RCM Retina Insurance Coordinator

What You’ll Do

• Verify insurance eligibility and benefits for Retina visits, injections, procedures, and surgeries.
• Obtain prior authorizations, referrals, and predeterminations.
• Prepare patient estimates, communicate financial responsibility, and collect payments when appropriate.
• Aid patients with co-pays and financial assistance programs.
• Monitor work queues, dashboards, reports, and automated alerts to ensure timely follow-up.
• Utilize approved AI, automation, and technology solutions to improve accuracy and efficiency.
• Review and validate information generated by automated and AI-enabled systems.
• Partner with clinical teams to resolve insurance, authorization, and patient financial concerns.
• Maintain accurate documentation and protect patient confidentiality.
• Identify opportunities to improve workflows and the patient experience.
• Provide financial clearance support for other specialties as needed.

What We’re Looking For

• A high school diploma or equivalent.
• Knowledge of health insurance and medical terminology.
• Strong attention to detail, organization, and problem-solving skills.
• Excellent communication and customer service skills.
• Ability to manage multiple priorities in a fast-paced environment.
• Strong computer skills and willingness to learn new technologies.
• Comfort utilizing AI, automation, and digital workflow solutions.
• Ability to work independently and collaboratively.
• Commitment to accuracy, accountability, and exceptional patient service.

Preferred Qualifications

• A bachelor’s degree.
• Previous experience in healthcare, Revenue Cycle Management, insurance verification, prior authorization, financial counseling, or Retina services.
• Experience with healthcare technology, workflow automation, dashboards, or AI-enabled tools.

Benefits

• 401(k) with Company Match
• Medical and Dental Insurance
• Vision Benefits
• Flexible Spending Accounts
• Disability and Life Insurance
• Paid Time Off

POSITION DETAILS

• Schedule: Full-time, Monday through Friday, 8:00 a.m. to 5:00 p.m.
• This is a full-time remote position.
• Location: Remote in AL, FL, GA, IL, IN, MI, MO, NC, OH, PA, SC, TN, TX, VA
• Occasional overtime and travel may be required based on business needs.