Insurance Eligibility Coordinator
3 weeks ago
We are seeking a highly skilled and detail-oriented Insurance Verification Specialist to join our team at Encora Inc. in India.
This is a full-time remote opportunity that requires 5+ years of experience in the field.
- Maintain accurate patient demographic information and data collection systems.
- Update charts with current information, ensuring compliance with regulations.
- Review patient medical history and insurance coverage for approval.
- Verify insurance eligibility for upcoming appointments using online platforms or direct carrier contact.
- Confirm Commercial plan coverage and eligibility for both office locations.
- Complete verification forms by obtaining necessary information for Commercial payers.
- Manage patient deductibles and copays, entering data into billing systems and sharing with relevant departments.
- Document changes in eligibility, coverage, carrier, and amounts due in memos and notes.
This role involves completing authorizations and referrals for medical services requested by providers in both office locations.
You will review potential patients' medical histories, verify information from referring physicians, and confirm insurance coverage.
You will also monitor schedules for add-on patients, run appointment reports to ensure no conflicts, and secure prior authorizations for appointments or procedures.
Candidates will submit outbound authorization requests for patients referred to specialists.
You will upload approved authorizations into Electronic Health Records and update patient charts to reflect approved services.
You will communicate with the Billing Department regarding changes in insurance information, denied requests, conflicting appointments, and service requests for each provider.
About Encora:Encora is a leading digital engineering and modernization partner for top enterprises and digital native companies.
We have over 9,000 experts in 47+ offices worldwide, providing technology practices like Product Engineering & Development, Cloud Services, Quality Engineering, DevSecOps, Data & Analytics, Digital Experience, Cybersecurity, and AI & LLM Engineering.
We value diversity and inclusion, hiring based on skills and qualifications without bias.
Estimated Salary:Rupee 800,000 - Rupee 1,200,000 per annum, depending on experience and location.
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