
Medical Insurance Coverage Specialist
1 day ago
Job Title: Medical Insurance Verification/Prior Authorisation Specialist
">As a medical insurance verification and prior authorisation specialist, you will be responsible for ensuring seamless coverage for patients undergoing sleep studies and DME services. The ideal candidate will possess strong analytical skills and excellent communication abilities.
Key Responsibilities:
- Verify patient eligibility for sleep studies and DME services.
- Obtain prior authorisations efficiently and accurately.
- Explain co-pays, deductibles, and co-insurance to patients in a clear and concise manner.
- Collaborate with various insurance plans including HMO and PPO.
- Document and track authorisations in EMR systems and Excel.
- Communicate effectively with patients and insurance companies.
Requirements:
- Minimum 2 years of experience in medical insurance verification and prior authorisation.
- 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 and prioritise tasks effectively.
- Excellent verbal and written communication skills.
- Proficiency in EMR systems and Microsoft Office (especially Excel).
Additional Skills:
- Strong team player with a positive attitude.
- Proactive approach to problem-solving and issue resolution.
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India Crammaze Full timeExperience Required: Minimum 2 yearsIndustry: Healthcare / Sleep Medicine / DMEWe are a high-volume Sleep Specialist office seeking a reliable, organized, and experienced Medical Insurance Verification & Prior Authorization Specialist to join our fast-paced team. This role is vital to our operations, supporting both our sleep studies and DME services. The...
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