Pre Registration
2 weeks ago
Job Summary:
The Pre-Registration / Eligibility Verification Associate is responsible for gathering and verifying patient insurance information prior to service. This role ensures timely and accurate verification of eligibility and benefits to support clean claim submission and minimize denials.
Key Responsibilities:
* Perform pre-registration of patients by collecting demographics and insurance details.
* Verify insurance eligibility and benefits using payer portals, phone calls, or clearinghouses.
* Accurately enter and update patient information in the system.
* Communicate with patients regarding coverage, co-pays, deductibles, and out-of-pocket estimates.
* Identify and escalate coverage issues or discrepancies.
* Coordinate with scheduling, registration, and billing departments as needed.
* Maintain documentation in compliance with HIPAA and company policies.
Requirements:
* 02 years of experience in healthcare, insurance verification, or revenue cycle preferred.
* Understanding of basic insurance terminology (HMO, PPO, deductible, co-pay, etc.).
* Strong attention to detail and data accuracy.
* Excellent communication and customer service skills.
* Familiarity with EMR systems or patient access software is a plus.
* High school diploma or equivalent required; associate degree preferred.
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