Surgical Insurance Verification Specialist

Job Summary

Under the direction of the Director of the Business Office, support the daily operations of the clinic’s surgery counselors. Responsibilities include verifying patient benefits and communicating coverage details, entering insurance information into the system, ensuring accuracy of the surgery schedule, obtaining surgery authorizations and pre determinations, coordinating information with offsite facilities, and collecting payments.

• Minimum of 1 year surgical insurance verification
• Minimum 1 year retrieving authorizations experience
• General knowledge of insurance verification

None Required

High School Diploma or equivalent

• Verify insurance benefits for surgery patients and relay the information to patient before surgery
• Input insurance information into template and mail out to patient. Input insurance information into patient’s chart.
• Assist with day-to day clinic operations relating to insurance verification for, but not limited to:
  Cataracts, pediatric cases, glaucoma, and YAG surgeries, and oculoplastic
• Retrieve predeterminations and authorizations for surgery cases
• Attendance/Punctuality and Reliability
• Fulfillment of Core Values
• All other duties as assigned

• Must obtain Next Gen or other similar medical office software
• Basic keyboarding
• Knowledge of practice management software
• Must be able to type 20 WPM
• General office equipment
• Positive attitude
• Dependable, multi-task oriented
• Excellent communication skills
• Organized Excellent phone skills

• Affordable Health and Dental
• Vision Care
• Life Insurance
• PTO
• 401K