Medical Claims Inspector

2 weeks ago


Bareilly, Uttar Pradesh, India beBeeInsurance Full time ₹ 12,00,000 - ₹ 18,00,000

Job Title: Medical Insurance Verification Specialist

We are seeking a skilled and organized Medical Insurance Verification Specialist to join our fast-paced team. This role is vital to our operations, supporting sleep studies and DME services.

  • Verify insurance benefits and eligibility for sleep studies, DME, and related procedures.
  • Obtain prior authorizations efficiently and accurately.
  • Understand and explain co-pays, deductibles, and co-insurance to patients.
  • Work with various insurance plans including HMO and PPO.
  • Document and track authorizations in EMR systems and Excel.
  • Communicate clearly and professionally with patients and insurance companies.
  • Support front office and billing teams when needed.
  • Handle a high call volume with excellent phone etiquette and attention to detail.

Requirements:

  • Minimum 2 years of experience in medical insurance verification and prior authorization.
  • Strong knowledge of co-pays, deductibles, co-insurance, and insurance plan types.
  • Familiarity with sleep studies and DME services (preferred but not required).
  • Ability to multitask, stay organized, and shift roles when necessary.
  • Excellent verbal and written communication skills.
  • Proficient in EMR systems and Microsoft Office (especially Excel).
  • Strong team player with a positive and proactive attitude.


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