Insurance Verification Specialist

Overview

NVISION® Eye Centers is the leading ophthalmology partner comprised of the nation’s leading providers of ophthalmic physician services. Based in Aliso Viejo, California, the Company operates over 50 locations (clinics and ASCs). We strive to delight our patients by providing unrivaled care and service that exceeds their expectations. We are The Eye Doctors’ #1 Choice®.

This position is responsible for the pre-verification of insurance for patient’s office and procedure visits. The operations insurance verification specialist supports multiple clinics and requires high attention to detail and customer service. This position will work in collaboration with the site Executive Director, Front Office and Surgery Schedulers.

Responsibilities

RESPONSIBILITIES:

• Verifies insurance eligibility for both medical and vision insurances for upcoming patient appointments by utilizing online websites or by contacting the carriers directly via telephone

• Responsible for documenting patient information in electronic system to communicate eligibility to clinic team members

• Requests referrals and authorizations as needed

• Verify insurance eligibility for surgical procedures including cataract, cross linking, pterygium etc.

• Review patient deductibles and/or copays, complete cost share estimates and enter the electronic system for various locations

• Coordinate with front end/call center regarding scheduling errors.

• Enter insurance referrals as needed.

• Answers questions from patients, clerical staff and insurance companies.

• Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.

Qualifications

REQUIREMENTS:

• Minimum of 1 year of relevant insurance verification experience in a medical office, ophthalmology or vision experience preferred

• Proficient in computers and relevant EMR systems.

• Knowledge of customer service principles and practices

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