Patient Account Rep - Ins Authorization na Southern College of Optometry

The Patient Account Representative for Insurance Authorizations provides customer service to patients by verifying Insurance coverage. The representative also performs various clerical and customer-related duties to clinic operations by maintaining the flow of clinic patients through checking in and obtaining insurance authorizations for services.

• Verifies insurance coverage and benefits for a high volume of patients by using all available verification and eligibility tools and calling payers when necessary. Enters all information gathered into the registration system.
• Obtains verification, referral or authorization for patient prior to providing services.
• Obtains patient information to facilitate the clinical verification of unique patient identifiers, the billing and collections process, and compliance with state and federal regulatory requirements.
• After benefits have been determined, estimates self-pay portions (deductibles, co-pays, non-covered services).
• Documents and follows up on team and clinic awareness efforts.

• Obtains current demographic information from patients and families.
• Maintains regular communication and follow-up with team leaders, patient accounting, and other departments.
• Informs all relevant parties about pending referrals, authorizations, unexpected delays, and other potential issues. 
• Captures and enters patients’ demographic, financial, and clinical information into various information systems, including pre-registration or scanning information systems, in an accurate, complete, and timely manner.
• Provides backup for check-in and check-out as needed. Performs other duties as assigned.

Education:       High school diploma or equivalent.  

Experience:     One year of direct experience as a medical office receptionist in a fast-paced clinic, hospital, or similar healthcare setting preferred. Knowledge and experience with health insurance and vision plans preferred.

• Ability to deal with others with courtesy and tact using good verbal communication skills and to establish and maintain effective working relationships with others.
• Ability to file accurately and maintain accurate medical records.
• Ability to enter data accurately.
• Knowledge of electronic health care records systems.
• Ability to perform mathematical calculations accurately for daily tasks.
• Ability to read, write, comprehend and follow written and oral instructions.
• Ability to organize tasks and maintain control of workflow.  
• Ability to work under pressure, meet deadlines and work independently.

• Employees must maintain the confidentiality of all information and records.
• Employee wears company-issued uniforms during working hour

Reasonable accommodations will be made for some physical demands for otherwise qualified individuals who require and request such accommodations.

Southern College of Optometry is committed to preparing future generations of our nation's optometrists to serve diverse patients and communities in the United States and around the world. 

SCO does not discriminate on any basis within our educational programs or in our employment practices. Our success as an academic institution requires an ongoing commitment to fostering an accepting and inclusive campus atmosphere because we recognize that each individual deserves to feel included and respected.