Medical Eligibility Specialist

2 weeks ago


Chennai, Tamil Nadu, India People First Consultants Full time

Job Summary

At People First Consultants, we are seeking a skilled Medical Eligibility Specialist to join our team. As a Medical Eligibility Specialist, you will be responsible for initiating calls to insurance companies to verify patient eligibility and benefits for medical services.

Key Responsibilities

  • Collect and document all necessary patient information to ensure accurate eligibility verification.
  • Communicate effectively with healthcare providers and patients regarding eligibility status and any required documentation.
  • Maintain accurate and organized records of all verification requests and outcomes in the electronic health record (EHR) system.
  • Address and resolve issues related to eligibility discrepancies or denied claims in a timely manner.
  • Collaborate with medical and administrative staff to ensure seamless patient care and service.
  • Stay updated on changes in insurance policies and eligibility requirements.
  • Strong knowledge of medical terminology and insurance processes.
  • Excellent verbal and written communication skills.
  • Proficiency with EHR systems web portals and Microsoft Office Suite.

Requirements

  • Strong knowledge of medical terminology and insurance processes.
  • Excellent verbal and written communication skills.
  • Proficiency with EHR systems web portals and Microsoft Office Suite.


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