Hiring - Eligibility and Benefit Verification Caller (Navi Mumbai)

Oncospark

1 - 4 years

3 - 4 Lacs

navi mumbai

Posted:1 month ago| Platform:

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Skills Required

eligibility verification insurance verification us healthcare

Work Mode

Work from Office

Job Type

Full Time

Job Description

Key Responsibilities:

Verify patient insurance eligibility and benefits through payer portals, clearinghouses, and calls to insurance companies.
Confirm coverage details including co-pays, deductibles, coinsurance, and prior authorization requirements.
Document verified information accurately in practice management/EMR systems.
Communicate coverage details and discrepancies to providers, billing teams, or patients as required.
Identify and escalate issues related to insurance denials, inactive policies, or coverage lapses.
Maintain productivity and quality standards as defined by the organization.
Ensure HIPAA compliance and safeguard patient health information.
Collaborate with internal teams (AR, billing, coding) to resolve eligibility and benefit-related issues.

Required Skills:

Strong understanding of US healthcare insurance plans (Commercial, Medicare, Medicaid, HMO, PPO, Workers Compensation).
Excellent verbal and written communication skills.
Proficiency in using insurance portals, clearinghouses, and MS Office tools.
Attention to detail and ability to work in a fast-paced environment.
Problem-solving and analytical skills.
Knowledge of HIPAA compliance requirements.

Please share your CV to hr@oncospark.com or Contact - 7824834817 - Sangeeth HR

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