Insurance Authorization & Eligibility Specialist

American Vision Partners; Phoenix (AZ); On-site; USD 30,000 - 42,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Eye care discounts

Child care assistance

Pet insurance

Continuing education funds

401(k)

Paid holidays

PTO

Sick time

Sign-on bonus available

Job summary

American Vision Partners (AVP) is seeking an Insurance Verification Specialist to join our Phoenix team. This role focuses on verifying coverage, obtaining benefits, and securing prior authorizations for services at our Phoenix Corporate Office.

You will collaborate with clinics, patients, and payers, accurately calculate patient responsibility, update records, and maintain HIPAA compliance. Daily duties include communications, handling requests, and upholding productivity standards in a

Qualifications

• High School diploma or equivalent.
• Minimum of 1-2 years of insurance verification, referrals, prior authorization, or eligibility experience.

Responsibilities

• Verify insurance coverage and obtain benefits information.
• Obtain prior authorization for services.
• Process requests for prior authorization for surgery or procedure injections.
• Identify and resolve problems with participant eligibility/insurance coverage.
• Calculate patient responsibility amounts based on benefit information.
• Document findings thoroughly and accurately.
• Prioritize work to maximize turn-around time.
• Meet or exceed productivity standards in daily assignments.
• Maintain an acceptable error rate per policy.
• Update demographic information to produce clean patient statements.
• Answer calls and respond to emails in a timely manner.
• Perform other assigned duties.

Skills

CMS guidelines

Computer literacy

Attention to detail

Reading instructions

Math skills

Critical thinking

Teamwork

Customer service

Self-discipline

HIPAA compliance

Education

High School diploma or equivalent

Job description

American Vision Partners (AVP) is seeking an Insurance Verification Specialist to join our Phoenix team. This role focuses on verifying coverage, obtaining benefits, and securing prior authorizations for services at our Phoenix Corporate Office.

You will collaborate with clinics, patients, and payers, accurately calculate patient responsibility, update records, and maintain HIPAA compliance. Daily duties include communications, handling requests, and upholding productivity standards in a