Eye Care Partners Leawood , KS 66211
Posted 5 days ago
The Insurance Verification/Payment Specialist is a crucial part of the healthcare team here at Sabates Eye Centers as they are the person responsible for coordinating between the patients' needs and their insurance companies to help ensure the patient is getting the best care available. With the number of patients seen daily at SEC, this position requires the ability to work efficiently in a fast-paced environment.
Responsibilities
Verify patient insurance eligibility/benefits, acquire pre-determination/prior authorization, confirm facility compatibility
Document patient benefits and calculate patient out of pocket amounts
Collection and processing of pre-payments and balances due for procedures.
Maintain and update insurance policy information in NextGen system.
Search for, set-up, and maintain third party website access to perform eligibility and verification functions.
Assist patients with enrolling in copay assistance programs for high-cost medications
Perform other duties or functions as assigned.
Maintain the strictest confidentiality in accordance with HIPAA regulations and clinic requirements
Requirements: Education, Experience & Skills
High school diploma or equivalent required
2+ years' experience medical authorizations
Knowledge and understanding of co-insurance, co-payments, deductibles, and out-of-pockets.
Comprehensive understanding of insurance verification, contract benefits and medical terminology
Ability to enter data into various electronic systems while maintaining the integrity and accuracy of the data
Effective and Efficient A Solving and Analyzing skills
Professional and calming tone of voice free of use of inappropriate grammar
Attentive listening skills
Ability to function effectively under stress of conflicting demands on time and attention, while successfully meeting deadlines
Ability to clearly articulate a response using appropriate voice modulation
Strong Verbal and Written skills
Ability to maintain control of a call de-escalating issues and instilling confidence that a resolution will be found
Ability to perform essential job function with high degree of independence, flexibility, and creative problem solving techniques
Excellent organization, time management, and prioritization skills
Physical Requirements:
While performing the duties of this job, the employee is regularly required to talk and hear.
The employee is occasionally required to stoop, kneel, crouch or crawl.
The employee must frequently lift and/or move up to 10 pounds.
Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.
If you need assistance with this application, please contact (636) 227-2600
EyeCare Partners is an equal opportunity/affirmative action employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status. Please do not contact the office directly - only resumes submitted through this website will be considered.
Eye Care Partners