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5 days ago
Job Title: EV Caller & Authorization Specialist
Location: Chennai
Shift: Night Shift
Experience Required: 3-5 Years
Job Description: The EV (Eligibility & Verification) Caller is responsible for verifying patients' insurance coverage by calling insurance providers or using online portals. They ensure accurate recording of policy details, coverage limits, co-pays, deductibles, and benefit information.The Authorization Specialist secures prior authorizations for medical services by coordinating with payers and providers. They follow up on pending requests and ensure all approvals are in place before patient services are rendered.
Key Responsibilities:
- Contact insurance companies to verify patient benefits and eligibility
- Document insurance responses accurately in the system
- Identify and obtain required prior authorizations for procedures
- Follow up on authorization requests and escalate when necessary
- Maintain compliance with HIPAA and organizational policies
- Coordinate with internal teams to resolve insurance or authorization issues
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