Medical Insurance Specialist

5 days ago


Aligarh, Uttar Pradesh, India beBeeMedicalInsurance Full time ₹ 9,00,000 - ₹ 12,00,000
Job Overview

We are seeking a seasoned Medical Insurance Specialist to support our medical operations. This key role involves verifying insurance benefits and prior authorizations for sleep studies, DME services, and related procedures.

Key Responsibilities:

  • Verify patient insurance coverage and eligibility for medical procedures.
  • Obtain prior approvals from insurance providers efficiently and accurately.
  • Explain co-pays, deductibles, and co-insurance details to patients in a clear and professional manner.
  • Manage multiple insurance plans, including HMO and PPO.
  • Document and track authorizations using electronic medical records (EMR) systems and Excel spreadsheets.
  • Collaborate with front office and billing teams as needed to ensure seamless service delivery.
  • Communicate effectively with patients and insurance companies over the phone or via other channels.

Requirements:

  • Minimum 2 years of experience in medical insurance verification and prior authorization.
  • Strong knowledge of healthcare insurance policies, including co-pays, deductibles, and co-insurance.
  • Ability to multitask, stay organized, and adapt to changing priorities.
  • Excellent verbal and written communication skills.
  • Proficiency in EMR systems and Microsoft Office applications, particularly Excel.
  • Team player with a positive attitude and proactive approach.

Benefits of the Role:

  • Opportunity to work in a dynamic healthcare environment.
  • Chance to develop expertise in medical insurance verification and prior authorization.
  • Collaborative team atmosphere with opportunities for growth and learning.

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