Medical Insurance Claims Examiner

24 hours ago

Nashik, Maharashtra, India beBeeMedical Full time ₹ 8,00,000 - ₹ 12,00,000

Job Description:

We are seeking a highly skilled and organized professional to join our team as a Medical Insurance Verification Specialist. This role is crucial in supporting the sleep studies and DME services of our organization.

The ideal candidate will have a minimum of 2 years of experience in medical insurance verification and prior authorization, with strong knowledge of co-pays, deductibles, and co-insurance. They will be comfortable multitasking, working with various insurance plans, including HMO and PPO, and communicating clearly with patients and insurance companies.

Key Responsibilities:

  • Verify 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 EMR 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

Requirements:

  • Minimum 2 years of experience in medical insurance verification and prior authorization
  • Strong knowledge of co-pays, deductibles, and co-insurance
  • Familiarity with sleep studies and DME services (preferred but not required)
  • Ability to multitask, stay organized, and shift roles when necessary
  • Excellent verbal and written communication skills
  • Proficient in EMR systems and Microsoft Office (especially Excel)
  • Strong team player with a positive and proactive attitude

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