Are you a detail-oriented professional who thrives in a supportive, patient-focused environment?

Inland Eye Specialist in Murrieta, CA is seeking an energetic, team-oriented Insurance Verification Specialist to join our dynamic, multi-specialty ophthalmology practice. Here, you’ll enjoy great work hours, no major holidays, a robust benefits package, and a team-oriented environment where your ideas are valued and your contributions make a difference every day.

We’re looking for candidates with at least one year of insurance verification or authorization experience, ideally in an optometry or ophthalmology setting.

If you’re passionate about providing exceptional customer service and want to grow your career in a collaborative, professional environment, we’d love to meet you.

This position becomes remote upon completion of training.

Since 1982 Inland Eye Specialists has been providing quality eye care services for the whole family. Our medically trained staff includes board certified surgeons, optometrists, and licensed optical specialists. Our experienced practitioners utilize a wide variety of the safest, most advanced techniques to protect, restore, and enhance your vision. We are professionals committed to providing the most comprehensive eye care available in a respectful and compassionate atmosphere.

This is your opportunity to join Inland Eye Specialists, one of the area's most recognized leaders in ophthalmology and optometry.

We are committed to customer service and making every interaction extraordinary while inspiring the complete confidence of our patients. Our employees contribute directly to the growth and success of our practice and take pride in being a member of our team. We strongly believe that the way our patients and customers are treated by our employees is as important as the services provided by the doctor.

All of us at Inland Eye Specialists are committed to inclusion and belonging. We believe today more than ever that creating an environment where everyone can bring their authentic selves to work and make it easy for others to do the same will benefit us all. It isn’t speaking the words, but starts with a culture of caring, listening and service. We would thoroughly enjoy meeting with you.

The Insurance Verification Specialist plays a crucial role in ensuring our patients' insurance information is accurately verified and processed. This position requires exceptional attention to detail, excellent communication skills, and the ability to work collaboratively with staff. Most of the verification and preauthorization will be online with individual payer websites via input of our providers seeing the patient for future appointments.

Responsibilities

• Verify patient insurance coverage and eligibility for medical services
• Order and verify injectable drug coverage
• Confirm insurance plan details, such as policy numbers, effective dates, and co-pays
• Update and maintain accurate patient insurance information in the electronic health records (EHR) system
• Communicate effectively with patients, insurance companies, and healthcare providers to obtain necessary insurance information
• Educate patients on their insurance benefits, coverage, and any potential out-of-pocket expenses
• Obtain prior authorizations and pre-certifications as required by insurance plans for specific medical procedures
• Ensure all necessary documentation is submitted to insurance companies in a timely manner
• Collaborate with the billing department to resolve insurance-related issues and discrepancies
• Assist in resolving denied claims by reviewing and correcting billing errors
• Stay up to date with changes in insurance regulations and policies
• Ensure all insurance verification processes comply with relevant healthcare laws and regulations, including HIPAA

Qualifications

• High school diploma or equivalent (associate or bachelor’s degree preferred).
• Previous experience in healthcare insurance verification or related field.
• Strong knowledge of medical terminology, insurance plans, and billing procedures.
• Proficiency in using electronic health records (EHR) and billing software.
• Exceptional attention to detail and accuracy.
• Excellent communication and interpersonal skills.
• Ability to work in a fast-paced, team-oriented environment.
• Strong problem-solving skills and the ability to handle difficult situations with patience and professionalism.
• Knowledge of HIPAA regulations and compliance

In Turn We Will Provide

• Benefits to full time team members that include comprehensive medical, dental and optical coverage, 401k and short- and long-term disability.
• Company paid life insurance.
• Paid holidays and generous paid time off.
• Paid parking where applicable.
• Team oriented working environment where you are heard and respected.
• Clear career ladder opportunities
• Offered pay range $21.00/Hr.-$23.00/Hr.

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