Front Desk Receptionist
1 week ago
**Key Responsibilities**
**Insurance Verification and Authorization**:
- Verify patients’ insurance coverage and eligibility for medical services.
- Obtain prior authorizations or pre-certifications for procedures, hospital admissions, and specialty services as required.
- Maintain accurate records of insurance verification and approvals.
**Claims Processing and Billing**:
- Work closely with the billing department, case management team, and healthcare providers to streamline processes.
- Coordinate the submission of insurance claims and follow up on outstanding claims.
- Review claims for accuracy and compliance with insurance policies.
- Serve as a point of contact for insurance representatives regarding claims and contracts.
- Resolve denials or discrepancies with insurance companies to expedite reimbursements.
**Patient Interaction**:
- Explain insurance benefits, coverage details, and out-of-pocket costs to patients.
- Assist patients with completing insurance-related paperwork.
- Address patient inquiries and concerns regarding billing and insurance.
**Qualifications**
**Education**:
- High school diploma or equivalent (required).
- Associate’s or Bachelor’s degree in healthcare administration, business, or a related field (preferred).
- Familiarity with insurance verification, claims processing, and coding (CPT, ICD-10).
**Skills**:
- Excellent communication, organizational, and problem-solving skills.
- Requires extended periods of sitting, data entry, and interaction with patients and insurance representatives.
- Attention to detail and ability to handle confidential information.
**Key Performance Indicators (KPIs)**:
- Timely verification of insurance coverage and pre-authorizations.
- Reduced claim rejection rates.
- High patient satisfaction with insurance and billing support.
- Effective resolution of denied claims within set timelines.
**Job Types**: Full-time, Permanent
Pay: ₹8,086.00 - ₹13,000.00 per month
**Benefits**:
- Health insurance
- Provident Fund
Schedule:
- Day shift
- Fixed shift
**Experience**:
- total work: 1 year (preferred)
Work Location: In person
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