RCM Retina Insurance Coordinator at US Eye

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Full Time

Start Date

Immediate

Expiry Date

05 Oct, 26

Salary

0.0

Posted On

07 Jul, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Insurance Verification, Prior Authorization, Financial Clearance, Medical Terminology, Patient Estimates, Revenue Cycle Management, Customer Service, AI Tool Utilization, Workflow Automation, Problem Solving, Organization, Communication Skills

Industry

Medical Practices

Description

Retina Insurance Coordinator Join the US Eye Team US Eye is seeking a detail-oriented, technology-driven Retina Insurance Coordinator to support the financial clearance process for our Retina patients. In this role, you will verify insurance benefits, obtain prior authorizations, prepare patient estimates, assist patients with financial assistance programs, and collaborate with clinical and Revenue Cycle Management teams to ensure patients are financially cleared for care. We embrace innovation and continuously look for smarter, more efficient ways to work. You’ll use approved AI, automation, dashboards, and digital workflow tools to improve accuracy, efficiency, and the patient experience. What You’ll Do * Verify insurance eligibility and benefits for Retina visits, injections, procedures, and surgeries. * Obtain prior authorizations, referrals, and predetermination's. * Prepare patient estimates, communicate financial responsibility, and collect payments when appropriate. * Assist patients with copay and financial assistance programs. * Monitor work queues, dashboards, reports, and automated alerts to ensure timely follow-up. * Utilize approved AI, automation, and technology solutions to improve accuracy and efficiency. * Review and validate information generated by automated and AI-enabled systems. * Partner with clinical teams to resolve insurance, authorization, and patient financial concerns. * Maintain accurate documentation and protect patient confidentiality. * Identify opportunities to improve workflows and the patient experience. * Provide financial clearance support for other specialties as needed. What We’re Looking For * High school diploma or equivalent. (Required) * Knowledge of health insurance and medical terminology. * Strong attention to detail, organization, and problem-solving skills. * Excellent communication and customer service skills. * Ability to manage multiple priorities in a fast-paced environment. * Strong computer skills and willingness to learn new technologies. * Comfort utilizing AI, automation, and digital workflow solutions. * Ability to work independently and collaboratively. * Commitment to accuracy, accountability, and exceptional patient service. Preferred Qualifications * Bachelor’s degree. * Previous experience in healthcare, Revenue Cycle Management, insurance verification, prior authorization, financial counseling, or Retina services. * Experience with healthcare technology, workflow automation, dashboards, or AI-enabled tools. BENEFITS: * 401(k) with Company Match * Medical and Dental Insurance * Vision Benefits * Flexible Spending Accounts * Disability and Life Insurance * Paid Time Off POSITION DETAILS Schedule: Full-time, Monday through Friday, 8:00 a.m. to 5:00 p.m. * This is a full-time remote position. Location: Remote in AL, FL, GA, IL, IN, MI, MO, NC, OH, PA,SC,TN,TX,VA Occasional overtime and travel may be required based on business needs. If you are detail-oriented, enjoy solving problems, embrace technology, and want to help improve the patient experience, we encourage you to apply and grow with US Eye. Why US Eye? US Eye, is a physician-led, patient-centric network of eye care practices committed to providing exceptional patient service through premium technology and unrivaled provider expertise. We are one of the nation’s leading multi-specialty physician groups providing patients with care in ophthalmology, optometry, dermatology and facial surgery. With 50 clinics and 5 surgery centers, led by 95 providers and more than 1,000 team members system wide, we deliver world class care to patients throughout Florida, the Carolina's and Virginia. US Eye provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.

Responsibilities

Coordinate financial clearance for Retina patients by verifying insurance benefits and obtaining prior authorizations. Collaborate with clinical and RCM teams while utilizing AI and automation tools to improve efficiency and the patient experience.