RCM/OPH Insurance Verification Specialist

Eye Care Partners Career Opportunities • Largo, FL

11h • Hybrid

About The Position

As a member of the Revenue Cycle Management Team, the Insurance Verification Specialist is responsible for all aspects of insurance verification. This position will complete pre-registration processes and communicate pertinent appointment information to Front Desk, Patient Intake Specialists, the Prior Authorization Department, or the Clinic, as needed.

Requirements

• High School Diploma or GED
• At least one (1) year medical office experience required
• Comprehensive understanding of insurance verification
• Ability to enter data into various electronic systems while maintaining the integrity and accuracy of the data
• Ability to perform essential job function with high degree of independence, flexibility, and creative problem-solving techniques
• Ability to function effectively under stress of conflicting demands on time and attention, while successfully meeting deadlines
• Ability to maintain control of a call de-escalating issues and instilling confidence that a resolution will be found
• Logical and Critical thinking skills
• Excellent organization, time management, and prioritization skills
• Professional in appearance and actions
• Enjoys learning new technologies and systems
• Detail oriented, professional attitude, reliable
• Exhibits a positive attitude and is flexible in accepting work assignments and priorities
• Meets attendance and tardiness expectations
• Management and organizational skills to support the leadership of this function
• Interpersonal skills to support customer service, functional, and teammate support need
• Able to communicate effectively in English, both verbally and in writing with sufficient grammar and spelling skills to avoid mistakes or misinterpretations
• Basic to intermediate computer operation
• Proficiency with Microsoft Excel, Word, and Outlook
• Knowledge of state and federal regulations for this position; general understanding of HIPAA guidelines

Nice To Haves

• Medical office/front desk experience preferred

Responsibilities

• Obtain information about patient insurance coverage, benefits and eligibility
• Maintain strict confidentiality in accordance with HIPAA regulations and Company/Clinic requirements
• Provide support to all departments and patients regarding insurance questions related to eligibility and benefits.
• Answer incoming and transferred calls from patients regarding the pre-registration process.
• Prepare patient appointments for a smooth and efficient check-in process on the day of the appointment.
• Adheres to all safety policies and procedures in performing job duties and responsibilities while supporting a culture of high quality and great customer service.
• Performs other duties that may be necessary or in the best interest of the organization.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED