Ophthalmology Authorization Specialist — On-Site, Great Pay

Eye-Site-of-Tampa-Bay; Clearwater (FL); On-site; USD 36,000 - 54,000; Full time

Benefits offered by this job

PTO

Health insurance

Dental insurance

401k

Job summary

Eye Site of Tampa Bay is seeking an Authorization Specialist for an on-site, full-time role in Clearwater. The candidate verifies insurance eligibility, secures referrals and prior authorizations, and assists in front desk, optical and billing tasks.

The position emphasizes accurate communication with patients and payers in a fast-paced ophthalmology environment. You will use Availity, UHC/Humana Military portals and a Nextech/MDI PM system.

Qualifications

• Experience in insurance eligibility, prior authorizations and referrals in a health care setting.
• Knowledgeable in use of Availity, UHC Provider/Humana Military websites.
• Knowledgeable of CPT/ICD-10 coding; ophthalmology experience, a plus.
• Detail-oriented with excellent organizational and time management skills.
• Excellent communication skills, both verbal and written.
• Proficiency with Microsoft Word and Excel.
• Positive attitude and demeanor.
• Ability to work in a fast-paced environment.

Responsibilities

• Verify insurance eligibility and benefits using Availity and payer sites.
• Obtain routine eye benefit authorizations.
• Contact carriers to verify coverage and limits.
• Initiate financial agreements for high-deductible plans and co-insurances.
• Obtain appropriate prior authorizations for date of service and procedures.
• Notify patients of balance due and explain coverage limits.
• Document all communications in the Practice Management system.
• Provide coverage for Front Desk and assist in billing projects.
• Support team in research and resolution of claim issues.

Skills

Insurance eligibility

Prior authorizations

Referrals

Detail-oriented

Communication

Tools

Availity

UHC Provider/Humana Military

Nextech/MDI

Microsoft Word

Excel

Job description

Eye Site of Tampa Bay is seeking an Authorization Specialist for an on-site, full-time role in Clearwater. The candidate verifies insurance eligibility, secures referrals and prior authorizations, and assists in front desk, optical and billing tasks.

The position emphasizes accurate communication with patients and payers in a fast-paced ophthalmology environment. You will use Availity, UHC/Humana Military portals and a Nextech/MDI PM system.