Verification Specialist

Posted 7 Days Ago
Be an Early Applicant
Fresno, CA, USA
In-Office
Junior
Healthtech
The Role
Verifies patient insurance eligibility, obtains authorizations and referrals, documents benefits and authorization data in the practice management system, and coordinates with insurers, physicians, and patients. Generates appointment reports, identifies authorization needs, facilitates imaging referrals, resolves insurance discrepancies, communicates authorization trends, and protects patient information under HIPAA regulations.
Summary Generated by Built In

Description

Do you want to help people see better, look better, and feel better? 

The Verification Specialist will be responsible for obtaining insurance authorizations and verification of eligibility for all clinic appointments through using interface systems, placing calls to various insurances and/or physician offices, and utilizing internet applications for vision and medical referrals/authorizations. 


ABOUT EYE-Q 

Consistently ranked one of the top ten “Best Companies to work for in Central California” since 2006. EYE-Q Vision Care proudly serves the California Central Valley. We are a fast-paced, highly complex practice and offer several specialty services to our patients. Our team of ophthalmologists, optometrists, and professional support staff handle all aspects of eye/vision care, from general exams to complex surgeries. We are looking for individuals who are enthusiastic, energetic, and passionate about providing excellent care to our patients while treating fellow coworkers with dignity and respect. 

WHAT YOU'LL DO

  •  Generate appointment reports daily and determine which appointments require authorization and/or referral 
  •  Access interface programs and place telephone calls for benefit and eligibility information 
  •  Document patient authorizations and benefit data in the practice management system 
  •  Contact primary care physicians for referrals and/or authorization
  •  Identify and obtain proper benefits for all patients on the schedule 
  •  Contact patients for discrepancies regarding insurance policy identifications 
  •  Facilitate authorizations and imaging appointments for outpatient referrals 
  •  Advise coordinator of problems or trends relating to authorizations and/or referrals 
  •  Adhere to HIPAA regulations concerning patient privacy and confidentiality 

SCHEDULE: Monday-Friday FT

WHAT WE OFFER

  • Competitive pay 
  • Annual scrub vouchers 
  • Excellent benefits (medical, dental, vision, FSA, 401k, pet insurance, etc.) 
  • Paid vacation, holidays, and sick time 
  • Employee discounts (glasses, contacts, and other cosmetic services) 
  • Birthday and milestone anniversary gifts 
  • Employee assistance program 
  • Employee appreciation events  

We will review applications until the position is filled. 

FOR MORE INFORMATION ABOUT EMPLOYMENT AT EYE-Q VISION CARE, OR TO VIEW ALL OF OUR OPENINGS, PLEASE VISIT: https://eyeqvc.com/careers/

Requirements

KNOWLEDGE, SKILLS, AND ABILITIES

  • Knowledge of electronic data entry
  • Ability to use computers, calculators, and programs such as Microsoft Excel, internet, e-mail, and EHR
  • Knowledge of recordkeeping and basic accounting 
  • Ability to manage stress and remain composed in a fast-paced, high-stress environment
  • Ability to hear in person and over the phone in various settings 
  • Knowledge of NextGen (preferred)
  • Bilingual in Spanish (preferred) 

EDUCATION AND EXPERIENCE

  • High school diploma/GED
  • Six months to one year of related experience and/or technical school training
  • Bachelor’s degree (preferred) 
  • One to two years of related experience and/or training (preferred) 

Skills Required

  • High school diploma or GED
  • Six months to one year of related experience and/or technical school training
  • Knowledge of electronic data entry
  • Ability to use computers, calculators, Microsoft Excel, internet, email, and EHR systems
  • Knowledge of recordkeeping and basic accounting
  • Ability to manage stress and remain composed in a fast-paced, high-stress environment
  • Ability to hear in person and over the phone in various settings
  • Knowledge of NextGen
  • Bilingual Spanish language skills
  • Bachelor's degree
  • One to two years of related experience and/or training
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The Company
111 Employees
Year Founded: 1956

What We Do

EYE-Q Vision Care is a Central California eye-care provider founded in 1956. Its ophthalmologists, optometrists, and professional staff deliver comprehensive vision services, ranging from routine examinations and optical care to LASIK, cataract treatment, cosmetic procedures, and complex or minimally invasive surgeries. The organization serves patients through offices in Fresno, Clovis, and Selma, and emphasizes advanced treatment and patient-focused care.

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