Team Lead, Insurance Verification and Authorization

vor 2 Wochen

Fully Valais, Schweiz iCare Health Solutions, a VSP Vision™ company Vollzeit CHF 60'000 - CHF 80'000 pro Jahr

Description
General Summary
Responsible for providing administrative and clerical support within Ophthalmology. Ensures that daily operations run efficiently, department protocols are followed, and patient and staff needs are addressed in a timely and professional manner. Serves as a second point of contact for departmental matters, supporting management in maintaining smooth workflow and operational excellence.

Essential Functions
Oversee daily tasks to ensure timely insurance verification, authorizations, and benefit checks

Enforce and maintain compliance with all department protocols and procedures

Serve as the second point of contact for the department, addressing concerns and assisting with issue resolution

Monitor team productivity and quality standards; provide consistent feedback and coaching to improve performance

Partner with leadership to identify process improvements and implement standardized workflows

Coordinate team coverage, task assignments, and balance workloads as needed

Communicate updates on payer rules, authorization requirements, new policies, and procedural changes to staff via email and team meetings

Provide support in training and onboarding new staff members, ensuring compliance with standardized departmental procedures

Verify insurance in advance using Phreesia App and appropriate insurance portals

Contact primary care providers (PCPs) to obtain required referrals and/or authorizations

Verify benefits directly with insurance companies or PCPs prior to patient appointments

Inform patients of their insurance benefits, including copays, deductibles, and any self-pay responsibilities

Requirements
Job Specifications
Typically Has The Following Skills Or Abilities
Two to three years of experience or equivalent training in a similar role in insurance verification, medical billing, or related healthcare administrative role

Strong knowledge of insurance plans, authorization requirements, and medical terminology

Proficiency with verification tools and EMR/HER systems; experience with Phreesia preferred

Ability to manage multiple tasks and priorities effectively

Strong ability to handle and resolve patient complaints professionally and empathetically

Demonstrated ability to manage urgent or stressful situations calmly and effectively

Excellent written and verbal communication skills with precise spelling and grammar

Bilingual in English and Spanish preferred

Proficiency with use of computers and programs

Ability to establish effective relationships with patients and fellow staff

Follow administrative, ethical, and legal requirements for safeguarding patient privacy

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
.
Salary Description

$ $19.50

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