Authorization&verification
2 weeks ago
**Full Job Description**
**Position Summary / Career Interest**:
The Authorisation and Verification Specialist is responsible for identifying patients who qualify for pre-registration to include all new patients and all return patients. This role is responsible for verification and pre-certification, notification and authorization of all admissions and / or outpatient visits. For all sponsored admissions, will contact patients’ employer and/or insurance company to verify coverage and benefits, obtain benefit level, patient liability.
**Responsibilities**:
- Works daily according to duty specifications to retrieve all un-contacted patients prior to service. Utilizes worklists to pre-register / pre-certify hospital services.
- Conducts telephone interviews as needed with patients to elicit demographic information and third-party payer data that will be needed for billing purposes.
- Enters patient data directly into registration systems
- Verifies with third party payer dependent eligibility, certificate and group numbers, co-payment and deductible amounts, statement mailing address, etc. Complies with Medicare / Medicaid and other insurance rules and regulations.
- Works closely with the clinics, hospital ancillary departments, and patient financial advisors regarding potential complications regarding insurance coverage.
**JOB REQUIREMENTS**
Required:
- Fluency in English
- Bachelor’s degree Required
**Preferred**:
- Worked with American Insurance companies
- Experience in American Medical billing
- Prior experience in authorization and verification
**Job Types**: Full-time, Regular / Permanent
**Salary**: ₹25,000.00 - ₹35,000.00 per month
**Benefits**:
- Cell phone reimbursement
- Commuter assistance
- Internet reimbursement
- Work from home
Schedule:
- Monday to Friday
- Night shift
- US shift
Ability to commute/relocate:
- Delhi, Delhi: Reliably commute or planning to relocate before starting work (preferred)
**Experience**:
- total work: 2 years (preferred)
- American insurance: 2 years (preferred)
**Speak with the employer**
+91-XXXXXXXXXX
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