drjobs Insurance Verification Specialist

Insurance Verification Specialist

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1 Vacancy
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Job Location drjobs

Tarpon Springs, FL - USA

Monthly Salary drjobs

Not Disclosed

drjobs

Salary Not Disclosed

Vacancy

1 Vacancy

Job Description

Insurance Verification Specialist

St. Lukes Cataract & Laser Institute is looking to hire a fulltime Insurance Verification Specialist to join our team at our Tarpon Springs location!

Company Mission
Life Changing Vision is a mission statement we adhere to in every aspect of our care giving from the moment a patient walks through our doors to the followup care they receive. We are committed to helping our patients attain overall wellness in body mind and spirit.

Job Description:
The Insurance Verification Specialist reporting to the Revenue Cycle Supervisor is responsible for insurance verification for clinic and outpatient surgery appointments ability to counsel patients regarding their financial cost share for procedures and collecting payment prior to procedures. The ideal candidate will be comfortable in working in a team environment; flexibility when accepting work and has a strong customer service focus to effectively interact with patients doctors staff and management.

Qualifications / Job Duties:
  • Solid understanding of medical insurance including deductibles copay and coinsurance is highly preferred
  • Previous experience with verifying and interrupting medical befits for Medicare Medicaid and major commercial health insurance and secondary payers required
  • Previous experience processing provider referrals and prior authorization requests
  • Understanding of medical terminology and ICD10 codes and Diagnosis preferred
  • Verify patient eligibility via payer websites or telephone to determine coverage of benefits and to calculate patient responsibility for services scheduled
  • Adds or updates patient insurance primary and/or secondary insurance in EHR
  • Familiar with individual payer guidelines and authorization/referral requirements based on insurance plans and if needed communicate with insurance companies via phone and/or website to provide any supporting clinical documentation needed to complete the authorization process
  • Ensure complete and accurate information maintained in patient account including authorization or referral received from payer or Primary Care Physician
  • Strong people skills required; diplomatic patient flexible and able to multitask and be cross trained on all functions within the Insurance Verification Department
  • Must be mobile in an office setting sitting standing walking and bending
  • Perform general duties and other functions as required or assigned
  • Working knowledge of Microsoft Suite including Excel Word Outlook.
The Benefits of working for St. Lukes
  • Medical Dental Vision Life Insurance 401(k) with Employer Match Paid Time Off and Holiday Pay
  • Opportunity to build a career with a longstanding reputable organization
  • Leadership and Career Advancement opportunities
  • Competitive wages and certification bonuses
  • Monday Friday work week
  • Weekends and Holidays off
See more benefits at St. Lukes
For 50 years the St. Lukes practice has employed stateoftheart diagnostic and therapeutic equipment while delivering on a longstanding reputation for excellence and outstanding patient care.
Our home office is in Tarpon Springs with additional locations in Spring Hill St. Petersburg Tampa Clearwater and The Villages. We offer onsite surgical care at our Tarpon Springs Clearwater and The Villages locations. In addition to our multispecialty ophthalmology practice our service lines include plastic surgery aesthetic skin care and hearing services.

We are an Equal Opportunity Employer and a Drug Free Workplace
We participate in EVerify


Required Experience:

Unclear Seniority

Employment Type

Full Time

Company Industry

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