Medical Insurance Verifier Specialist

2 days ago


Thiruvananthapuram, Kerala, India beBeeInsurance Full time ₹ 80,00,000 - ₹ 1,20,00,000

Job Title:

Medical Insurance Verification and Prior Authorization Specialist

Job Summary:

This role is essential for verifying insurance benefits and eligibility for sleep studies, DME, and related procedures. The successful candidate will work with various insurance plans, including HMO and PPO.

Key Responsibilities:

  • Verify insurance coverage for patients undergoing sleep studies and DME services.
  • Obtain prior authorizations efficiently and accurately.
  • Explain co-pays, deductibles, and co-insurance to patients in a clear and concise manner.
  • Communicate professionally with patients and insurance companies via phone.
  • Support the front office and billing teams by providing accurate information and updates.

Requirements:

  • Minimum 2 years of experience in medical insurance verification and prior authorization.
  • Strong knowledge of health insurance policies and plans.
  • Ability to multitask, prioritize tasks, and maintain attention to detail.
  • Excellent verbal and written communication skills.
  • Proficient in electronic medical records (EMR) systems and Microsoft Office.


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