Patient Eligibility Coordinator

careers-visioninnovation-partners; Annapolis (MD); On-site; USD 42,000 - 55,000; Full time

Benefits offered by this job

Competitive compensation

Comprehensive benefits

401(k)

Eye care discounts

Education allowances

Career growth

PTO and holidays off

Job summary

AtVision Innovation Partners is seeking a Patient Eligibility Coordinator to verify insurance benefits and secure financial clearance before appointments. You will work closely with front desk teams and clinical staff to ensure accurate coverage details are recorded and communicated to patients.

The role emphasizes accurate data entry, adherence to HIPAA, and collaboration with billing and financial counselors to manage denials and complex cases.

Qualifications

• 2+ years of insurance verification experience in a healthcare setting.
• Knowledge of commercial, Medicare, Medicaid payor rules.
• Experience with EMR systems and insurance portals.
• Strong communication skills to explain coverage to patients and staff.
• High attention to detail and ability to meet deadlines.
• Maintain confidentiality and comply with HIPAA regulations.

Responsibilities

• Verify patient eligibility and benefits for all upcoming appointments using payer portals and PM tools.
• Confirm coverage details including copayments, plan limitations/participation and referral/authorization requirements.
• Identify insurance discrepancies or inactive coverage and communicate needed corrections.
• Notify patients in advance regarding estimated out-of-pocket costs when applicable.
• Explain insurance coverage limitations and payment expectations; collaborate with financial counselors for high-cost cases or self-pay options.
• Accurately update patient insurance details, policy numbers, and coverage notes in the system; ensure encounters are financially cleared prior to service.

Skills

Insurance verification

Patient access experience

Communication skills

Attention to detail

HIPAA compliance

Payer rules knowledge

Education

Healthcare experience

Tools

EMR systems

Job description

Overview

AtVision Innovation Partners, we exist to protect and restore vision. Because Vision is our Mission, everyone at VIP focuses on providing great patient outcomes and experiences. A career at VIP provides opportunities for growth and development, and a culture centered on our Shared Values – PATIENTS.

The Patient Eligibility Coordinator is responsible for verifying patient insurance benefits prior to scheduled appointments. This role ensures accurate insurance information is obtained and documented to support clean claim submission, reduce denials, and improve front-end revenue cycle performance. The Patient Eligibility Coordinator works closely with front desk staff, clinical teams, billing, and patients to ensure financial clearance

Responsibilities

What You Will Do:

Insurance Verification

• Verify patient eligibility and benefits for all upcoming appointments using payer portals and PM tools.
• Confirm coverage details including copayments, plan limitations/participation and referral/authorization requirements.
• Identify insurance discrepancies or inactive coverage and communicate needed corrections.

Patient Communication

• Notify patients in advance regarding estimated out-of-pocket costs when applicable.
• Explain insurance coverage limitations, non-covered services, and payment expectations.
• Collaborate with financial counselors for high-cost cases or self-pay options.

Data Entry & Documentation

• Accurately update patient insurance details, policy numbers, subscriber information, and coverage notes in system.
• Maintain documentation of verification results.
• Ensure all encounters are financially cleared prior to the date of service.

Denial Prevention & Revenue Cycle Support

• Work with billing teams to resolve issues related to insurance setup, eligibility, or authorization related denials.
• Identify trends in recurring insurance issues and recommend process improvements.
• Collaborate with front desk and registration to reduce errors in patient intake.

Qualifications

What You Will Bring:

• 2+ year of insurance verification, patient access experience in a healthcare setting.
• Knowledge of commercial, Medicare, Medicaid payor rules.
• Experience with EMR systems and insurance portals.
• Strong communication skills – able to clearly explain coverage details to patients and staff.
• High attention to detail, accuracy, and ability to meet tight deadlines.
• Maintain confidentiality and comply with HIPAA regulations at all times.
• Stay current on payer policy changes, authorization rules, and portal updates.
• Meet department productivity, accuracy, and turnaround time standards.

Education and/or Experience

• 2+ year of insurance verification, patient access experience in a healthcare setting.
• Knowledge of commercial, Medicare, Medicaid payor rules.
• Experience with EMR systems and insurance portals.

What we offer:

• Competitive compensation package
• Excellent comprehensive benefits
• 401(K)
• Significant eye care discounts
• Continuing education allowances
• Career growth and development
• PTO and holidays off

We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.