Insurance Verification Specialist Job at Johnson City Eye Clinic
JOB SUMMARY: This individual is responsible for scheduling all surgical procedures, obtaining referrals/pre-authorizations and medical clearances, and computer task management. A strong communication skill set is required for communications between staff, management and patients served.
EDUCATION AND EXPERIENCE:
1. High school diploma or equivalent; some college preferred.
2. At least two years’ experience in a surgical specialty practice, ophthalmology preferred.
3. ICD-10 and CPT knowledge required.
4. Comprehensive understanding of insurance authorizations required.
ESSENTIAL SKILLS AND ABILITIES:
1. Excellent communication and interpersonal skills.
2. Proficient in computers and relevant software applications and practice management technology.
3. Strong organization with attention to detail.
4. Analytical problem-solving skills.
5. Demonstrated ability to meet deadlines.
6. Ability to work independently and as a team member.
7. Ability to handle a high volume of work with speed and accuracy.
RESPONSIBILITIES:
1. Coordinates and schedules surgeries and follow-up appointments as designated by physicians.
2. Acts as an effective liaison between the patient, surgeon, referring physician, and the surgical facility in all aspects of surgery scheduling.
3. Coordinates processes and tasks as required to meet physician and facility requirements.
4. Obtains pre-authorization and medical clearances for all procedures being provided prior to patient surgery.
5. Reviews and resolves all reported authorization issues timely and effectively.
6. Communicates authorization with patients and physicians timely and professionally.
7. Documents work processes as required.
8. Answers telephone inquiries from patients, their families, or referring physicians concerning surgery and/or related concerns.
9. Performs other tasks as assigned.
Job Type: Full-time
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Employee discount
- Health insurance
- Life insurance
- Paid time off
Schedule:
- 8 hour shift
- Monday to Friday
- No weekends
COVID-19 considerations:
Masks worn at your discretion; common surfaces are sanitized regularly.
Education:
- High school or equivalent (Preferred)
Experience:
- Medical office: 2 years (Preferred)
Work Location: One location
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