Insurance Verification Representative

Verifies patient insurance coverage and benefit information. Obtains authorizations from insurance carriers prior to providing care/treatment to patients. Documents referrals, communications, insurance details, and patient data in the electronic medical record (EMR). Gathers information, handles inquiries, and accurately enters codes for insurance billing purposes.

Essential Functions

Verify insurance companies and primary care physicians (PCP) online or over the phone to obtain benefit information

Complete billing tasks in a timely manner

Call primary care physicians to obtain referrals and/or authorizations when required

Inform patients regarding their insurance benefits, copays, deductibles, and self-pay balance due

Enter the authorization number in EMR with the correct CPT codes, NPI, Tax ID, PCP, and payer information

Follow up with the PCP or the insurance company for the authorization requested

Cancel and reschedule the patient's appointment when the authorization has not arrived prior to the DOS

Check if the patient's insurance information is correct and matches the insurance verification, and expire all inactive payers

Answer phones promptly and courteously; handle requests and inquiries, or route accordingly

VSP Vision is an equal opportunity employer and gives consideration for employment to qualified applicants without regard to age, gender, race, color, religion, sex, national origin, disability, or protected veteran status. We maintain a drug-free workplace and perform pre-employment substance abuse testing.

The compensation range for the role is listed below. Applicable salary ranges may differ across markets. Actual pay will be determined based on experience and other job-related factors permitted by law. As a part of the compensation package, this role may include eligible bonuses and commissions. For more information regarding iCare benefits, please click here.