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    Benefit Verification Specialist - Bellaire, Texas, United States - Eye Center of Texas

    Eye Center of Texas
    Eye Center of Texas Bellaire, Texas, United States

    1 week ago

    Default job background
    Permanent Human Resources
    Description

    Company Overview:
    Eye Center of Texas has 6 Board Certified Ophthalmologists and 8 Therapeutic Optometrist with 6 locations.

    Our nationally renowned physicians, combined with the most advanced medical technology, gives us the opportunity to offer our patients the highest caliber of care.

    We offer comprehensive medical and surgical care, including laser cataract surgery, LASIK, vision correction, glaucoma, retina and vitreous disease treatments and more.


    Position Summary:
    The Benefits Verification Specialist 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.


    Responsibilities:
    Collects and reviews all patient insurance information needed to complete the benefit verification process for multiple entities.


    Verifies patient specific benefits and precisely documents specifics for various payer plans including patient coverage, cost share, and access/provider options according to Program specific SOPs.

    Verification process could include electronic validation of pharmacy coverage and medical eligibility.

    Identifies any restrictions and details on how to expedite patient access.

    Could include documenting and initiating prior authorization process, claims appeals, etc.

    Completes quality review of work as part of finalizing product.

    Reports any reimbursement trends/delays to supervisor.

    Performs related duties and special projects as assigned.

    Ability to work in a fast-paced office environment.

    Contributes to the team effort by completing other tasks/projects as needed.


    Qualifications:
    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


    Company Benefits:
    We offer a competitive benefits package to our employees:

    Medical

    Dental

    Vision

    401k w/ Match

    HSA/FSA

    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.


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