Healthcare Insurance Verification Professional

2 days ago


Navi Mumbai, Maharashtra, India beBeeInsuranceVerification Full time ₹ 2,50,000 - ₹ 5,00,000
About the Role

We are seeking a detail-oriented and organized professional to join our team as an Insurance Verification Specialist. In this role, you will be responsible for verifying patient insurance eligibility and benefits via various methods.

You will work closely with internal teams to ensure accurate and timely verification results. Your strong communication skills and ability to follow guidelines will make you a valuable asset to our organization.

Key Responsibilities
  • Verify patient insurance eligibility and benefits via payer portals, IVR systems, and live calls.
  • Confirm policy details, including coverage status, co-pays, deductibles, co-insurance, out-of-pocket limits, and prior authorization requirements.
  • Document verification results accurately in client systems or electronic medical records (EMRs).
  • Coordinate with billing and coding teams to ensure clean claims submission.
  • Update payer and patient details based on verification findings.
Qualifications & Skills
  • Graduate in any field (commerce, life sciences, or healthcare preferred).
  • 1–2 years of experience in U.S. healthcare insurance verification (experience preferred).
  • Familiarity with payer portals (e.g., Availity, Navinet) and interactive voice response (IVR) systems.
  • Knowledge of major U.S. insurance companies (Medicare, Medicaid, BCBS, UHC, Aetna, etc.).
  • Strong English communication and comprehension skills.
  • Proficiency in MS Office and basic medical terminology.
Preferred Attributes
  • Prior experience in EV, BV, or prior authorization processes.
  • Team player with strong attention to detail and time management.
  • Experience with EMR systems like eClinicalWorks, Epic, or Kareo is a plus.


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