Eligibility Verification

3 days ago


Mohali, Punjab, India PAMM INFOTECH PVT LTD Full time ₹ 3,00,000 - ₹ 4,20,000 per year

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: ₹25, ₹35,000.00 per month

Benefits:

  • Commuter assistance
  • Food provided

Work Location: In person



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