Medical Insurance Verifier

Job ID: 10-2022-210

JOB DESCRIPTION

Specialty Eye MDs is a large and comprehensive Ophthalmology practice in New Jersey. We are the recognized leader in vision care treating adults and children.

JOB TITLE: INSURANCE VERIFICATION CLERK

POSITION SUMMARY:

The INSURANCE VERIFICATION CLERK performs clerical functions for patient billing, including verification of insurance information and resolution of problems to ensure a clean billing process, follows-up on accounts that require further evaluation and works with others in a team environment.

 

PRINCIPAL DUTIES AND RESPONSIBILITIES:

  • Maintains patient demographic information and data collection systems.
  • Verify insurance eligibility for both Medical and Vision insurances for upcoming appointments by utilizing online websites or by contacting the carriers directly.
  • Review patient deductibles and/or copays and enter into the billing system and spreadsheets provided to the Front Desk department at all locations.
  • Coordinate with Front Desk regarding scheduling errors.
  • Assist Front Desk staff in understanding carrier websites and verification of eligibility.
  • Enter insurance referrals as needed.
  • Assist in obtaining Pre-certification for Procedures required by some Insurance carriers.
  • Participates in development of organization procedures and update of forms and manuals.
  • Answers questions from patients, clerical staff and insurance companies.
  • Works in conjunction with the Front Desk to ensure clean billing.
  • Participates in educational activities and attends monthly staff meetings.
  • Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
  • Assists in development and communication of SOP for key areas to improve accuracy and understanding of processes.
  • Performs miscellaneous job-related duties as assigned by Management.

 

QUALIFICATIONS & SKILLS:

  • Minimum 1 year of relevant experience. High School or higher education.
  • Strong knowledge of various Medical Insurances.
  • Strong knowledge of administrative and clerical procedures.
  • Proficient in computers, MS Office Suite and relevant software applications and practice management technology.
  • Possession of strong problem solving skills and sound judgment.
  • Ability to collaborate across departments and build effective relationships with internal and external customers to achieve goals.
  • Knowledge of customer service principles and practices.
  • Ability to achieve team goals while demonstrating organizational values and utilizing resources responsibly.
  • Ability to be proactive and take initiative.
  • Exhibit high level of quality through attention to detail and monitoring of work.
  • Possession of strong organizational skills.
  • Excellent verbal and written communication, as well as exceptional interpersonal communication skills.
  • Ability to work independently on assigned tasks, as well as to accept direction on given assignments.
  • Deals with confidential information and/or issues using discretion and judgment.

 

PREFERRED EXPERIENCE:

  • Prior Insurance Verification experience in a medical office.
  • Customer service.

To apply for this job, please send your resume to jobs@specialtyeyemds.com