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Med-metrix
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IV Representative

IV Representative

Med-metrix

1 - 3 years

2 - 4 Lacs

Chennai

Posted:1 month ago| Platform:

Apply

Skills Required

Insurance Verification US Healthcare Medical Billing

Work Mode

Work from Office

Job Type

Full Time

Job Description

Job Title:

Location:

Department:

Voice Process-US Shift timings (5.30 - 2.30 IST).

Job Summary:

The Insurance Verification Specialist is responsible for verifying patient insurance coverage, ensuring accurate billing, and minimizing claim denials. This role plays a critical part in the revenue cycle by confirming eligibility, benefits, and authorization requirements prior to services being rendered.

Key Responsibilities:

Verify patient insurance coverage and eligibility through online portals or by contacting insurance carriers.
Confirm policy status, coverage limits, co-pays, deductibles, and pre-authorization requirements.
Document verification details accurately in the billing system.
Communicate with patients regarding their insurance benefits and financial responsibilities.
Coordinate with front office, billing, and coding teams to ensure clean claims submission.
Follow up on pending verifications and resolve discrepancies promptly.
Maintain up-to-date knowledge of insurance guidelines and payer policies.

Qualifications:

High school diploma or equivalent; associate degree preferred.
12 years of experience in insurance verification or medical billing.
Familiarity with healthcare insurance plans (Medicare, Medicaid, commercial payers).
Strong communication and interpersonal skills.
Proficiency in using billing software and insurance portals.
Attention to detail and ability to multitask in a fast-paced environment.

Please reach out to 9280098218 or irajendran@med-metrix.com

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