Insurance Eligibility and Benefit Verification Specialist

The Insurance Eligibility and Benefit Verification Specialist is responsible for verifying patient insurance eligibility and benefits prior to medical services being provided. You will ensure that accurate insurance information is obtained and communicated to the medical providers, ensuring smooth billing processes and reducing the likelihood of claim denials or delays. Your role plays a critical role in the revenue cycle management for healthcare providers. As an Insurance Eligibility and Benefit Verification Specialist, your responsibilities and duties will include verifying patient insurance eligibility and benefits through online portals or direct communication with insurance carriers. You will collaborate with healthcare providers to obtain prior authorizations for medical procedures and treatments, resolve discrepancies in insurance information, and address coverage issues promptly. Effective communication with patients regarding their insurance coverage and financial responsibilities is also a key aspect of this role. Preferred skills for this position include a strong understanding of insurance terminology, medical coding (CPT, ICD-10, HCPCS), and insurance plans. Proficiency with medical billing software, Electronic Health Records (EHR) systems, and online insurance portals is highly desirable. Excellent written and verbal communication skills are necessary, with the ability to interact professionally with patients, insurance companies, and healthcare providers. Being detail-oriented, organized, and able to manage multiple tasks in a fast-paced environment is crucial. Knowledge of HIPAA and other healthcare privacy and compliance standards, as well as experience with Medicare, Medicaid, PPO, HMO, and commercial insurance plans, are advantageous. This is a full-time, permanent position with night shift and US shift schedules. The work location is in person. If you meet the qualifications and are interested in this opportunity, please share your resume on the provided contact number +91 6355320395.,