What are the responsibilities and job description for the Insurance Verification Specialist position at Grene Vision Group?
Job Title : Insurance Verification Specialist
SUMMARY
Our growing eye care organization has an immediate need for an Insurance Authorization Specialist who will handle all aspects of insurance authorizations for optical services and procedures.
ESSENTIAL DUTIES AND RESPONSIBILITIES
- File requests for prior authorization for all insurances that require based upon plan or insurance contract
- Request, obtain, and document all prior authorizations (or denials of same) appropriately and in a timely manner
- Obtain information about patient insurance coverage, benefits and eligibility
- Maintain and update internal listing of insurance carriers that require authorization
- Run system-generated reports to verify procedures by insurances requiring authorization are being captured
- Assist collection team with obtaining retro authorizations
- Coordinate with Call Center and Optical Offices on prior authorization and patient billing activity
- Maintain the strictest confidentiality in accordance with HIPAA regulations and clinic requirements
QUALIFICATIONS
EDUCATION AND / OR EXPERIENCE
LICENSES AND CREDENTIALS
SYSTEMS AND TECHNOLOGY
Physical Requirements :
If you need assistance with this application, please contact (636) 227-2600
EyeCare Partners is an equal opportunity / affirmative action employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status. Please do not contact the office directly - only resumes submitted through this website will be considered.
NOTE : Job descriptions are intended to be accurate reflections of those principal job elements essential for making fair pay decisions about jobs. Nothing in this job description restricts management right to assign or reassign duties and responsibilities to this job at any time.
