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Patient Eligibility Coordinator
Vision Innovation Partners. Verify patient eligibility and benefits for all upcoming appointments using payer portals and PM tools .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in insurance verification and patient access within healthcare, ensuring compliance with HIPAA regulations while maintaining high accuracy and attention to detail. Proficient in collaborating with various teams to enhance patient intake processes and resolve insurance-related issues.
Highest-signal resume keywords
Insurance Verification ExperienceKnowledge of Medicare and Medicaid RulesEMR Systems ProficiencyStrong Communication SkillsAttention to Detail
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Insurance VerificationPatient Eligibility VerificationCoverage Detail ExplanationDocumentation MaintenanceInsurance Discrepancy IdentificationPayer Portal NavigationAuthorization Requirements UnderstandingBilling Issue ResolutionProcess Improvement RecommendationsConfidentiality Compliance
Soft Skills
Strong CommunicationCollaborationAttention to DetailProblem-SolvingTime Management
Tools & Technologies
EMR SystemsPayer PortalsPM Tools
Industry Keywords
HealthcarePatient AccessInsurance CoverageHIPAA ComplianceAuthorization Rules
About the role
Key responsibilities & impact- Verify patient eligibility and benefits for all upcoming appointments using payer portals and PM tools
- Confirm coverage details including copayments, plan limitations/participation, and referral/authorization requirements
- Identify insurance discrepancies or inactive coverage and communicate needed corrections
- Notify patients in advance regarding estimated out-of-pocket costs when applicable
- Explain insurance coverage limitations, non-covered services, and payment expectations
- Collaborate with financial counselors for high-cost cases or self-pay options
- Accurately update patient insurance details, policy numbers, subscriber information, and coverage notes in system
- Maintain documentation of verification results
- Ensure all encounters are financially cleared prior to the date of service
- Work with billing teams to resolve issues related to insurance setup, eligibility, or authorization-related denials
- Identify trends in recurring insurance issues and recommend process improvements
- Collaborate with front desk and registration to reduce errors in patient intake
Requirements
What you’ll need- 2+ year of insurance verification, patient access experience in a healthcare setting
- Knowledge of commercial, Medicare, Medicaid payor rules
- Experience with EMR systems and insurance portals
- Strong communication skills – able to clearly explain coverage details to patients and staff
- High attention to detail, accuracy, and ability to meet tight deadlines
- Maintain confidentiality and comply with HIPAA regulations at all times
- Stay current on payer policy changes, authorization rules, and portal updates
- Meet department productivity, accuracy, and turnaround time standards
Benefits
Comp & perks- Competitive compensation package
- Excellent comprehensive benefits
- 401(K)
- Significant eye care discounts
- Continuing education allowances
- Career growth and development
- PTO and holidays off