Medical Insurance Claims Specialist

2 days ago


Vijayawada, Andhra Pradesh, India beBeeInsurance Full time ₹ 6,00,000 - ₹ 12,00,000

Job Title: Medical Insurance Claims Coordinator

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We are seeking a highly organized and experienced Medical Insurance Claims Coordinator to join our team. As a key member of our operations, this role plays a vital part in supporting both sleep studies and DME services.

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Responsibilities:

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• Verify insurance benefits and eligibility for sleep studies, DME, and related procedures.

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• Obtain prior authorizations efficiently and accurately.

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• Explain co-pays, deductibles, and co-insurance to patients.

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• Work with various insurance plans including HMO and PPO.

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• Document and track authorizations in EMR systems and Excel.

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• Communicate clearly and professionally with patients and insurance companies.

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• Support front office and billing teams when needed.

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Requirements:

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• Minimum 2 years of experience in medical insurance verification and prior authorization.

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• Strong knowledge of co-pays, deductibles, co-insurance, and insurance plan types.

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• Familiarity with sleep studies and DME services (desired but not required).

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• Ability to multitask, stay organized, and shift roles when necessary.

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• Excellent verbal and written communication skills.

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• Proficiency in EMR systems and Microsoft Office (especially Excel).

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• Team player with a positive and proactive attitude.



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