Insurance Verification Representative

Orion Eye Center – Ophthalmic Insurance Verification and Billing Department Representative

Job Title: Ophthalmic Insurance Verification and Billing Department Representative

Department: Billing Department

Reports To: Billing Department Manger

Supervises: No direct reports

Orion Eye Center is a regional leader and was the first walk-in surgery center in Central Oregon. We provide state of the art care delivery and are proud to be at the leading edge of ophthalmic care by combining new technology with experienced physicians. Patients receive a world-class experience within a comfortable, convenient walk-in surgery center and clinic.

Orion offers competitive compensation with an excellent benefits package.

Job Summary:

This position verifies insurance eligibility and benefits for scheduled appointments and surgeries and verifies if a prior authorization is required for procedures scheduled or if a PCP referral is required for specialist appointments. If a prior authorization is required, this position will submit a request to the insurance company. Answer incoming phone calls and answer any financial questions.

Culture:

Adherence to the Orion Way - While providing the highest quality eye care services, we, the Orion Team aim to live these core values to sustain our culture as we collaborate to serve our patients, work with each other and interact with outside partners:

The Orion Way lives through each of us demonstrating these core values through all we do.

Responsibility and Duties:

Verify active insurance coverage and obtain required authorizations:

• Benefit investigation
• Verify Prior Authorization requirements
• Verify Primary Care Referral requirements

Patient Assistance Programs:

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

Financial Estimates for procedures or outpatient surgery

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.

Job Type: Full-time

Pay: $20.00 - $26.00 per hour

Expected hours: 40 per week

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Paid time off
• Retirement plan
• Vision insurance

Weekly day range:

• Monday to Friday

Education:

• High school or equivalent (Required)

Experience:

• Insurance verification: 1 year (Required)
• Medical billing: 1 year (Required)

Work Location: In person