Medical Claims Examiner Specialist

1 day ago


Jaipur, Rajasthan, India beBeeMedical Full time ₹ 9,00,000 - ₹ 12,00,000
Job Title: Medical Claims Examiner Specialist

We are seeking a reliable and experienced medical claims examiner specialist to join our team. This role is vital to our operations, supporting sleep studies and DME services.

  • Main Responsibilities:
  • Verify patient 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 electronic medical record 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.

Key Requirements:

  • A minimum of 2 years of experience in medical claims examination and prior authorization.
  • Strong knowledge of co-pays, deductibles, co-insurance, and insurance plan types.
  • Familiarity with sleep studies and DME services is preferred but not required.
  • The ability to multitask, stay organized, and adapt to changing priorities.
  • Excellent verbal and written communication skills.
  • Proficiency in electronic medical record systems and Microsoft Office, particularly Excel.
  • A strong team player with a positive attitude and proactive approach.


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