Authorization&verification

2 weeks ago

Delhi, India Grow4sure Full time

**Full Job Description**


**Position Summary / Career Interest**:
The Authorisation and Verification Specialist is responsible for identifying patients who qualify for pre-registration to include all new patients and all return patients. This role is responsible for verification and pre-certification, notification and authorization of all admissions and / or outpatient visits. For all sponsored admissions, will contact patients’ employer and/or insurance company to verify coverage and benefits, obtain benefit level, patient liability.

**Responsibilities**:

- Works daily according to duty specifications to retrieve all un-contacted patients prior to service. Utilizes worklists to pre-register / pre-certify hospital services.
- Conducts telephone interviews as needed with patients to elicit demographic information and third-party payer data that will be needed for billing purposes.
- Enters patient data directly into registration systems
- Verifies with third party payer dependent eligibility, certificate and group numbers, co-payment and deductible amounts, statement mailing address, etc. Complies with Medicare / Medicaid and other insurance rules and regulations.
- Works closely with the clinics, hospital ancillary departments, and patient financial advisors regarding potential complications regarding insurance coverage.

**JOB REQUIREMENTS**

Required:

- Fluency in English
- Bachelor’s degree Required

**Preferred**:

- Worked with American Insurance companies
- Experience in American Medical billing
- Prior experience in authorization and verification

**Job Types**: Full-time, Regular / Permanent

**Salary**: ₹25,000.00 - ₹35,000.00 per month

**Benefits**:

- Cell phone reimbursement
- Commuter assistance
- Internet reimbursement
- Work from home

Schedule:

- Monday to Friday
- Night shift
- US shift

Ability to commute/relocate:

- Delhi, Delhi: Reliably commute or planning to relocate before starting work (preferred)

**Experience**:

- total work: 2 years (preferred)
- American insurance: 2 years (preferred)

**Speak with the employer**

+91-XXXXXXXXXX

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