Insurance Eligibility Specialist -13532
Insurance Eligibility Specialist -13532
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Salary Not Disclosed
1 Vacancy
Job Description
Work Hours: 40 hours a week: EST timezone
Salary Range: $1000 - $1500
Role Overview
The Insurance Eligibility Specialist is responsible for verifying insurance benefits confirming patient coverage and identifying authorization requirements in advance of appointments. This position plays a vital role in streamlining the patient experience and reducing billing errors or delays.
Key Responsibilities
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Verify insurance eligibility and benefit details for upcoming patient appointments
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Confirm co-pays deductibles and coverage for optometry services
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Contact insurance providers via phone or portal to gather real-time information
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Communicate with the front desk or billing teams about patient coverage issues
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Identify and track pre-authorization or referral requirements
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Accurately input all insurance and verification data into EMR or billing systems
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Flag discrepancies or inconsistencies for escalation and resolution
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Maintain records of eligibility checks and communications for audit purposes
Requirements
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2 years of experience in medical or vision insurance verification medical billing or revenue cycle management
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Strong understanding of insurance terminology (PPO HMO co-insurance out-of-network pre-authorization etc.
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Experience communicating with U.S.-based insurance carriers
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Ability to use online portals EHRs or clearinghouses to check eligibility and benefits
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High attention to detail and excellent organizational skills
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Strong English communication skills (verbal and written)
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Comfortable working remotely with minimal supervision
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Reliable internet connection and stable working environment
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Availability to work U.S. time zones or partial overlap as needed
Preferred Qualifications
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Previous experience in an optometry ophthalmology or general healthcare setting
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Familiarity with U.S. vision plans (e.g. VSP EyeMed Spectera Davis Vision)
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Experience with EMR or billing platforms such as Eyefinity Office Ally or similar
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Prior offshore experience with U.S. clients is a strong plus
Employment Type
Full Time
