Insurance Verification & Pre-Auth Specialist

Retina Consultants, Ltd.; Des Plaines (IL); On-site; USD 40,000 - 55,000; Full time

Job summary

Retina Consultants, Ltd. in Des Plaines, IL is seeking an Insurance Verification and Pre-Authorization Specialist to verify benefits and obtain approvals for procedures. You will collaborate with clinicians, billing, and front desk to ensure accurate patient coverage.

The role requires strong communication, meticulous attention to detail, and the ability to multitask in a fast-paced medical office. Prior authorization experience and familiarity with EMR systems are preferred.

Qualifications

• High school diploma or equivalent.
• Experience with insurance verification and prior authorizations.
• Excellent multitasking and communication skills.

Responsibilities

• Obtain insurance verification to confirm active eligibility and benefits
• Initiate pre-authorizations for procedures and request office visit referrals
• Contact insurances via phone and online insurance payer portals
• Update patient accounts with insurance/demographic information
• Work closely with patient and insurance providers to gather and verify insurance information
• Use EMR software like My eClinicalworks and EPIC.

Skills

Multitasking

Strong communicator

Detail oriented

Problem solving

Education

High school diploma or equivalent

Tools

My eClinicalworks

EPIC

Job description

Retina Consultants, Ltd. in Des Plaines, IL is seeking an Insurance Verification and Pre-Authorization Specialist to verify benefits and obtain approvals for procedures. You will collaborate with clinicians, billing, and front desk to ensure accurate patient coverage.

The role requires strong communication, meticulous attention to detail, and the ability to multitask in a fast-paced medical office. Prior authorization experience and familiarity with EMR systems are preferred.