Authorization/ Eligibility Specialist-Manager must have EXP managing a team of people

Authorization/ Eligibility Specialist-Manager must have EXP managing a team of people California Retina Associates Chula Vista, CA Job Details Full-time $23 - $25 an hour 1 hour ago Benefits Paid holidays Health insurance Dental insurance 401(k) Paid time off Vision insurance Employee discount Life insurance Qualifications

HIPAA ICD-10

Quality assurance Team management Attention to detail Healthcare team management Allscripts Patient interaction Full Job Description Our growing Ophthalmology practice has a vacancy for a Full Time eligibilty clerk/ Auth Manager . This role will work on-site in our Chula Vista location and provide eligibility support to the corporate office as well as other satellite clinics. The ideal candidate has management expertise in Authorization/Eligibilty This person will thrive in a busy, fast-paced environment and can multi-task while keeping a superb professional demeanor. The role will report to the VP of Ops What do we need? We are seeking a talented and proficient Eligibilty clerk to join our growing team. At American Eye Associates we provide our Specialists the opportunity to learn, be challenged, and grow your career. What will you provide? Understanding and proficient use of insurance platforms Meets quality assurance and productivity standards for timely in accordance with organizational policies and procedures. Maintains strict confidentiality regarding Patient Health Information (PHI) as well as follows HIPAA regulations. Knowledge and skill navigating insurance portals Willing to work on-site Verifying medical insurance coverage Manage a team or 5-10 Full job description CRA is looking for a dedicated/ Reliable Eligibility Clerk to ensure seamless patient access to our top-tier care. This role is essential in verifying insurance coverage, and facilitating timely medical services.

Location:

Chula Vista Key Responsibilities:

The Eligibility Specialist will verify all scheduled patient appointments to ensure all accuracy of eligibility and any co-payment information. Will collaborate with the leadership team to guide and support departmental needs. Verify eligibility and benefits for all patients with appointments including the deductible and co-pay information prior to the appointment time. Make comments in each account in the Practice Management system. Verify demographic information on new patients and any patients with changes, Update Allscripts PM system with correct information Proactively troubleshoots to ensure accuracy of eligibility information and provides solutions to file issues; assists with determining extent and reason for discrepancies. Performs other responsibilities as assigned. Inform and educate patients on eligibility benefits status, in person, or over the phone. Pay attention to details.

What We're Looking For:

Experience:

1-2 years in medical insurance verification, authorizations, or a similar role.

Knowledge:

Understanding of PPO, HMO, Medicare, Medicaid Skills:

Strong attention to detail, organization, and problem-solving abilities.

Technology:

Proficiency in EMR/EHR systems and insurance portals.

Communication:

Ability to interact effectively with patients, providers, and insurance representatives. Our organization offers excellent benefits to include 100% paid employee health insurance premiums, low cost dental and vision options, life insurance, disability, 401k, paid holidays, paid vacation and sick time accruals, fun holiday events and gatherings and more!

Job Type:

Full-time Pay:

$23.00 - $25.00 per hour

Benefits:

401(k) Dental insurance Employee discount Health insurance Life insurance Paid time off Vision insurance

Experience:

ICD-10: 1 year (Required)

Work Location:

In person