Insurance Verification Specialist

St. Luke's Cataract & Laser Institute; Tarpon Springs (FL); On-site; USD 38,000 - 48,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Life insurance

401(k) with employer match

Paid time off

Holiday pay

Career advancement opportunities

Weekday schedule

Job summary

St. Luke's Cataract & Laser Institute in Tarpon Springs, FL is seeking a full-time Insurance Verification Specialist to join our Revenue Cycle team. You will verify patient eligibility, determine coverage, and advise patients on their financial responsibilities before procedures.

A strong customer-service orientation and ability to work in a team are essential. The role requires familiarity with medical insurance concepts, payer guidelines, and basic Microsoft Office skills.

Qualifications

• Solid understanding of medical insurance including deductibles, copays and coinsurance.
• Experience verifying and processing Medicare, Medicaid and major commercial plans.
• Experience with provider referrals and prior authorization requests.
• Knowledge of ICD-10 codes and medical terminology.
• Ability to communicate with insurance companies to provide supporting documentation.
• Strong interpersonal skills; able to multi-task in a team.
• Proficiency with Microsoft Office applications.

Responsibilities

• Verify patient eligibility via payer websites or phone to determine coverage and patient responsibility.
• Add or update patient insurance in the EHR.
• Ensure complete information in patient accounts including authorizations from payer/PCP.
• Must be mobile in an office setting (sitting, standing, walking, bending).
• Perform general duties as required or assigned.

Skills

Insurance verification

Customer service

Communication

Microsoft Office

Teamwork

Flexibility

Tools

Microsoft Excel

Microsoft Word

Microsoft Outlook

Job description

Insurance Verification Specialist

St. Luke's Cataract & Laser Institute is looking to hire a full-time Insurance Verification Specialist to join our team at our Tarpon Springs location!

Company Mission

“Life Changing Vision” is a mission statement we adhere to in every aspect of our care giving, from the moment a patient walks through our doors to the follow-up care they receive. We are committed to helping our patients attain overall wellness in body, mind, and spirit.

Job Description:

The Insurance Verification Specialist reporting to the Revenue Cycle Supervisor is responsible for insurance verification for clinic and outpatient surgery appointments, ability to counsel patients regarding their financial cost share for procedures and collecting payment prior to procedures. The ideal candidate will be comfortable in working in a team environment; flexibility when accepting work and has a strong customer service focus to effectively interact with patients, doctors, staff, and management.

Job Duties:

• Verify patient eligibility via payer websites or telephone to determine coverage of benefits and to calculate patient responsibility for services scheduled
• Adds or updates patient insurance primary and/or secondary insurance in EHR
• Ensure complete and accurate information maintained in patient account including authorization or referral received from payer or Primary Care Physician
• Must be mobile in an office setting, sitting, standing, walking, and bending
• Perform general duties and other functions as required or assigned

The Benefits of working for St. Luke’s

• Medical, Dental, Vision, Life Insurance, 401(k) with Employer Match, Paid Time Off, and Holiday Pay
• Opportunity to build a career with a longstanding, reputable organization
• Leadership and Career Advancement opportunities
• Competitive wages and certification bonuses
• Monday – Friday work week
• Weekends and Holidays off

See more benefits at http://www.stlukeseye.com/careers/benefits/

About St. Luke’s

For 50 years, the St. Luke’s practice has employed state-of-the-art diagnostic and therapeutic equipment, while delivering on a long-standing reputation for excellence and outstanding patient care.

Our home office is in Tarpon Springs, with additional locations in Spring Hill, St. Petersburg, Tampa, Clearwater, and The Villages. We offer onsite surgical care at our Tarpon Springs, Clearwater, and The Villages locations. In addition to our multi-specialty ophthalmology practice, our service lines include plastic surgery, aesthetic skin care and hearing services.

We are an Equal Opportunity Employer and a Drug Free Workplace

We participate in E-Verify

Requirements

• Solid understanding of medical insurance including deductibles, copay and coinsurance is highly preferred
• Previous experience with verifying and interrupting medical befits for Medicare, Medicaid and major commercial health insurance and secondary payers required
• Previous experience processing provider referrals and prior authorization requests
• Understanding of medical terminology and ICD-10 codes and Diagnosis preferred
• Familiar with individual payer guidelines and authorization/referral requirements based on insurance plans and if needed communicate with insurance companies via phone and/or website to provide any supporting clinical documentation needed to complete the authorization process
• Strong people skills required; diplomatic, patient, flexible and able to multi-task and be cross trained on all functions within the Insurance Verification Department
• Working knowledge of Microsoft Suite including Excel, Word, Outlook.