Verification and Authorization Specialist Job – Bloomington, MN

Verification and Authorization Specialist Job – Bloomington, MN

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Minnesota Eye Consultants (MEC) is one of the premiere eye care practices in the nation. We believe in One Team, All In. The culture at MEC is one of excellence and teamwork. We are passionate about patient care and dedicated to improving quality of life through life-changing vision procedures and treatments. 



MN Eye Consultants is currently hiring for a full-time Verification and Authorization Specialist within our Revenue Cycle department. This position can be 100% remote or a hybrid position: work from home and in office. Flexibility for hours to range from 7a to 8p, working an 8 hour day Monday through Friday.


SUMMARY
As a Verification and Authorization Specialist, you will obtain authorizations and referrals for patients, while verifying insurance benefits.  This may include helping patients understand their insurance policy and what it may cover, providing good faith estimates, and helping to build rapport and trust with patients.


ESSENTIAL DUTIES AND RESPONSIBILITIES
JOB QUALIFICATIONS 
  • Review scheduling reports for completeness of insurance information for the necessity for referrals, pre-certifications, and prior authorizations to ensure reimbursement at the highest level possible
  • Review accounts for completeness of insurance information, for the necessity of referrals, pre-certifications, and prior authorizations to ensure reimbursement at the highest level possible.
  • Verify insurance with respective insurance companies and file all necessary forms for pre-certifications, and referral requests.
  • Create and send Good Faith Estimates based on benefits verification to patients.
  • Verify, update, and enter insurance information into the electronic practice management system (EPM) including policy information, benefit coverage, and referrals.
  • Identify any potential non-coverage issues and effectively communicate this information to our patients.
  • Provide timely responses to voicemail and email inquiries to the verification team.
  • Provide feedback to scheduling staff or appropriate business office staff of necessary waivers or special instructions that may be needed.
  • Communicate with patients as needed to acquire necessary information.
  • Maintain up to date reference guides and payer requirements.
  • Participate in regular team meetings; provide positive feedback and suggestions.
  • Other duties as assigned.
EDUCATION AND/OR EXPERIENCE
  • High School Diploma/ GED
  • 1-3 years experience in customer service in a healthcare setting,
  • Proficient with computers, Microsoft Office products, and practice management applications.
  • Ability to read and interpret documents, write correspondence, analyze and resolve problems.
  • Ability to work independently, as well as, in a team setting in a fast-paced environment with a variety of personalities and work styles.
  • Organized, detail-oriented, effective time management and able to effectively communicate and work efficiently with patients, staff, physicians, and administration.
  • Ability to maintain confidentiality of our patients, associates, and proprietary company information.
  • Proven ability to provide superior customer service in a professional, compassionate, and friendly manner. Must be able to maintain a kind, calm demeanor even during busy or challenging periods.   
About Us:

At MEC, our areas of expertise range from cataract surgery and premium lens implants, treatment of corneal disease and glaucoma, oculofacial and aesthetic services, to LASIK – laser vision correction. Our mission is to preserve, restore, and enhance vision through research, teaching, and providing the highest quality medical and surgical care to patients.

 

MN Eye Consultants and Northwest Eye Clinic are now sister companies under Unifeye Vision Partners! To view employment opportunities at all of our locations go to www.unifeyejobs.com 



Unifeye Vision Partners provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

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Verification and Authorization Specialist Job – Golden Valley, MN

Verification and Authorization Specialist Job – Golden Valley, MN

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At Unifeye Vision Partners (UVP) our mission is simple: to partner with leading eye care practices and support them in their quest to improve the quality of their patients’ lives. We are building the leading, nationally recognized integrated eye care community in the country through these partnerships and our commitment to upholding our mission and core values.

UVP has a new opening for a full-time Verification and Authorization Specialist position. 

 
SUMMARY
Obtain authorizations and referrals for patients, while verifying insurance benefits.  This may include helping patients understand their insurance policy and what it may cover, providing good faith estimates, and helping to build rapport and trust with patients.
 
ESSENTIAL DUTIES AND RESPONSIBILITIES
  • Review scheduling reports for completeness of insurance information for the necessity for referrals, pre-certifications, and prior authorizations to ensure reimbursement at the highest level possible.
  • Submitting prior authorizations following payer guidelines.
  • Verify insurance with respective insurance companies and file all necessary forms for pre-certifications, and referral requests.
  • Create and send Good Faith Estimates based on benefits verification to patients.
  • Verify, update, and enter insurance information into the electronic practice management system (EPM) including policy information, benefit coverage, and referrals.
  • Identify any potential non-coverage issues and effectively communicate this information to our patients.
  • Provide timely responses to voicemail and email inquiries to the verification team.
  • Provide feedback to scheduling staff or appropriate business office staff of necessary waivers or special instructions that may be needed.
  • Communicate with patients as needed to acquire necessary information.
  • Maintain up to date reference guides and payer requirements.
  • Participate in regular team meetings; provide positive feedback and suggestions.
  • Other duties as assigned.
JOB QUALIFICATIONS To perform the job successfully, an individual must be able to perform each essential duty and responsibility satisfactorily with or without reasonable accommodation.  The requirements below are representative of the minimum knowledge, skill, and/or ability required.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties and responsibilities. 
 
EDUCATION AND/OR EXPERIENCE
High School Diploma/ GED. Minimum 1-3 years customer service experience in a healthcare setting. Proficient with computers and practice management applications. Ability to read and interpret documents, write correspondence, analyze, and resolve problems. Ability to maintain confidentiality of our patients, associates, and proprietary company information. Ability to work independently and in a team setting in a fast-paced environment with a variety of personalities and work styles.
 
About Us:

Unifeye Vision Partners provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
 

Job Number: 8a78839f8fe5389f018ff01909384e8b

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