Medical Insurance Verification Specialist

5 days ago


Jamnagar, Gujarat, India beBeeInsurance Full time ₹ 9,00,000 - ₹ 12,00,000

As a medical insurance verification specialist, you will play a vital role in supporting sleep studies and DME services. The ideal candidate will be comfortable multitasking and stepping into different roles as needed.

Key Responsibilities:
  • Verify patient insurance benefits and eligibility for sleep studies and related procedures efficiently and accurately.
  • Obtain prior authorizations promptly and effectively.
  • Understand and explain copays, deductibles, and coinsurance to patients clearly.
  • Work with various insurance plans including HMO and PPO models.
  • Document and track authorizations in electronic medical record (EMR) systems and Excel spreadsheets.
  • Communicate professionally and effectively with patients and insurance companies via phone calls and written correspondence.
  • Support front office teams and billing departments when necessary.
  • Handle high call volumes with excellent phone etiquette and attention to detail.
Requirements:
  • Minimum 2 years of experience in medical insurance verification and prior authorization.
  • Strong knowledge of copays, deductibles, coinsurance, and insurance plan types.
  • Familiarity with sleep studies and DME services is preferred but not required.
  • Ability to multitask, stay organized, and shift roles when necessary.
  • Excellent verbal and written communication skills are essential.
  • Proficiency in EMR systems and Microsoft Office applications, especially Excel.
  • Strong team player with a positive attitude and proactive approach.


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