*JOB DESCRIPTION:* Insurance Verification Specialist: The Insurance Verification Specialist works as part of our billing office to verify benefits and eligibility for an Ophthalmology group and performs clerical functions for patient billing, including verification of insurance information and resolution of problems to ensure a clean billing process. Follows up on accounts that require further evaluation. Works with others in a team environment. : *Essential Functions* * Maintains patient demographic information and data collection systems. * Verify all commercial, government and state insurance eligibility for upcoming appointments by utilizing real time eligibility and online websites or by contacting the insurance carriers directly. * Review patient deductibles and/or copay/coinsurance and enter the information into the billing system. * Works in conjunction with the revenue cycle team and patient access teams to ensure a clean billing process. * Answers questions from patients, administrative staff and insurance companies. * Assists patient access teams and staff in understanding insurance payer websites and verification of eligibility. * Participates in educational activities and attends monthly staff meetings. * Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations. * Performs miscellaneous job‐related duties as assigned . *Competencies:* * Strong knowledge of administrative and clerical procedures. * Proficient in computers and relevant software applications and practice management technology. Possession of strong problem‐solving skills and sound judgment. *Ability to collaborate across departments and build effective relationships with internal and external staff to achieve goals.* * Knowledge of customer service principles and practices. * Ability to achieve team goals while demonstrating organizational values and utilizing resources responsibly * Ability to be proactive and take initiative. * Exhibit high level of quality through attention to detail and monitoring of work. Possession of strong organization skills. *Excellent verbal and written communication, as well as exceptional interpersonal communication skills.* * *Ability to work independently on assigned tasks, as well as to accept direction on given assignments.* * Ability to make decisions and solve problems. * Deals with confidential information and/or issues using discretion and judgment. Ability to promote favorable company image with physicians, patients, insurance companies, and general public. Ability to follow instructions and to meet deadlines. * Requires excellent communication skills with attention to detail and timeliness * Maintain regular and predictable attendance. * Promptly identify issues and develop action plans for resolution with supervisor. *MINIMUM EDUCATION: *High school diploma or GED. *MINIMUM EXPERIENCE: *1 year in billing *Other Duties* Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. Job Type: Full-time Salary: $18.00 - $22.00 per hour Benefits: * 401(k) * Employee assistance program * Health insurance * Paid time off Schedule: * 8 hour shift * Monday to Friday Experience: * CPT Coding: 1 year (Required) * Medical Billing: 1 year (Required) * ICD-10: 1 year (Preferred)
Job Type: Full-time
Pay: $18.00 - $22.00 per hour
Expected hours: 40 per week
Benefits:
- 401(k)
- 401(k) matching
- Employee discount
- Flexible spending account
- Health insurance
- Health savings account
- Paid time off
- Professional development assistance
- Retirement plan
Weekly day range:
Experience:
- Insurance verification: 1 year (Preferred)
- Medical billing: 1 year (Preferred)
Work Location: In person