Insurance Coverage Specialist
1 week ago
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:
- Verify patient insurance coverage and benefits for all upcoming SVA appointments.
- Provide approval to clinics for same-day injections, ensuring patients receive timely treatment.
- Answer incoming phone calls from patients, resolving their questions, concerns, or issues.
- May call patients to obtain current information needed to verify insurance and benefits.
Accountabilities:
- Facilitate the rapid and successful conversion of patient revenue into cash, minimizing debt and improving cash flow.
- Reinforce and abide by SVA's core values of integrity, respect, and trust.
- Ensure direct reports adhere to the same core values.
Expectations:
- Reinforce and abide by SVA's core values.
- Provide high-level customer service, compassionate, patient-centered care to patients.
- Collaborate across the organization to develop, implement, and maintain processes that positively impact the revenue cycle.
- Understand and comply with all laws, rules, regulations, policies, and procedures applicable to the position.
- Utilize office technology to capture and document services provided, ensuring accurate billing records.
- Excellent written, verbal, and presentation skills necessary to facilitate accurate communication with providers and staff.
Requirements:
- High School diploma or equivalent.
- Well-organized and detail-oriented.
- Working knowledge/experience with EHR/medical billing software.
- Understanding of private insurance rules and regulations.
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