Insurance Verification Specialist Job in Tyler, TX

at EyeCare Associates of East Texas

Title: Insurance Verification Specialist 
Company: Eyecare Associates of East Texas
Location: Tyler, TX

Perks:

  • Full Benefits Package - Medical, Vision, Dental and Life Insurance
  • 401k + Employer Matching
  • Paid Time Off and Paid Holidays
  • Paid Maternity Leave
  • Optical Education Reimbursement
  • Competitive Base Pay

Hours:

  • Full Time
  • Our office is open Monday-Friday 7am-8pm. You must have open availability to work any shift within these hours. You may need to work a little earlier/later as needed.

Requirements:

  • High School Diploma or GED Equivalent
  • Favorable result on Background Check
  • Strong experience in insurance: authorizations, referrals, eligibility, co-pays, etc. 
  • Basic computer skills
  • Strong customer service skills
  • Excitement to learn and grow 

 


Job Summary (Summary of the basic functions of the position):

The Insurance Verification/Eligibility Representative ensures that patient insurance records are up to date and documented appropriately prior to daily exams/procedures to ensure a smooth and timely billing process.

Duties and Responsibilities (Responsibilities necessary to accomplish job functions):

  • Request, obtain, and document all patients’ insurance verification/eligibility appropriately and in a timely manner excluding Tri-West, Medicaid, and DARS, which is currently performed by the Revenue Cycle Management (RCM) team.
  • Run system-generated reports daily to verify all patients for each day have been handled.
  • Provide assistance for the Front Desk with any and all insurance inquiries.
  • Provide Technicians the information needed when “day of” procedures are ordered by the Doctor. In addition to verification of coverage for these in-office procedures, speaking to the patient regarding any additional OOP will also be required.  If we are unable to provide the procedure “day of”, the authorization needed request will be turned over to the RCM team.
  • Serve as back-up for the Front Desk.
  • Maintain the strictest confidentiality in accordance with HIPAA regulations and clinic requirements.
  • Adhere to all safety policies and procedures in performing job duties and responsibilities while supporting a culture of high quality and great customer service.
  • Perform other duties that may be necessary or in the best interest of the organization.

 
Education, Licensure and Certification Requirements

  • High school diploma or general education degree (GED) required.

Knowledge, Skills and Abilities Requirements

  • 2+ years of experience completing medical authorizations.
  • Comprehensive understanding of insurance verification, contract benefits and medical terminology.
  • Professional in appearance and actions.
  • Logical and Critical thinking skills.
  • Customer-focused with excellent written, listening and verbal communication skills.
  • Infatuation with learning new technologies and systems.
  • Detail-oriented, professional attitude, reliable.
  • Exhibits a positive attitude and is flexible in accepting work assignments and priorities.
  • Meets attendance and tardiness expectations.
  • Management and organizational skills to support the leadership of this function.
  • Ability to follow or provide verbal and written instructions with sufficient grammar and spelling skills to avoid mistakes or misinterpretations.
  • Interpersonal skills to support customer service, functional, and teammate support need.
    • Able to communicate effectively in English, both verbally and in writing
  • Mathematical and/or analytical ability for basic to intermediate problem solving.
  • Basic to intermediate computer operation.
    • Proficiency with Microsoft Excel, Word, and Outlook
  • Travel to other site locations may be necessary. Thus, those needing to travel for work must have access to dependable transportation, and driving record must meet company liability carrier standards.
  • Specialty knowledge of systems relating to job function.
  • Knowledge of state and federal regulations for this position; general understanding of HIPAA guidelines.

Physical Demands

  • The employee is frequently required to stand, walk, and sit.
  • While performing the duties of this job, the employee is regularly required to use hands to finger, handle, or feel.
  • up to 25 pounds. 
  • Specific vision abilities required by this job include close vision, color vision, peripheral vision, depth perception, and ability to adjust focus.

 

 

If you need assistance with this application, please contact (636) 227-2600. Please do not contact the office directly – only resumes submitted through this website will be considered.

 

EyeCare Partners is an equal opportunity/affirmative action employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.