Insurance Verification Specialist

NYC Retina - Queens, NY
Posted: November 7, 2019

Busy Ophthalmology Practice is seeking a highly professional Insurance Verification/Authorization Representative to join our team at the NYC Retina. This position will be responsible for performing insurance verification and authorizations. Responsibilities include but not limited to heavy phone contact with medical insurance companies.

Essential Functions:

Coordination of prior-authorization for insurance plans in a timely manner.
Timely communication with the treating clinician as necessary.
Faxing required forms, completed evaluation, progress & daily notes as needed to secure initial and on-going authorization of services.
Monitor the appropriate reports and obtain for continued authorization as required in a timely manner.
Accurate and complete data entry.
The ability to maintain friendly, cordial relations with all clients and employees; maintain a positive work atmosphere by acting and communicating in a manner that results in a positive work relationship with customers, co-workers and managers.

Required Skills and Abilities

Excellent communication and customer service skills
Knowledge of patient registration, scheduling, authorizations, billing, and medical policies
Strong organization, problem-solving and communication skills (will train)
Ability to effectively handle multiple responsibilities simultaneously in a deadline driven environment
Strong understanding of benefits investigating; deductibles, co-insurance, out of pocket expense & benefit exclusions (will train)
Proficiency in the use of healthcare information systems preferred, knowledge of ModMed System preferred but nor required (will train)


*Entry level position, will train on all of the above

*Chinese speaking candidate a plus


Job Type: Full-time

Salary: $15.00/hour



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NYC Retina

NYC Retina

Queens, NY

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