Insurance Verification Caller

Department: Healthcare (RCM)

Job Summary:

The Insurance Verification Caller plays a crucial role in the healthcare revenue cycle by verifying patients' insurance eligibility and benefits before medical procedures. This role ensures that claims are processed smoothly and that patients are aware of their coverage details.

Key Responsibilities:

• Contact insurance companies via phone or online portals to verify patients' coverage, benefits, and eligibility.
• Confirm details such as co-pays, deductibles, out-of-pocket expenses, and pre-authorization requirements.
• Update patient records accurately in the system based on verification results.
• Communicate any insurance discrepancies to billing teams or front-office staff for resolution.
• Ensure compliance with HIPAA and other regulatory requirements while handling patient data.
• Work with internal teams to resolve claim denials related to incorrect or missing insurance information.
• Maintain accurate logs of calls and follow-ups for audit purposes.

Required Skills & Qualifications:

• 1+ years of experience in insurance verification, medical billing, or RCM (preferred).
• Strong understanding of insurance plans, medical terminology, and billing processes.
• Excellent communication skills for phone-based interactions with insurance companies.
• Ability to navigate insurance websites and portals efficiently.
• Proficiency in MS Office (Excel, Word) and familiarity with EHR/EMR systems.
• Strong attention to detail and ability to multitask in a fast-paced environment.

Preferred Qualifications:

• Experience working with US healthcare insurance (Medicare, Medicaid, Commercial payers, PPO, HMO, etc.).
• Knowledge of CPT, ICD-10, and HCPCS codes.
• Prior experience in denial management and appeals is a plus.

For more details:

9944490718- Aithisya.C

Job Types: Full-time, Permanent

Pay: ₹15,000.00 - ₹22,000.00 per month

Benefits:

• Provident Fund

Work Location: In person