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NVISION Eye Centers · 3 months ago

Verification Specialist

Aliso Viejo, CA

Full-time

Onsite

Entry Level

$21/hr - $25/hr

1+ years exp

NVISION Eye Centers is one of the largest ophthalmology providers in the U.S., dedicated to providing the best patient experience through the use of the latest technology. The Verification Specialist is responsible for insurance verification, maintaining patient records, and ensuring compliance with HIPAA regulations while promoting a favorable image of the Center.

EyewearHealth CareMedical

Responsibilities

Reviews and maintains records to ensure accuracy

Enters data electronically to process patient information

Maintains all patient records

Abstract clinical information from a variety of medical records

Maintains strictest confidentiality and adheres to all HIPAA guidelines and regulations

Manages proper submission of documents in a timely fashion

Attends in-services, seminars, and webinars for additional education and performance improvement

Reviews insurance benefits and insurance requirements on all new patients prior to surgery

Verification of medical benefits, which includes contacting private insurance companies, Medicare, and Medicaid to obtain benefit information-facility fees, at risk (DOFR) (phone or electronically)

Determines if the patient can be seen at the ASC based on their insurance coverage

Runs calculations for cost share analysis for case scheduling

Meets/calls patients regarding their insurance benefits and out of pocket responsilbilities

Works with the Physician practice to coordinate benefits and upfront collections where needed

Completes verification in a timely manner to allow time for patient liability calls-at least 1 week in advance

Contacts patients with patient liability information

Makes arrangements for patient payments based on center guidelines

Enters in all deductibles, co ins and OOP in the Insuance tab in HST

Strong knowledge of Microsoft Excel and Outlook

Attends all required education

Regular and predictable attendance

Performs other duties as assigned

Qualification

Insurance verificationBillingCodingMedical records managementMicrosoft ExcelPatient communicationBasic computer skillsEthical characterEnglish language proficiency