insurance verification Executive

Job Description

Job Summary : We are seeking a detail-oriented and proactive Eligibility Verification & Authorization Specialist to join our healthcare operations team. The role is responsible for verifying insurance coverage, determining patient eligibility, obtaining prior authorizations, and working closely with insurance carriers to ensure timely and accurate reimbursement for services provided. Key Responsibilities : Verify patient insurance eligibility and coverage through payer portals or direct communication with insurance companies. Secure prior authorizations for diagnostic procedures, surgeries, and specialist consultations as per payer requirements. Monitor and follow up on pending authorizations, resubmissions, and denials. Maintain up-to-date knowledge of insurance carrier policies, authorization workflows, and documentation requirements. Collaborate with the billing and coding team to ensure claims are submitted accurately and within deadlines. Communicate professionally and in compliance with HIPAA regulations. Accurately document all authorization-related activities in the system or EHR. Assist in identifying trends in denials and recommending process improvements. Required Skills & Qualifications : Prior experience in medical billing, insurance verification, or healthcare revenue cycle management is preferred. Familiarity with payer portals, EMR/EHR systems, and insurance guidelines. Strong communication and interpersonal skills (written and verbal). Detail-oriented with good organizational and time management skills. Basic understanding of HIPAA and healthcare compliance standards. Ability to work independently as well as in a team environment. Job Type: Full-time Pay: ₹30,000.00 - ₹35,000.00 per month Benefits: Provident Fund Schedule: Day shift Supplemental Pay: Performance bonus Experience: Insurance verification: 1 year (Required) Work Location: In person