Insurance Verification Specialist

Join Nielsen Eye Center as an Insurance Verification Specialist.

Job Title: Insurance Verification Specialist
Reports To: Director of Billing
Work Location: Quincy, MA 02169
Pay Range: $19 - $22 per hour

The Insurance Verification Specialist ensures accurate insurance coverage verification for patients, liaises with insurance providers, confirms eligibility, secures prior authorizations, and facilitates billing and reimbursement processes while maintaining compliance with privacy regulations.

• Verify insurance eligibility and coverage details.
• Obtain prior authorizations for required medical services.
• Communicate effectively with patients regarding coverage and out-of-pocket expenses.
• Support claims submission by gathering patient and insurance data.
• Input and maintain accurate patient and insurance data in the electronic health record (EHR) system.
• Interact with insurance portals and resolve billing discrepancies.
• Assist the billing department with additional administrative tasks and special projects.
• Adhere to HIPAA regulations and maintain patient confidentiality.

• Knowledge of health insurance plans and benefits.
• Strong communication skills with patients and insurers.
• Attention to detail and organizational ability.
• Proficiency with EHR systems and general computer use; familiarity with online insurance portals is a plus.
• High school diploma or equivalent.
• Minimum 1 year of experience in a healthcare environment (e.g., clinic, hospital front office, or insurance role).

• Seniority level:
  Entry level
• Employment type:
  
  Full-time
• Job function:
  Other
• Industries:
  Medical Practices