US Eye · 4 hours ago
Retina Financial Counselor
Venice, FL
Full-time
Hybrid
New Grad, Entry LevelUS Eye is seeking a Retina Financial Counselor to assist with insurance verification and patient financial support. The role involves verifying insurance eligibility, obtaining authorizations, and providing financial counseling for retina services.
EyewearHealth CareLaser
Responsibilities
Verify insurance eligibility and benefits for all Retina Provider appointments to include injections, surgery, procedures, or office visit based upon the type of event scheduled
Maintaining retina schedule at a minimum of 14 days prior to date of service
Obtain authorization, referral or pre-determination for the retina service that is scheduled
Patient estimation & pre-service collections, determining out of pocket amount due from patient for the retina service that is scheduled and contacting the patient in advance of the scheduled service to collect the patient responsibility amount
Notate copays, deductibles, and prior balances to be collected
Identify patients that may benefit from co-pay assistance and facilitate submission of application and shipping with various funding organizations
Document insurance eligibility verification and authorization, referral, or pre-determination activities in NextGen appointment details and complete insurance verification templates
Document patient assistance activities in NextGen tasking
Monitor services actually performed to identify if a different service was provided, so that an amended or new prior authorization, referral or pre-determination can be obtained
Answer Financial Counselor queue
Assist Clinical Teams with same day inquiries
Adherence to applicable laws, regulations, and contractual obligations. Follows the principles of the Company’s Compliance Program as well as the Code of Conduct
Assisting the clinical staff with authorization and balance questions (approval to proceed with same-day drug changes or sample, etc.)
Assisting the clinical staff with Valeda Light Therapy financing options, collecting payments from patients, scheduling patient appointments
Maintaining primary duties at least 80% of each scheduled day on-site
Qualification
Required
A high school graduate or equivalent
Proficient in computer and typing
Knowledge of Microsoft Office products (Word, Excel)
Excellent customer service skills in phone, person or via email
Ability to manage multiple, ongoing tasks while maintaining professional composure
Have an understanding of insurance and medical terminology
Preferred
Bachelor's Degree
Company
US Eye
US Eye is an eye care services delivered through a vertically-integrated ophthalmology.
Founded in 2019
1001-5000 employees
Funding
Current Stage
Late StageTotal Funding
unknownKey Investors
Pamlico Capital
2019-07-16Private Equity
Leadership Team
Brad Logan
Board Member & Chief Executive Officer
Michael Ames
Chief Financial Officer
Recent News
Company data provided by crunchbase