3 Authorization Requirements Jobs

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0.0 - 4.0 years

0 Lacs

ahmedabad, gujarat

On-site

As a Patient Insurance Verification Specialist, your primary responsibility will be to verify patient insurance coverage by contacting insurance companies either via phone or online portals to confirm patient eligibility and coverage details. It is essential to accurately document policy status, effective dates, plan types, and group/member IDs. Your key responsibilities will include: - Determining benefits and coverage by verifying authorization requirements and referral needs for services. - Ensuring accurate data entry by inputting verified insurance details into the practice management or electronic health record (EHR) system. - Maintaining organized and up-to-date patient insurance reco...

Posted 1 month ago

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2.0 - 7.0 years

0 - 3 Lacs

bengaluru

Work from Office

Eligibility Verification Specialist Responsibilities: Verify patient insurance eligibility and benefits prior to scheduled visits or procedures. Confirm coverage for exams, diagnostic tests (OCT, visual fields, etc.), and surgical procedures. Document copays, deductibles, coinsurance, and authorization requirements. Communicate insurance details to patients and front office staff. Work with insurance carriers to resolve eligibility issues. Maintain up-to-date records for compliance and billing accuracy. Qualifications: 2 and above years of experience in medical eligibility verification. Familiarity with payer requirements. Strong communication and customer service skills. Ability to manage m...

Posted 1 month ago

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1.0 - 5.0 years

0 Lacs

kochi, kerala

On-site

As an AR Caller / Senior AR Executive at Wave Online (Cochin), a rapidly growing healthcare BPO specializing in end-to-end revenue cycle management, your responsibilities will include: - Reviewing and analysing accounts receivable reports for timely follow-up on outstanding claims. - Initiating calls to insurance companies to resolve pending claims or denials. - Handling claim rejections, denials, and follow-up processes efficiently. - Working on bundled claims and understanding authorization processes. - Meeting client-specific KPIs and productivity targets. - Documenting all activities accurately in the client system. - Maintaining a high level of professionalism and customer service durin...

Posted 2 months ago

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