Job Description

Shasta Eye Medical Group is searching for an enthusiastic, patient focused, full time Insurance Verification Representative Specialist for our Churn Creek office in Redding, Callifornia. Great work hours, no late evenings, no weekends, no major holidays, a robust benefits package and a team oriented working environment where you are seen, heard and respected as well as clear career ladder opportunities.

Our preferred candidates will bring at least one year of medical office front desk experience. 

The ideal candidate has a strong understanding of insurance authorizations, specifically within ophthalmology, including eye procedures and injection medications.

This is your opportunity to join one of the areas most recognized leaders in ophthalmology and optometry. Shasta Eye Medical Group is an ophthalmic practice with an optical dispensary and affiliated Ambulatory Surgery Center (ASC). This unique and diverse group of doctors provides the most comprehensive vision care in California’s north state region. In addition to providing Comprehensive Ophthalmology, we offer sub specialists in Cornea, External Disease, Uveitis, Refractive Surgery, and Glaucoma. We strive to provide compassionate, comprehensive, state-of-the-art ophthalmic care in the north state region. 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 practices, and take pride in being a member of our team. We strongly believe that the manner in which our patients and customers are treated by our employees is as important as the services provided by the doctor.

All of us at Shasta Eye Medical Group 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 and discussing our employment opportunities. For more information, please visit our webpage at

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
• 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
• Knowledge of medical and vision and insurances preferred
• Basic computer knowledge required
• Experience with NextGen, Microsoft, Clearwave preferred

  In Turn We Will Provide:

• Benefits to full time team members that include comprehensive medical, dental and optical coverage, 401K and short-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
• The rate range for this position would be between $21.00 and $23.00 dependent upon experience 

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