Senior Health Claims Examiner

1 week ago

Hyderabad, Telangana, India beBeeInsurance Full time ₹ 8,00,000 - ₹ 12,00,000
Medical Insurance Specialist Job Description

The role of a Medical Insurance Specialist is to verify insurance benefits and eligibility for sleep studies, DME, and related procedures. This position is crucial in supporting both our sleep studies and DME services.

Responsibilities:
  • Verify insurance benefits and eligibility for sleep studies, DME, and related procedures.
  • Obtain prior authorizations efficiently and accurately.
  • 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.
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 shift roles when necessary.
  • Excellent verbal and written communication skills.
  • Proficient in EMR systems and Microsoft Office (especially Excel).
  • Strong team player with a positive and proactive attitude.

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