Our growing eye care organization has an immediate need for an Insurance Authorization Representative who will handle all aspects of insurance authorizations for optical services and procedures.
File requests for prior authorization for all insurances that require based upon plan or insurance contract
Request, obtain, and document all prior authorizations (or denials of same) appropriately and in a timely manner
Obtain information about patient insurance coverage, benefits and eligibility
Maintain and update internal listing of insurance carriers that require authorization
Run system-generated reports to verify procedures by insurances requiring authorization are being captured
Assist collection team with obtaining retro authorizations
Coordinate with Call Center and Optical Offices on prior authorization and patient billing activity
Maintain the strictest confidentiality in accordance with HIPAA regulations and clinic requirements
Requirements: Education, Experience & Skills
High school diploma or equivalent required
2+ years' experience medical authorizations
Comprehensive understanding of insurance verification, contract benefits and medical terminology
Ability to enter data into various electronic systems while maintaining the integrity and accuracy of the data
Effective and Efficient A Solving and Analyzing skills
Professional and calming tone of voice free of use of inappropriate grammar
Attentive listening skills
Ability to function effectively under stress of conflicting demands on time and attention, while successfully meeting deadlines
Ability to clearly articulate a response using appropriate voice modulation
Strong Verbal and Written skills
Ability to maintain control of a call de-escalating issues and instilling confidence that a resolution will be found
Ability to perform essential job function with high degree of independence, flexibility, and creative problem solving techniques
Excellent organization, time management, and prioritization skills
While performing the duties of this job, the employee is regularly required to talk and hear. The employee is occasionally required to stoop, kneel, crouch or crawl. The employee must frequently lift and/or move up to 10 pounds.
Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.
If you need assistance with this application, please contact (636) 227-2600
EyeCare Partners is an equal opportunity/affirmative action employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.
Please do not contact the office directly – only resumes submitted through this website will be considered.