Benefit Verification Specialist (Onsite)

Retina Care Specialist of Florida offers state-of-the-art vitreoretinal care, all physicians have trained at the most renowned and respected retina and ophthalmology programs in the world. This practice offers various Diagnostic Procedures as well as focusing on disorders of the eye.

The Benefits Verification Specialist (OnSite) will contact insurance companies, on behalf of the physician’s office, to verify patient specific benefits. The Benefits Verification Specialist will ask appropriate questions regarding patient’s benefits and complete data entry and/or appropriate forms to document patient’s benefits coverage.

Our growing practice has an opening for a full time, experienced insurance verification and preauthorization specialist who will be responsible for providing patients, physicians and staff with insurance benefit information prior to patient appointments. This position is integral to our practice’s success and requires the ideal applicant to be self-motivated and organized.

RESPONSIBILITIES INCLUDE, BUT ARE NOT LIMITED TO:

• Verifies insurance benefits and secures prior authorizations as dictated by the patient’s insurance plan.
• Completes appropriate payor forms related to notification and authorization.
• Coordinates the submission of clinical documentation from physicians to payers for authorization.
• Processes all medical records requests received from payers and patients.
• Calculates accurate patient financial responsibility.
• Communicates timely with the business office supervisor, physicians and front office staff
• regarding patient co-payments and deductibles.  Interprets complex payer coverage information including, but not limited to, network participation status with provider, limited plan coverage and inactive benefits.

• Minimum of one year of healthcare facility, provider, or payer benefits verification experience or another related field or equivalent experience required
• Prior electronic medical records experience required (EMR/EHR)
• Must possess strong ethics and a high level of personal and professional integrity
• Intermediate computer skills including Microsoft Office (preferably Word and Excel)
• Excellent interpersonal skills including the ability to interact effectively and professionally with individuals at all levels; both internal and external
• Exercises sound judgment in responding to inquiries; understands when to route inquiries to next level.
• Self-motivated with strong organizational skills and superior attention to detail
• Work requires focus, flexibility, and the ability to adapt to changing work situations.
• Team player that develops strong collaborative working relationships with internal partners and can effectively engage and ability to build consensus among cross-functional teams

We offer a competitive benefits package to our employees:

• Medical
• Dental
• Vision
• 401k w/ Match
• HSA/FSAe
• Telemedicine
• Generous PTO Package

We also offer the following benefits for FREE:

• Employee Discounts and Perks
• Employee Assistance Program
• Group Life/AD&D
• Short Term Disability Insurance
• Long Term Disability Insurance

EyeSouth Partners, is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.