Optometry Benefits Verification Specialist

ExcelHealth Group; Murfreesboro (TN); On-site; USD 38,000 - 52,000; Full time

Job summary

ExcelHealth Group is seeking a highly organized Benefits Verification Specialist for an in-person role to ensure accurate eligibility checks and timely communications, supporting a seamless patient experience.

You will verify benefits, plan details, and prior authorizations, while documenting outcomes and coordinating with billing and scheduling to improve patient access and reduce delays.

Qualifications

• Excellent verbal and written communication skills.
• Exceptional attention to detail and organization.
• Ability to manage multiple priorities in a fast-paced environment.
• Proactive, solution-oriented approach with strong follow-through.
• High school diploma or equivalent required.

Responsibilities

• Verify patient eligibility, insurance benefits, plan details, and coverage requirements with accuracy and timeliness.
• Determine prior authorization, referral, and documentation requirements before services are scheduled or delivered.
• Communicate professionally with payers, patients, providers, and internal teams to clarify coverage and prevent delays.
• Maintain thorough documentation of verification outcomes, authorization numbers, payer communications, and patient responsibility information in designated systems.
• Partner with billing, scheduling, and operations to support clean handoffs and reduce denials.

Skills

Attention to detail

Communication

Organization

Proactive problem solving

Education

High School Diploma or GED

Tools

Payer portals

Electronic Health Records (EHR)

Practice management systems

Spreadsheets

Job description

Description

ExcelHealth Group is seeking a highly organized and detail-oriented Benefits Verification Specialist to join our team in an in-person capacity. This role is well suited for a healthcare administrative professional who understands the importance of accuracy, timely communication, and proactive follow-through in supporting a seamless patient experience.

What You’ll Do

• Verify patient eligibility, insurance benefits, plan details, and coverage requirements with accuracy and timeliness.
• Determine prior authorization, referral, and documentation requirements before services are scheduled or delivered.
• Communicate professionally with payers, patients, providers, and internal teams to clarify coverage, resolve questions, and prevent avoidable delays.
• Maintain thorough documentation of verification outcomes, authorization numbers, payer communications, and patient responsibility information within designated systems.
• Partner with billing, scheduling, and operations teams to support clean handoffs, reduce denials, and improve the overall patient access process.
• Monitor outstanding items, follow up consistently, and elevate complex issues as appropriate.

What We’re Looking For

• Previous experience in insurance verification, eligibility review, prior authorization, patient access, medical billing, credentialing, or healthcare administration is preferred.
• Exceptional attention to detail, organization, and ability to manage multiple priorities in a fast-paced environment.
• Proficiency with payer portals, electronic health records, practice management systems, spreadsheets, and related digital tools.
• Excellent verbal and written communication skills, with the ability to interact professionally by phone, email, and in person.
• A proactive, solution-oriented approach with strong follow-through and sound judgment.
• High school diploma or equivalent required; additional coursework or experience in healthcare administration is a plus.

Why Join ExcelHealth Group?

• Join a growing healthcare organization committed to improving access, coordination, and service quality.
• Work within a collaborative, professional team environment that values accuracy, accountability, and initiative.
• Contribute directly to patient access, provider workflows, and revenue-cycle performance.
• Develop valuable experience across healthcare operations, payer processes, and patient support functions.
• Be part of an in-person workplace that encourages communication, teamwork, and hands-on collaboration.

Requirements

• Previous experience in insurance verification, eligibility review, prior authorization, patient access, medical billing, credentialing, or healthcare administration is preferred.
• Exceptional attention to detail, organization, and ability to manage multiple priorities in a fast-paced environment.
• Proficiency with payer portals, electronic health records, practice management systems, spreadsheets, and related digital tools.
• Excellent verbal and written communication skills, with the ability to interact professionally by phone, email, and in person.
• A proactive, solution-oriented approach with strong follow-through and sound judgment.
• High school diploma or equivalent required; additional coursework or experience in healthcare administration is a plus.

Why Join ExcelHealth Group?

• Join a growing healthcare organization committed to improving access, coordination, and service quality.
• Work within a collaborative, professional team environment that values accuracy, accountability, and initiative.
• Contribute directly to patient access, provider workflows, and revenue-cycle performance.
• Develop valuable experience across healthcare operations, payer processes, and patient support functions.
• Be part of an in-person workplace that encourages communication, teamwork, and hands-on collaboration.