Medical Insurance Claim Specialist

24 hours ago

Lucknow, Uttar Pradesh, India beBeeVerification Full time ₹ 45,00,000 - ₹ 60,00,000

We are seeking a highly organized and experienced Medical Insurance Verification Specialist to join our team.

Job Responsibilities:
  • Verify patient insurance benefits and eligibility for sleep studies, durable medical equipment (DME), and related procedures efficiently.
  • Obtain prior authorizations accurately and in a timely manner.
  • Clearly explain co-pays, deductibles, and co-insurance to patients, ensuring they understand their financial obligations.
  • Work effectively with various insurance plans, including Health Maintenance Organizations (HMO) and Preferred Provider Organizations (PPO).
  • Document and track authorizations in electronic medical records (EMR) systems and Microsoft Excel.
  • Communicate professionally with patients, insurance companies, and internal teams to ensure seamless coordination of care.
Requirements:
  • A minimum of 2 years of experience in medical insurance verification and prior authorization is required.
  • A strong knowledge of co-pays, deductibles, co-insurance, and insurance plan types is essential.
  • Familiarity with sleep studies and DME services is preferred.
  • Excellent verbal and written communication skills are necessary for effective collaboration with patients and insurance companies.
  • Proficiency in EMR systems and Microsoft Office, particularly Excel, is required.

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