RCM/OPH Insurance Verification Specialist

RCM/OPH Insurance Verification Specialist

Belleville, IL

EyeCare Partners is the nation's leading provider of clinically integrated eye care. Our national network of over 300 ophthalmologists and 700 optometrists provides a lifetime of care to our patients with a mission to enhance vision, advance eye care and improve lives. Based in St. Louis, Missouri, over 650 ECP-affiliated practice locations provide care in 18 states and 80 markets, providing services that span the eye care continuum.

Job Title: Insurance Verification Specialist

Must reside in the following states: AL, AZ, FL, GA, IL, IN, KS, KY, MI, MN, MO, NC, NJ, OH, OK, PA, TX, VA

Job Summary

As a member of the Revenue Cycle Management Team, the Insurance Verification Specialist is responsible for all aspects of insurance verification. This position will complete pre-registration processes and communicate pertinent appointment information to Front Desk, Patient Intake Specialists, the Prior Authorization Department, or the Clinic, as needed.

Duties and Responsibilities

Obtain information about patient insurance coverage, benefits and eligibility

Maintain strict confidentiality in accordance with HIPAA regulations and Company/Clinic requirements

Provide support to all departments and patients regarding insurance questions related to eligibility and benefits.

Answer incoming and transferred calls from patients regarding the pre-registration process.

Prepare patient appointments for a smooth and efficient check-in process on the day of the appointment.

Adheres to all safety policies and procedures in performing job duties and responsibilities while supporting a culture of high quality and great customer service.

Performs other duties that may be necessary or in the best interest of the organization.

Education, Licensure & Certification Requirements

High School Diploma or GED

Experience Requirements

At least one (1) year medical office experience required; Medical office/front desk experience preferred

Knowledge, Skills and Abilities Requirements

Comprehensive understanding of insurance verification, Ability to enter data into various electronic systems while maintaining the integrity and accuracy of the data

Ability to perform essential job function with high degree of independence, flexibility, and creative problem-solving techniques

Ability to function effectively under stress of conflicting demands on time and attention, while successfully meeting deadlines

Ability to maintain control of a call de-escalating issues and instilling confidence that a resolution will be found

Logical and Critical thinking skills

Excellent organization, time management, and prioritization skills

Professional in appearance and actions

Enjoys 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

Interpersonal skills to support customer service, functional, and teammate support need

Able to communicate effectively in English, both verbally and in writing with sufficient grammar and spelling skills to avoid mistakes or misinterpretations

Basic to intermediate computer operation

Proficiency with Microsoft Excel, Word, and Outlook

Knowledge of state and federal regulations for this position; general understanding of HIPAA guidelines

Location/Work Environment

For on-site team members, work takes place in a normal office/clinical environment. Travel to other locations may be necessary to fulfill the essential duties and responsibilities of the job. Thus, those needing to travel for work must have access to dependable transportation, and their driving record must meet company liability carrier standards. For remote team members, HIPAA compliant home office environment. Ability to work in a remote environment while performing required duties and remaining patient focused. Able to work varying shifts including early mornings/evenings to attend meetings and cross training or support other initiatives.

If you need assistance with this application, please contact View phone number on click.appcast.io 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. NOTE: Job descriptions are intended to be accurate reflections of those principal job elements essential for making fair pay decisions about jobs. Nothing in this job description restricts management right to assign or reassign duties and responsibilities to this job at any time.