Patient Eligibility Coordinator

Vision Innovation Partners Support Center•Annapolis, MD

About The Position

At Vision Innovation Partners, we exist to protect and restore vision. Because Vision is our Mission, everyone at VIP focuses on providing great patient outcomes and experiences. A career at VIP provides opportunities for growth and development, and a culture centered on our Shared Values – PATIENTS. The Patient Eligibility Coordinator is responsible for verifying patient insurance benefits prior to scheduled appointments. This role ensures accurate insurance information is obtained and documented to support clean claim submission, reduce denials, and improve front-end revenue cycle performance. The Patient Eligibility Coordinator works closely with front desk staff, clinical teams, billing, and patients to ensure financial clearance.

Requirements

2+ year of insurance verification, patient access experience in a healthcare setting.
Knowledge of commercial, Medicare, Medicaid payor rules.
Experience with EMR systems and insurance portals.
Strong communication skills – able to clearly explain coverage details to patients and staff.
High attention to detail, accuracy, and ability to meet tight deadlines.
Maintain confidentiality and comply with HIPAA regulations at all times.
Stay current on payer policy changes, authorization rules, and portal updates.
Meet department productivity, accuracy, and turnaround time standards.

Responsibilities

Verify patient eligibility and benefits for all upcoming appointments using payer portals and PM tools.
Confirm coverage details including copayments, plan limitations/participation and referral/authorization requirements.
Identify insurance discrepancies or inactive coverage and communicate needed corrections.
Notify patients in advance regarding estimated out-of-pocket costs when applicable.
Explain insurance coverage limitations, non-covered services, and payment expectations.
Collaborate with financial counselors for high-cost cases or self-pay options.
Accurately update patient insurance details, policy numbers, subscriber information, and coverage notes in system.
Maintain documentation of verification results.
Ensure all encounters are financially cleared prior to the date of service.
Work with billing teams to resolve issues related to insurance setup, eligibility, or authorization related denials.
Identify trends in recurring insurance issues and recommend process improvements.
Collaborate with front desk and registration to reduce errors in patient intake.