Eligibility & Verification

As an Eligibility & Verification Specialist, you will play a crucial role in ensuring patients" insurance coverage and eligibility for services. Your attention to detail, communication skills, and understanding of insurance processes will be key in reducing denials and optimizing reimbursement. Key Responsibilities: - Obtain required authorizations or referrals before services are rendered. - Update insurance information and verification notes accurately in the patient management system. - Collaborate with front desk, billing, and clinical staff to resolve coverage issues. - Communicate with patients regarding their insurance coverage and explain financial responsibility when necessary. - Monitor and follow up on pending verifications and authorizations. - Identify and escalate complex coverage or authorization issues to supervisors or relevant departments. Qualifications: Required: - High school diploma or GED. - 2+ years of experience in medical insurance verification, eligibility, or a similar role. - Knowledge of commercial, Medicare, Medicaid, and managed care plans. If you are interested in this role, please send your CV to ssangar@scale-healthcare.in or contact us at 8699557349. Note: The work location for this full-time position is in person.,