Verification Specialist

As an Eligibility Verification specialist in medical billing Revenue Cycle Management (RCM), your primary responsibility will be to verify the insurance coverage and eligibility of patients. You will be required to accurately review and assess insurance information provided by patients, ensuring that it aligns with the services being rendered. Your role will also involve communicating with insurance companies to validate coverage details, confirm benefits, and determine any pre-authorization requirements. Attention to detail is crucial in this position to avoid claim denials and ensure timely reimbursement for services provided. Additionally, you will need to stay updated on insurance policies, procedures, and regulations to accurately verify eligibility and navigate any changes in coverage criteria. Collaborating with other members of the billing and coding team to resolve any discrepancies or issues related to eligibility verification will also be part of your duties. Overall, as an Eligibility Verification specialist, you will play a vital role in the revenue cycle process by ensuring that accurate insurance information is verified and documented, contributing to the efficiency and success of the medical billing operations.,