Insurance Verification Specialist

Arizona Eye Consultants • Tucson, AZ

405d

About The Position

The Insurance Verification Specialist plays a crucial role in the medical billing process, primarily focusing on verifying insurance coverage for patient visits and testing appointments. This position is essential for ensuring that the practice can provide the best care for pediatric patients by confirming authorizations and referrals. The role offers opportunities for career growth and certification within the medical field, making it an attractive option for individuals looking to start their careers in healthcare.

Requirements

• High School Diploma, GED or equivalent required (Preferred)
• 1-year experience in Medical Insurance Verification
• Working knowledge of Insurance Billing guidelines, websites, ocular/medical terminology, CPT & ICD-10 coding.
• Strong communication, customer service, and computer skills.
• Ability to work Monday-Friday between 8:00 am-5:00 pm
• Ability to travel on occasion to other offices for training or other company business.

Responsibilities

• Verify upcoming visits and testing appointments by checking insurance coverage, obtaining authorizations, and confirming referrals.
• Maintain working knowledge of changes in medical insurance plans concerning claim billing.
• Cross-trained to perform collection activities, such as working aged accounts/AR reports to ensure timely and proper maximum reimbursement through various methods, including insurance company websites, phone calls, etc.
• Cross-trained to accurately post insurance payments received in the mail or through ERA.
• Post appropriate denials and tasks to the appropriate team member.
• Operate a multi-line phone system by answering incoming calls and transferring the call to the appropriate department/person and/or take appropriate messages as necessary.
• Maintain professional growth and certifications by attending and participating in corporate, departmental, and individual training & development programs to develop and enhance skills.
• Assist other team members and provide coverage as needed and directed within the department.
• Other duties as assigned by the departmental manager.

Benefits

• Medical insurance
• Dental insurance
• Vision insurance
• 401k

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 51-100 employees