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. This position is hybrid.
UVP has a new opening for a full-time Verification and Authorization Specialist position. This position is hybrid.
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. Register patients for support programs and payment plans.
ESSENTIAL DUTIES AND RESPONSIBILITIES
- 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.
- 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.
- Proactively submits prior authorization requests and appropriate supporting documentation as needed for upcoming appointments with sufficient lead time so that prior authorizations can be obtained prior to patients’ appointments. Submit urgent prior authorization requests as needed. Consistently maintains an effective tracking tool for denied and active prior authorizations including their expirations dates to anticipate prior authorizations s that need renewal.
- Registers patients for all support programs and identifies delinquent patient accounts that may be eligible for support programs.
- Create and send Good Faith Estimates based on benefits verification to patients, including self-pay patients.
- Provide timely responses to voicemail and email inquiries to members of the revenue cycle and operations teams.
- Provide feedback to scheduling staff or appropriate business office staff of necessary waivers or special instructions that may be needed.
- Communicate with patients regarding insurance coverage, injection treatments, payment plans and support programs.
- 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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