AR caller Eligibility Verification & Prior Authorization(Voice)

Job Description

Job description Greetings from Lincoln reimbursement solutions (Direct Client) !! Role : Senior AR Caller Eligibility Verification & Prior Authorization Location : Chennai (WFH) Experience : 4 Years to 7 Years Benefits: Salary Credit on 25th Every month PF & 20 Lakh ICICI Health And Personal Insurance Permanent work from home Reports To: AR Manager Job Summary: The Senior AR Caller is responsible for verifying patient insurance eligibility, obtaining prior authorizations, and resolving claim-related issues to ensure timely reimbursement. This role requires expertise in navigating payer portals, interpreting insurance benefits, and communicating with insurance representatives to prevent claim denials. Key Responsibilities: 1. Insurance Eligibility Verification Verify real-time patient eligibility using payer portals (Availity, Navinet, Change Healthcare, etc.) and phone calls. Confirm active coverage, benefits, copays, deductibles, and plan limitations . Document verification details in the practice management system (PMS) for clean claim submission. 2. Prior Authorization (PA) & Referral Management Identify procedures requiring prior authorization based on payer policies. Submit PA requests via portals, fax, or phone and track approvals. Escalate urgent/expedited authorizations when necessary. Ensure authorizations are linked to claims to prevent denials Qualifications & Skills: 4 + years in medical billing AR , with expertise in eligibility verification & prior auth . Proficiency in payer portals (Availity, ePACES, CoverMyMeds) and PMS (Epic, Cerner, NextGen, etc.) . Strong knowledge of HIPAA, CMS guidelines, and insurance policies (Medicare, Medicaid, Commercial, HMOs) . Ability to interpret EOBs, CPT/HCPCS codes, and medical necessity requirements . Excellent phone etiquette and negotiation skills for payer calls. Interested candidates, please share your profiles to Email ID recruiting@lincolnrs.com with the following Application Question(s): How many years of experience do you have in Eligibility Verification & Prior Authorization? Do you have WFH setup? What is your last take-home salary? What is your expected take-home salary? May I know your notice period?