Patient Access Specialist

Job DetailsJob Location: Denver Corporate - DENVER, CO 80210Salary Range: $21.00 - $22.00 HourlyPOSITION SUMMARY EVP Eyecare is a privately held, portfolio company of The Cortec Group. Based in Denver, Colorado, EVP owns and operates a super-regional network of eyecare practices and surgical centers that conduct business under premier brands in Colorado, Texas and Arizona. We believe that delivering on an outstanding patient experience starts with building an outstanding employee experience.   Our mission is to improve people’s lives through better vision and outstanding patient experiences.   ESSENTIAL DUTIES AND RESPONSIBILITIES The essential functions include, but are not limited to the following: · Verify insurance eligibility and benefits for all scheduled patients prior to the date of service. · Verify and document in-network and out-of-network status for the patient’s plan and the rendering provider. · Obtain, track, and document prior authorizations and referrals required for office visits, diagnostic testing, injections, and surgical procedures. · Monitor authorization and referral expirations and secure renewals or extensions before the date of service. · Work the go/no go report daily to confirm scheduled patients are cleared prior to service; escalate accounts that cannot be cleared. · Complete rush benefit verifications requested by the operations team within the established turnaround time. · Provide pre-visit financial counseling, including estimated patient responsibility, deductible and coinsurance status, and available payment options. · Enter and maintain accurate insurance, demographic, and authorization information in the practice management system. · Make outbound calls and use payer portals to resolve eligibility, benefit, and authorization issues. · Note accounts with current actions, every time the account is reviewed. · Answer incoming eligibility, benefit, and authorization inquiries and follow up. · Communicate to manager any concerns and issues impacting patient access, scheduling, or collection of patient responsibility. · Report daily productions to manager. · Maintain a professional approach with confidentiality. Assure protection and privacy of health information as attained through written, electronic or oral disclosures. · Seek guidance and remain knowledgeable of, and comply with, all applicable federal and state laws, as well as company policies and procedures. · Other duties as assigned.QualificationsMINIMUM QUALIFICATIONS (KNOWLEDGE, SKILLS, AND ABILITIES) · High School Diploma or equivalent required, Bachelor’s Degree preferred. · Coding Certificate preferred. · Experience in customer relations, referral processing, and/or the TRICARE program preferred. · Professional appearance and demeanor are required. · Knowledge of insurance plans and providers. · Knowledge of claims and billing. · A commitment to excellent customer service as well as a positive proactive attitude. · Excellent communication and verbal skills including proper grammar. · CPT, HCPCS, and ICD-10 knowledge.