<p>St. Luke's Cataract & Laser Institute is looking to hire a full-time Insurance Verification & Referral Coordinator to join our team in our Tarpon Springs office! We are looking for someone who is able to effectively prioritize, multitask, has attention to detail, and communicates effectively.</p> <p>Company Mission</p> <p>"Life Changing Vision" is a mission statement we adhere to in every aspect of our care giving, from the moment a patient walks through our doors to the follow-up care they receive. We are committed to helping our patients attain overall wellness in body, mind, and spirit.</p> <p>About the Job</p> <p>The Insurance Verification & Referral Coordinator is responsible for ensuring a smooth patient experience and accurate billing process. This role is responsible for verifying patient insurance coverage, obtaining referrals and authorizations, and serving as a liaison between patients, providers, and insurance companies. Your focus will be on processing clean claims, fewer denials and faster payments.</p> <p>What do we look for?</p> <p>Insurance Verification</p> <p>Verify insurance eligibility and benefits for all scheduled patients prior to appointments</p> <p>Confirm coverage levels, co-pays, deductibles, and out-of-pocket limits</p> <p>Communicate with patients regarding coverage issues, financial responsibilities, and policy changes</p> <p>Update and maintain accurate insurance information in the EMR and practice management systems</p> <p>Referral & Authorization Management</p> <p>Obtain prior authorizations and referrals from primary care physicians or insurance carriers as required</p> <p>Track and document referral statuses and ensure that all authorizations are received prior to services</p> <p>Follow up with insurance companies on delayed or missing authorizations</p> <p>Coordinate with clinical teams to reschedule appointments if referral/authorization is not obtained in time</p> <p>Maintain logs or databases for referrals and authorization tracking</p> <p>Communicate with internal departments (billing, scheduling, clinical teams) regarding insurance or referral issues</p> <p>Assist in training staff on payer-specific processes and insurance verification workflows</p> <p>Education & Experience</p> <p>High school diploma or equivalent required; Associate degree or medical office training preferred</p> <p>Minimum 2 years of experience in insurance verification, medical billing, or referrals (preferably in a specialty or hospital setting)</p> <p>Strong working knowledge of commercial, Medicare, Medicaid, and managed care insurance plans</p> <p>Proficiency in EMR systems (e.g., Epic, eClinicalWorks, NextGen, etc.)</p> <p>Excellent written and verbal communication skills</p> <p>Strong organizational and time-management skills</p> <p>Detail-oriented with a knack for spotting discrepancies</p> <p>Able to multitask in a fast-paced environment</p> <p>Demonstrate patience, focus on problem solving and being a team player</p> <p>The Benefits of working for St. Luke's</p> <ul> <li>Medical, Dental, Vision, Life Insurance, 401(k) with Employer Match, Paid Time Off, and Holiday Pay </li><li>Opportunity to build a career with a longstanding, reputable organization </li><li>Leadership and Career Advancement opportunities </li><li>Competitive wages and certification bonuses </li><li>Monday - Friday work week </li><li>Weekends and Holidays off </li></ul> <p>See more benefits at http://www.stlukeseye.com/careers/benefits/</p> <p>We are an Equal Opportunity Employer and a Drug and Smoke Free Workplace</p> <p>We participate in the E-Verify Program</p>