Revenue Cycle Support Specialist

Location : Richmond Hill, GA (Hybrid)

Reports To : Director of Revenue Cycle

Job Type : Full-Time

Job Summary :

The Revenue Cycle Support Specialist is responsible for insurance verification, pre-authorization processes, and provider credentialing. This role ensures that all ophthalmic procedures, diagnostic imaging, and surgical services are authorized accurately and efficiently to support timely patient care and optimize revenue. The Revenue Cycle Support Specialist ensures compliance with payer and regulatory requirements and promotes positive patient experience from scheduling to service delivery.

Requirements

Pre-Authorization and Verification :

• Obtain prior authorizations for required medical procedures, diagnostic tests, surgeries, medications, and treatments.
• Verify patient insurance coverage and eligibility for all scheduled ophthalmic services.
• Prepare and submit required documentation and clinical information to insurance payers to secure approvals in advance of patient appointments.
• Track pending authorizations, follow up with payers as needed, and communicate delays or issues to providers and patients.
• Collaborate with the billing team to resolve authorization-related denials or rejections.

Provider Credentialing

Revenue Cycle Support and Continuous Improvement :

Qualifications :

Minimum of 2 years experience in pre-authorization, provider credentialing, or revenue cycle operations, preferably in an ophthalmology or specialty clinic.

Skills and Competencies :

Work Environment :

Compensation and Benefits :