**Applicants who live and plan to work from the following states will not be considered at this time: Alaska, Arizona, California, Colorado, Delaware, Hawaii, Idaho, Montana, Maryland, Massachusetts, Michigan, Nevada, New Mexico, Oregon, New Hampshire, New Jersey, Utah, New York, Rhode Island, Washington, and Wyoming. Thank you for your interest.
- 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.
- 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
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.