Insurance Verification Specialist

Retina-Consultants,-Ltd-1; Des Plaines (IL); On-site; USD 57,308,000 - 74,501,000; Full time

Job summary

Retina Consultants, Ltd. in the Chicagoland area is seeking an Insurance Verification Specialist to join our medical retina practice.

You will verify active benefits, initiate pre-authorizations for procedures, and request office visit referrals in collaboration with clinicians. This role involves contacting insurers via phone and online portals, updating patient records, and coordinating with patients and providers to gather accurate information.

Qualifications

• Experience handling insurance verifications and prior authorizations.
• Excellent communication and customer service skills.
• Ability to multitask and stay organized.
• Detail-oriented with proactive problem solving.

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 and 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

Communication

Problem solving

Detail oriented

Organized

Education

High school diploma or equivalent

Tools

My eClinicalWorks

EPIC

Job description

Retina Consultants, Ltd. is a medical and surgical retina practice providing unmatched care to the Chicagoland area for over 35 years. The team specializes in adult retinal disease and pediatric retinal disease.

We are dedicated to giving our patients the highest level of care and compassion as we navigate them through the often-frustrating world of insurance, referrals, and prior authorizations. The insurance verification and prior authorization specialist is a vital member of the Retina Consultants team and works in conjunction with the clinical, billing, and front desk team to verify insurances and obtain authorizations for procedures.

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.

Requirements

• Promote and model an atmosphere of respect for human dignity and the uniqueness of each person encountered in the practice.
• Communicate pleasantly and in a manner that optimizes service excellence.
• Ensure positive and professional impression of the clinic.
• Demonstrate proactive, professional communication across and within department to facilitate smooth workflow, and to ensure department is positively represented throughout the organization
• Must be excellent at multitasking
• Strong communicator with ability to problem solve and take initiative
• Must be very detail oriented and organized
• Ability to focus and work quickly

Qualifications

• High school or equivalent (Required)
• Working knowledge of insurances, referrals, and prior authorizations