
Eligibility Verification
1 week ago
**Job Summary**:The Eligibility Verification & Authorization Specialist is responsible for verifying patient insurance coverage, determining eligibility for services, and securing prior authorizations and referrals as required by insurance carriers. This role plays a vital part in ensuring patients receive timely care and that services are reimbursed accurately by payers.**Key Responsibilities**:
- Verify patient insurance coverage and eligibility via online payer portals or by contacting insurance carriers directly.
- Obtain prior authorizations for procedures, and specialist visits as required.
- Proactively follow up with insurance companies on pending authorizations and denials.
- Maintain knowledge of payer-specific guidelines, medical necessity requirements, and authorization procedures.
- Work closely with the billing team to ensure accurate claim submission and reduce denials.
- Ensure compliance with HIPAA and other applicable regulations in all communications.
**Job Types**: Full-time, Permanent
Pay: ₹20,000.00 - ₹35,000.00 per month
**Benefits**:
- Commuter assistance
- Food provided
Schedule:
- Fixed shift
- Monday to Friday
- Night shift
**Experience**:
- Eligibility Verification and Authorization: 1 year (preferred)
Work Location: In person
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Verification and Prior Authorization
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Mohali, Punjab, India PAMM INFOTECH PVT LTD Full time**Job Summary**:The Eligibility Verification & Authorization Specialist is responsible for verifying patient insurance coverage, determining eligibility for services, and securing prior authorizations and referrals as required by insurance carriers. This role plays a vital part in ensuring patients receive timely care and that services are reimbursed...
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Insurance Verification Executive
2 days ago
Mohali district, Punjab, India Integgral Corporate Services Full time**Job Summary**: We are seeking a detail-oriented and proactive **Eligibility Verification & Authorization Specialist** to join our healthcare operations team. The role is responsible for verifying insurance coverage, determining patient eligibility, obtaining prior authorizations, and working closely with insurance carriers to ensure timely and accurate...
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Process Associate
4 days ago
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5 days ago
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Ar Caller Fresher
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Mohali, Punjab, India 3D Solutions LLC Full time**Job description**: **Experience Required**:0.6-1 Years - Understand how to analyze and resolve unpaid claims. - Eligibility and Verification. - Interact with the US-based insurance carriers. - Follow up on unpaid submitted claims. - Experience reading, interpreting and entering insurance EOBs. Understand CMS-1500 and UB-04 claim formats. - Review EOB/ERA...
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Process Associate
1 week ago
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Medical Biller Dme
5 days ago
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