-job training, great benefits, and plenty of opportunities to grow within our organization. This is a fast-paced, team-oriented work environment that emphasizes accountability, versatility, and integrity. We also recognize the importance of a true work-life balance and offer flexible work arrangements including full-time and part-time.

Benefits include: 401k Employer Match, Medical, Dental, Vision, Life, Disability, HSA, EAP, PTO, Holidays, Employee Discount, Bonus Opportunities, Employee Referral Program, Employee Appreciation Events, Deep discount for eye correction procedures for associates and their immediate family members

JOB DESCRIPTION: Medical Insurance Verification Specialist

JOB SUMMARY: Contact carrier groups to obtain eligibility information ensuring that the most updated verification is entered into the practice management software. Develops and maintains effective relationships with the patients ensuring all patient demographic and insurance information is obtained.

REQUIRED EDUCATION/EXPERIENCE:

High school diploma or GED equivalent; customer service; must be computer literate; have multi-tasking skills, excellent organizational skills, verbal and written communication skills; team player.

POSITION RELATIONSHIPS:

· Reports directly to the Billing Manager

ESSENTIAL FUNCTIONS

· Responsible for effective and efficient verification of all patients’ benefits prior to their appointment.

· Responsible for answering incoming calls from other providers, recipients, and carrier groups in relation to insurance coverage.

· Research eligibility information online with various insurance carriers.

· Responsible for acting as a liaison between patients, healthcare providers, and insurance carriers to ensure all proper measures are taken and information is collected.

· Ensures all patient questions are answered and issues are resolved timely by utilizing the appropriate resources.

· Responsible for obtaining all referrals and authorizations for procedures and services, as required.

· Other duties as assigned by the Billing Manager.

KNOWLEDGE, SKILLS, AND EXPERIENCE:

· Good organizational skills and the ability to multi-task

· Ability to operate basic office equipment, answer multi-line telephones, and have a strong computer background.

· Establish and maintain effective working relationships with patients, insurance companies, and staff.

· Good written and oral communications.

· Knowledge and skills in working with computerized billing systems including practice management software and EMR.

· Must adhere to all HIPAA guidelines and regulations.

· Knowledge of medical insurance and authorization processes.

· Some medical terminology and experience working in a healthcare or insurance environment.

LEGAL:

· Maintain patient and company confidentiality.

· Practice within the scope of education, training, and personal capabilities.

· Document company documents (hard copy and electronic) accurately.

· Use appropriate guidelines for releasing information.

· Maintain awareness of federal and state health care legislation and regulations; OSHA, CLIA, and HIPAA.

PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to perform the essential functions of the job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit, talk, use repetitive motion, type, and hear. The employee is frequently required to stand, walk, use hands and fingers to handle and feel, and reach with hands and arms. The employee is occasionally required to bend, kneel, crouch, climb stairs, and reach overhead. The employee must occasionally lift and/or move up to 25 pounds.

WORK ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of the job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The omission of specific statements or descriptions does not preclude management from assigning duties not listed herein if such duties are a logical assignment to the position.

Job Type: Full-time

Pay: From $15.00 per hour

Expected hours: 35 – 40 per week

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Disability insurance
• Employee assistance program
• Employee discount
• Flexible schedule
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Retirement plan
• Vision insurance

Experience:

• Insurance verification: 1 year (Preferred)
• Medical billing: 1 year (Preferred)
• HIPAA: 1 year (Preferred)

Work Location: In person

Salary : $15