Medical Insurance Verifier

Job ID: 10-2022-210


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.



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.



  • 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.



  • 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.



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

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