Patient Eligibility Coordinator

Overview

At Vision 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.

Required Experience:

IC