Process Associate- Eligibility

7 days ago

Ahmadabad Gujarat, India Future Healthcares Full time

1Insurance Verification Specialist is responsible for obtaining verification of patient payer benefits and eligibility for the homecare services ordered. Includes Private Insurance, Veteran’s Association, Medicare/Medicaid
- Ongoing written and verbal communication with case managers regarding authorization, re-authorization, and retro-authorization of visits
- Provide payers with verbal or faxed clinical status reports, etc. as needed
- Provide accurate documentation of conversations regarding patients
- Working knowledge of specific contracts between the agency and various payers
- Insures that cases are effectively managed according to utilization and authorization, as defined by payer. This function includes: documentation and ongoing maintenance of authorization and re-authorization
- Acting as a resource to patients and communicating as appropriate with other family members involved in patient care re insurance coverage
- Utilizes sound customer service principles in relating to patients by negotiating effectively, resolving conflicts, seeking management assistance as appropriate, and responding as appropriate and communicating the agency’s spectrum of care
- Verify Medicare eligibility via Ability website. Recognize “Option C” coverage and Medicare Secondary and obtain appropriate authorization for services
- Verify Medicaid coverage, report to “Medicaid Specialist” new Medicaid referrals
- Scan insurance documents as needed for “Accounts Receivable and Billing Manager”
- Works under the direction of “Accounts Receivable and Billing Manager”, assist with duties as directed
- Process new intakes/referrals as requested
- Electronic and paper filing, including but not limited to patient and insurance company correspondence
- Answer incoming calls as needed
- Other duties as assigned

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

**Salary**: ₹30,000.00 - ₹33,000.00 per month

**Benefits**:

- Paid sick time
- Paid time off
- Provident Fund

Schedule:

- Night shift

Supplemental pay types:

- Performance bonus
- Yearly bonus

Ability to commute/relocate:

- Ahmedabad, Gujarat: Reliably commute or planning to relocate before starting work (required)

**Experience**:

- total work: 4 years (preferred)

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