Verification Specialist

NVISION Eye Centers • Aliso Viejo, CA

93d • $21 - $25

About The Position

NVISION® Eye Centers is one of the largest ophthalmology providers in the U.S., with over ninety centers across six states including California, Nevada, Oregon, Arizona, Texas, and Utah. An innovative leader in ophthalmology, we are dedicated to providing the best patient experience through the use of the latest technology and treatment by the most talented and experienced surgeons in the industry. With more than 3,000 eye doctors referring their patients and trusting their own eyes to NVISION surgeons, NVISION Eye Centers is the Eye Doctors' #1 Choice®. Underneath the supervision of the Administrator or Business Office Manager, responsible for areas such as insurance verification, billing/coding/accounts receivable, accounts payable records or transcription of operative procedures. Promotes a favorable image of the Center to physicians, patients, insurance companies, and the general public.

Requirements

• High School Diploma or GED
• One (1) year of experience, preferably in an Ambulatory Surgery Center (ASC)
• Experience in Endoscopy/Multi-specialty/Ophthalmology/ASC
• Ability to speak and understand the English language
• Strong ethical and moral character references
• Basic computer skills

Responsibilities

• Reviews and maintains records to ensure accuracy
• Enters data electronically to process patient information
• Maintains all patient records
• Abstract clinical information from a variety of medical records
• Maintains strictest confidentiality and adheres to all HIPAA guidelines and regulations
• Manages proper submission of documents in a timely fashion
• Attends in-services, seminars, and webinars for additional education and performance improvement
• Reviews insurance benefits and insurance requirements on all new patients prior to surgery
• Verification of medical benefits, which includes contacting private insurance companies, Medicare, and Medicaid to obtain benefit information-facility fees, at risk (DOFR) (phone or electronically)
• Determines if the patient can be seen at the ASC based on their insurance coverage
• Runs calculations for cost share analysis for case scheduling
• Meets/calls patients regarding their insurance benefits and out of pocket responsibilities
• Works with the Physician practice to coordinate benefits and upfront collections where needed
• Completes verification in a timely manner to allow time for patient liability calls-at least 1 week in advance
• Contacts patients with patient liability information
• Makes arrangements for patient payments based on center guidelines
• Enters in all deductibles, co-ins and OOP in the Insurance tab in HST
• Strong knowledge of Microsoft Excel and Outlook
• Attends all required education
• Regular and predictable attendance
• Performs other duties as assigned

Benefits

• Salary range: USD $21.00/Yr. to USD $25.00/Yr.

What This Job Offers

• Education Level: High school or GED
• Number of Employees: 1,001-5,000 employees