Prior AuthorizationInsurance Specialist

Talley Eye Institute; Evansville (IN); On-site; USD 40,000 - 60,000; Full time

Benefits offered by this job

Health insurance

Paid time off

Parental leave

401(k)

401(k) matching

Dental insurance

Vision insurance

Aflac

Health Clinic

Vacation

PTO - Day 1 of Employment

Paid Holidays

Family friendly atmosphere

Job summary

Talley Eye Institute is seeking an Insurance Specialist in the Billing department to manage injection authorizations, benefits verification, and patient out-of-pocket expense counseling. The role emphasizes thorough financial checks and effective communication with patients and providers.

Ideal candidates will have a high school diploma with at least two years in medical office/insurance experience, strong organizational and follow-up skills, and the ability to work as part of a team in a

Qualifications

• High school diploma or equivalent.
• Two years minimum experience in medical office; insurance experience preferred.
• Excellent communication skills, written and oral.
• Strong organization skills with attention to detail.
• Excellent follow-up skills.
• Management of multiple tasks simultaneously.
• Ability to work as a team player.

Responsibilities

• Injection authorizations: works with retina technicians and physicians on determining which medications the patient can have vs. which ones will require a sample or prior authorization.
• Performs a thorough benefits investigation when injections are recommended for treatment.
• If needed, obtain prior authorizations for injections by contacting third party payors via fax or other TEI approved methods.
• Heavy phone contact communication.
• Patient assistance programs: enroll patients in assistance programs as needed; coordinate with RCM to prevent erroneous billing for out-of-pocket expenses.
• Additional Duties: streamline benefits processes with administration; assist front office personnel; respond to billing inquiries and balances; perform other duties as assigned.

Skills

Medical billing

Insurance verification

Communications

Team player

Education

High school diploma or equivalent

Two years minimum medical office/insurance experience

Job description

Benefits:

Health insurance

Paid time off

Parental leave

401(k)

401(k) matching

Dental insurance

POSITION: Insurance Specialist

DEPARTMENT: Billing

REPORTS TO: Billing Manager

Job Summary:

This individual is responsible for injection authorization, checking insurance benefits, and out of pocket expenses.

Education and Experience:

1. High school diploma or equivalent.


2. Two years minimum experience in medical office, insurance experience preferred.

Essential Skills and Abilities:

1. Excellent communication skills, written and oral.


2. Strong organization skills with attention to detail.


3. Excellent follow‑up skills.


4. Management of multiple tasks simultaneously.


5. Ability to work as a team player.

RESPONSIBILITIES:

1. Injection authorizations:

a. Works with retina technicians and physicians on determining which medications the patient can have vs. which ones will require a sample or prior authorization.

b. Performs a thorough benefits investigation on patients when injections are recommended for treatment.

c. If needed, obtain prior authorizations for injections by contacting third party payors via fax or other TEI approved methods.

d. Heavy phone contact communication.

1. Patient assistance programs

a. Work directly with patients and staff to get patients signed up for payment assistance programs, including Good Days, CDF, etc.

b. Enroll patients in assistance programs as needed.

c. Work with other individuals in RCM department to ensure that patients are not erroneously billed for out‑of‑pocket expense.

1. Additional Duties

a. Work with administration and supervisor to look for ways to make processes work more smoothly and reduce the opportunity for errors in the benefits process.

b. Assist front office personnel as necessary

c. Answer billing line when available to help patients with balances and other issues

d. Other duties as assigned.

Excellent Benefits

Health, Dental, Vision, 401K, Aflac, Health Clinic, Vacation

PTO - Day 1 of Employment

Paid Holidays

Family friendly atmosphere

Salary commensurate with experience.