Hiring Insurance Verification (IV) Caller US Healthcare

1 - 4 years

1 - 4 Lacs

Posted:1 week ago| Platform: Naukri logo

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Job Type

Full Time

Job Description

Dear Candidates ,

Hiring Insurance Verification (IV) Caller US Healthcare

Experience Required:

Work Mde- full Time

Shift:

The Insurance Verification (IV) Caller is responsible for contacting insurance carriers in the United States to verify patient eligibility, coverage, benefits, and authorizations. This role plays a key part in ensuring accurate billing and clean claim submissions for healthcare providers.

Key Responsibilities:

  • Call US-based insurance companies to verify

    patient eligibility and benefits

    .
  • Gather and confirm details such as:
    • Policy status, effective dates, and plan type (HMO/PPO/etc.)
    • Co-pay, co-insurance, and deductible amounts
    • Authorization or referral requirements
    • Coverage limitations or exclusions
  • Document verified information accurately in the

    EMR/EHR or client portal

    .
  • Work with

    billing teams

    to ensure proper claim submission based on insurance verification.
  • Maintain high accuracy and call handling standards to meet

    daily productivity targets

    .
  • Handle

    confidential patient information

    in compliance with

    HIPAA regulations

    .
  • Collaborate with team leads or QA specialists to improve process efficiency and quality.
  • Follow-up on pending verifications as needed.

Requirements:

  • Minimum 1-4 years

    of experience in

    US healthcare voice process

    (insurance verification preferred).
  • Strong knowledge of

    US health insurance

    terms and payers.
  • Proficient in

    verbal English communication

    and active listening skills.
  • Familiar with

    EMR/EHR software

    and insurance portals.
  • Ability to work

    night shifts

    (US time zones).
  • High attention to detail and data accuracy.
  • Knowledge of

    HIPAA compliance

    and RCM cycle is a plus.
  • Team player with problem-solving skills and willingness to learn.

Interested Candidate can apply for this job

Contact - 8610529763

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Q Way Technologies

Information Technology / Logistics

San Francisco

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