Patient Financial & Insurance Benefits Specialist

Ophthalmic Consultants of BostonPlymouth, MA
3d

About The Position

Join the Front Line of Patient Financial Care at Ophthalmic Consultants of Boston 👁️ 💼 Patient Financial & Insurance Benefits Specialist Are you confident discussing insurance, skilled at navigating surgical authorizations, and passionate about helping patients understand their financial responsibility? We’re looking for a knowledgeable, patient-focused professional who thrives in a fast-paced environment and isn’t afraid of high call volumes or complex insurance scenarios. This isn’t just a billing role — it’s a critical position that ensures patients feel informed, prepared, and supported before their visit or surgery. You’ll serve as a key liaison between patients and insurance carriers, ensuring clarity, accuracy, and timely collections. At OCB, we believe financial clarity is part of outstanding patient care. You’ll join a collaborative team that values accuracy, professionalism, and compassion — all while making a real impact on the patient experience. If you’re ready to bring confidence, clarity, and expertise to a vital healthcare role, we’d love to meet you. Apply today and help patients see clearly — financially and clinically.

Requirements

  • 3–5 years of experience in medical billing, insurance verification, or healthcare financial counseling
  • Proven experience securing surgical prior authorizations
  • Strong knowledge of surgical claims and insurance coverage policies
  • Confidence in discussing out-of-pocket costs and collecting payments
  • Ability to multitask and pivot quickly in a high-volume call center environment
  • Exceptional attention to detail and organization
  • Professional, empathetic communication skills for sensitive financial conversations

Responsibilities

  • Verify and interpret deductibles, copays, coinsurance, and out-of-pocket maximums
  • Secure prior authorizations for surgical and specialty procedures
  • Confirm eligibility and surgical claim coverage directly with insurance carriers
  • Provide accurate cost estimates for visits, procedures, and surgeries
  • Clearly explain insurance benefits and projected out-of-pocket expenses
  • Set confident, professional expectations regarding payment due at time of service
  • Discuss outstanding balances and collect payments
  • Assist patients with billing statements and claim questions
  • Manage high volumes of insurance claims and daily inbound/outbound calls
  • Accurately document benefit verifications and patient communications
  • Support front desk and billing operations in a high-demand setting
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