Insurance Verification Specialist Job at Commonwealth Eye Surgery, Lexington, KY

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  • Commonwealth Eye Surgery
  • Lexington, KY

Job Description

Job Description

Job Description

Salary: $16-$24/hour

Job Summary:

Responsible for obtaining insurance benefits for patients; calculate amount due on day of surgery, send letters regarding costs to patients and call per protocols.

Education and Experience:

  • High school diploma or equivalent.
  • Two years minimum experience in customer service
  • Healthcare billing representative or medical receptionist experience a plus. If you do not have this experience, please note in your cover letter why you are interested in this field.
  • Excellent communication skills, written and oral.
  • Mathematical and analytical problem-solving ability.
  • Type 40+ WPM.
  • Strong computer skills.
  • Well-organized with attention to detail.
  • Excellent follow-up skills.
  • Ability to manage multiple tasks simultaneously.
  • Ability to work as a team player.

Primary Responsibilities

  • Review plan for upcoming surgeries to determine upgrades, analyze insurance benefits to determine patient cost prior to care, and additional assignments as determined by Billing Manager.
  • Notify patients of their estimated out of pocket cost at least two weeks prior to surgery to ensure prompt payment on the day of surgery.
  • Ensure necessary information is transmitted to the front office including patient responsibilities for dates of service in both practice and ASC regarding co-pays and outstanding balances.
  • Run schedules and create fee slips for both offices.
  • Edit and confirm all insurance card information into the system prior to claims submission.
  • Prepare and enter all facility surgery sheets for Nonpractice surgeons.
  • Take billing calls from patients.
  • Solve revenue cycle issues related to both the practice and outpatient facility.
  • Perform other duties, as required.
  • Work on insurance denials and appeals.
  • Collect patient payment or set-up payment plans for patients.
  • Cover other positions in the billing department when necessary.
  • Secondary Responsibilities
  • Perform other duties, as required.
  • Set-up payment plans for patients.

  • Cover other positions in billing during vacation time.

Security Clearance: Intermediate

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