Sleep Study and Prior Authorization Medical Insurance Expert

5 days ago


Udaipur, Rajasthan, India beBeeInsurance Full time ₹ 8,00,000 - ₹ 12,00,000
Medical Insurance Verification Specialist

We seek an experienced medical insurance verification specialist to support our sleep studies and DME services. This role is crucial in ensuring seamless operations.

Key Responsibilities:
  • 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 adapt to changing priorities.
  • Excellent verbal and written communication skills.
  • Proficient in EMR systems and Microsoft Office (especially Excel).
  • Collaborative team player with a proactive attitude.

This role offers the opportunity to work in a dynamic environment and contribute to the success of our organization.



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