Insurance Verification and Authorization Specialist

Orion Eye Center

Job Title: Insurance Verification and Authorization Specialist

Schedule: Monday-Friday 8:00am-5:00pm

Department: Billing Department

Reports To: Billing Department Manger

Orion Eye Center is a top-rated, specialty ophthalmology practice with Central Oregon’s only ophthalmic Ambulatory Surgery Center (ASC). With 5 providers, spreading among 3 diverse specialties, we strive to deliver quality, specialty care in a timely manner. Employee satisfaction is an integral part to what sets us apart from others. Let us show you how!

Orion Eye’s Core Values:

· Emotional Intelligence

· Lead by Example

· How Can I Help You?

· Pursuit of Mastery

· Efficiency with Precision

Orion Eye Center hires and manages to these values and we expect each employee to display these values each day through communication and actions with both patients and co-workers.

Summary of Responsibility and Duties:

Verify active insurance coverage and obtain required authorizations:

• Benefit investigation
• Verify Prior Authorization requirements
• Verify Primary Care Referral requirements
• Create Financial Estimates for procedures and outpatient surgeries

Patient Assistance Programs:

• Verify if patient is eligible for any outside assistance programs
• Enroll patient and inform patient of assistance program benefits

Answer incoming phone calls

• Patient financial questions
• Patient payments
• Post and apply payments

Billing Department Faxes

• Check fax drive
• Distribute faxes to be worked

Other duties as assigned

Equipment/systems operated: Standard office equipment including computers, fax machines, copiers, printers, telephones, Microsoft Suite (Word, Excel, Outlook), Practice Management Software, etc.

Work Environment: Position is in a well-lighted, on-site, medical office environment. Potential for occasional evening and weekend work.

Physical Requirements: Must possess the physical and mental abilities to perform the tasks normally associated with in this type of role such as sitting for 80 percent of the day; manual dexterity to operate office machines including computer and calculator; stooping, bending to handle files and supplies; and mobility to complete errands or deliveries, lifting up to 20 lbs.

Required Skills and Abilities:

• Absolutely must be able to maintain a positive attitude, even in the face of stress or disarray.
• Ability to manage time appropriately while working on multiple, occasionally, simultaneous tasks.
• Must be dependable with regular and reliable attendance.
• Must adhere to Orion Eye Center’s core values (see above)
• Excellent written and verbal English communication skills, including proper grammar and spelling.

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Job Type: Full-time

Pay: $20.00 - $28.00 per hour

Expected hours: 40 per week

Benefits:

• 401(k)
• Dental insurance
• Disability insurance
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Education:

• High school or equivalent (Required)

Experience:

• Insurance Verification: 1 year (Required)
• Insurance Authorization: 1 year (Required)

Work Location: In person

Salary : $20 - $28