Verification Specialist

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Join Houston Retina Associates. At Houston Retina Associates, we’re more than a leading ophthalmology practice—we’re a team dedicated to preserving and restoring vision for our patients. Specializing in advanced care for retinal conditions like macular degeneration, diabetic retinopathy, and retinal detachment, we combine cutting‑edge technology with compassionate, personalized treatment. Our culture is built on collaboration, innovation, and continuous learning. We value every team member’s contribution and provide opportunities for professional growth in a supportive environment.

With multiple locations across the greater Houston area, we’re proud to serve our community and make a meaningful impact every day.

If you’re passionate about excellence in patient care and want to be part of a team that truly makes a difference, we invite you to join our team! Houston Retina Associates is affiliated with Eye South Partners' premier network of medical and surgical specialty eye care services.

The Benefits Verification Specialist contacts insurance companies on behalf of the physician’s office to verify patient‑specific benefits. The specialist asks appropriate questions regarding patient benefits and completes data entry/forms to document coverage.

• Applicants who live and plan to work from the following states will not be considered:
  Alaska, Arizona, California, Colorado, Delaware, Hawaii, Idaho, Montana, Maryland, Massachusetts, Michigan, Nevada, New Mexico, Oregon, New Hampshire, New Jersey, Utah, New York, Rhode Island, Washington, and Wyoming.

• Collects and reviews all patient insurance information needed to complete the benefit verification process for multiple entities.
• Verifies patient‑specific benefits and precisely documents specifics for various payer plans including patient coverage, cost share, and access/provider options according to Program‑Specific SOPs.
• Verification process could include electronic validation of pharmacy coverage and medical eligibility.
• Identifies any restrictions and details on how to expedite patient access.
• Could include documenting and initiating prior authorization process, claims appeals, etc.
• Completes quality review of work as part of finalizing the product.
• Reports any reimbursement trends/delays to supervisor.
• Performs related duties and special projects as assigned.
• Contributes to the team effort by completing other tasks/projects as needed.
• Work requires focus, flexibility, and the ability to adapt to changing work situations.

• Minimum of one year of healthcare facility, provider, or payer benefits verification experience or equivalent experience.
• Prior electronic medical records experience (EMR/EHR) required.
• Must possess strong ethics and a high level of personal and professional integrity.
• Intermediate computer skills including Microsoft Office (preferably Word and Excel).
• Excellent interpersonal skills including the ability to interact effectively and professionally with individuals at all levels; both internal and external.
• Exercises sound judgment in responding to inquiries; understands when to route inquiries to next level.
• Self‑motivated with strong organizational skills and superior attention to detail.
• Ability to work in a fast‑paced office environment.

We offer a competitive benefits package to our employees:

• Medical
• Dental
• Vision
• 401k with match
• HSA/FSA
• Telemedicine
• Generous PTO Package

We also offer the following benefits for free:

• Employee Discounts and Perks
• Employee Assistance Program
• Group Life/AD&D
• Short Term Disability Insurance
• Long Term Disability Insurance

Eye South Partners is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.