Insurance Verification Specialist

Responsibilities

• Verify insurance for new patients, all insurance changes, review coverages, co-pays, co-insurance, and deductible information to ensure that both patient and physician are aware of coverages prior to diagnosis and/or beginning of treatment
• Assist with pre-authorization of inpatient treatments with insurance companies to ensure treatments are covered, verifying and communicating co-pays, co-insurance, and deductible information
• Connect patients with subsidized or discounted coverage insurance options when eligible or available
• Verify required referrals by contacting referring physician offices via phone, email, or fax
• Communicate openly with co-workers via phone, electronic messages, and by updating patient chart notes in real time
• Create records of documentation and communication with insurance companies and referring physicians. Will scan and input data into EMR/EHR systems including AMD, MDI and Practice Plus
• Other administrative duties as needed

Requirements

• Master multiple computer systems including Google, Microsoft Office, Teams, data management
• Will master ophthalmology and retina terminology
• Develop and maintain strong relationships with referring doctors, practices, and patients
• Strong organizational and follow through skills with competing demands and priorities
• Previous experience in medical office, insurance or administration
• Demonstrated effectiveness showing courtesy, diligence, integrity, and teamwork in alignment with ARA core values
• Strong interpersonal skills including effective listening, clear communication, effective customer problem resolution with warm encouraging demeanor
• Ability to develop and maintain effective peer relationships at work within a fast-paced, and at times a high-stress environment
• Experienced with health insurance verification and physician referrals tracking
• Bilingual in Spanish for inbound/outbound calls

Benefits

• Schedule assigned by Supervisor, approximately 9-6 or 8-5 weekdays 8-5pm during weekdays
• No travel required
• Hourly pay, FLSA non-exempt, eligible for overtime

Pay

Hourly pay

Schedule

Approximately 9-6 or 8-5 weekdays 8-5pm during weekdays