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For Employers

AR Caller

Velan Info Services

0 - 3 years

2 - 5 Lacs

coimbatore

Posted:1 hour ago| Platform:

Apply

Skills Required

front end medical billing ivr tpa medical coding billing hipaa us healthcare analytics data entry

Work Mode

Work from Office

Job Type

Full Time

Job Description

1. Insurance Eligibility Verification

Verify patient insurance eligibility prior to services rendered
Confirm policy status (active/inactive), effective dates, and coverage limits
Validate primary, secondary, and tertiary insurance details

2. Benefits Coverage Review

Review covered and non-covered services based on patient s insurance plan
Identify patient financial responsibility including
copay, coinsurance, and deductibles
Verify coverage for procedures, diagnostics, surgeries, and specialty services

3. Authorization Referral Support

Identify services requiring
prior authorization or referrals
Initiate and follow up on authorization requests with insurance providers or TPAs
Document authorization numbers and validity periods accurately

4. Communication Coordination

Communicate verified benefits clearly to patients, front desk, billing, and clinical teams
Explain insurance benefits and patient responsibility in a simple and professional manner
Coordinate with physicians and schedulers to avoid service delays

5. Documentation Data Entry

Accurately document verification details in the billing system or HIS
Upload and maintain insurance cards, authorization forms, and verification notes
Ensure all records are complete, accurate, and audit-ready

6. Compliance Accuracy

Ensure compliance with payer guidelines, HIPAA, and organizational policies
Follow standard operating procedures (SOPs) for benefits verification
Maintain high accuracy to reduce claim denials and rework

7. Denial Prevention Follow-up

Identify potential coverage issues proactively to prevent claim denials
Escalate discrepancies or unclear benefits to supervisors or payer representatives
Assist in resolving eligibility-related denials when required

8. Reporting Quality Monitoring

Prepare daily and weekly verification reports
Track turnaround time (TAT), accuracy rates, and error trends
Participate in quality audits and continuous process improvements

9. Customer Service Professional Conduct

Maintain professionalism while interacting with patients and insurance representatives
Handle sensitive financial and insurance discussions with confidentiality and empathy
Demonstrate accountability and attention to detail at all times

Candidate Profile:

Diploma or certification in

Medical Billing / Medical Coding / Healthcare Administration

is an added advantage

0 to 3 years of experience

Benefits Verification, Eligibility Verification, or Insurance Coordination

US healthcare RCM

Freshers with relevant RCM training may be considered

Core Knowledge Skills

Strong understanding of

insurance eligibility and benefits verification processes

Knowledge of

copay, coinsurance, deductible, out-of-pocket maximums

Familiarity with

prior authorization and referral requirements

Basic understanding of claim lifecycle and denial management

Technical Skills

Experience working with

payer portals

and insurance IVR systems

Proficiency in

RCM software, HIS, or billing systems

Working knowledge of

MS Excel, Word, and email communication

Communication Skills

Good
verbal and written communication skills
Ability to explain insurance benefits clearly to internal teams or patients

Behavioral Professional Attributes

High attention to detail and accuracy-oriented mindset
Ability to work under pressure and meet strict TATs
Strong problem-solving and analytical skills
Accountability, adaptability, and willingness to learn

Understanding of
HIPAA compliance and data privacy standards
Commitment to follow SOPs, payer guidelines, and organizational policies

Productivity Work Requirements

Ability to handle high-volume verification work
Willingness to work in
US shifts / rotational shifts
, if required
Capable of meeting productivity and quality benchmarks consistently

Preferred / Added Advantages

Experience with

commercial, Medicare, and Medicaid plans

TPA coordination and authorization workflows

Prior experience in denial prevention or front-end RCM processes

Why Should You Join Velan

Excellent working atmosphere
Salary and bonus always paid on-time
You work for a company that has continuously grown for past 19+ years
Very supportive senior management
And lots more

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