Insurance Verification Specialist

Austin Retina Associates • Austin, TX

1d • Onsite

About The Position

Austin Retina Associates is seeking a responsible, self-motivated individual to assist in providing unparalleled patient satisfaction while verifying, communicating, and tracking insurance. This role involves ensuring that both patients and physicians are aware of coverage details prior to diagnosis and/or beginning of treatment, assisting with pre-authorization of inpatient treatments, and connecting patients with subsidized or discounted coverage options. The specialist will also be responsible for verifying required referrals, communicating with co-workers, and creating detailed documentation in EMR/EHR systems, along with other administrative duties.

Requirements

• Master multiple computer systems including Google, Microsoft Office, Teams, data management
• Will master ophthalmology and retina terminology
• Develop and maintain strong relationships with referring doctors, practices, and patients
• Strong organizational and follow through skills with competing demands and priorities
• Previous experience in medical office, insurance or administration

Nice To Haves

• Demonstrated effectiveness showing courtesy, diligence, integrity, and teamwork in alignment with ARA core values
• Strong interpersonal skills including effective listening, clear communication, effective customer problem resolution with warm encouraging demeanor
• Ability to develop and maintain effective peer relationships at work within a fast-paced, and at times a high-stress environment
• Experienced with health insurance verification and physician referrals tracking
• Bilingual in Spanish for inbound/outbound calls

Responsibilities

• Verify insurance for new patients, all insurance changes, review coverages, co-pays, co-insurance, and deductible information to ensure that both patient and physician are aware of coverages prior to diagnosis and/or beginning of treatment
• Assist with pre-authorization of inpatient treatments with insurance companies to ensure treatments are covered, verifying and communicating co-pays, co-insurance, and deductible information
• Connect patients with subsidized or discounted coverage insurance options when eligible or available
• Verify required referrals by contacting referring physician offices via phone, email, or fax
• Communicate openly with co-workers via phone, electronic messages, and by updating patient chart notes in real time
• Create records of documentation and communication with insurance companies and referring physicians. Will scan and input data into EMR/EHR systems including AMD, MDI and Practice Plus
• Other administrative duties as needed

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed
• Number of Employees: 11-50 employees