Insurance Coverage Specialist

1 week ago


Tallahassee, Florida, United States Southern Vitreoretinal Full time
Job Summary

Southern Vitreoretinal Associates seeks a skilled Insurance Coverage Specialist to verify patient insurance coverage and benefits for upcoming appointments. The successful candidate will utilize various methods of verification, including real-time eligibility, insurance portals, phone calls, and websites.

The ideal candidate will have a working knowledge of EHR/medical billing software and a strong understanding of private insurance rules and regulations.

Key Responsibilities:

  1. Verify patient insurance coverage and benefits for all upcoming SVA appointments.
  2. Provide approval to clinics for same-day injections, ensuring patients receive timely treatment.
  3. Answer incoming phone calls from patients, resolving their questions, concerns, or issues.
  4. May call patients to obtain current information needed to verify insurance and benefits.

Accountabilities:

  1. Facilitate the rapid and successful conversion of patient revenue into cash, minimizing debt and improving cash flow.
  2. Reinforce and abide by SVA's core values of integrity, respect, and trust.
  3. Ensure direct reports adhere to the same core values.

Expectations:

  1. Reinforce and abide by SVA's core values.
  2. Provide high-level customer service, compassionate, patient-centered care to patients.
  3. Collaborate across the organization to develop, implement, and maintain processes that positively impact the revenue cycle.
  4. Understand and comply with all laws, rules, regulations, policies, and procedures applicable to the position.
  5. Utilize office technology to capture and document services provided, ensuring accurate billing records.
  6. Excellent written, verbal, and presentation skills necessary to facilitate accurate communication with providers and staff.

Requirements:

  1. High School diploma or equivalent.
  2. Well-organized and detail-oriented.
  3. Working knowledge/experience with EHR/medical billing software.
  4. Understanding of private insurance rules and regulations.


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