Posted Nov 10, 2023 132 views
We are looking to hire an Eligibility and Benefits Verification Specialist as a member of our team, responsible for verifying patient insurance coverage and ensuring necessary procedures are covered by an individual's provider. This individual plays a key role in minimizing financial risks for both the organization and the patient.
Primary Responsibilities:
Verification Tasks:
Accurately verify insurance eligibility and benefits information for new and returning patients using various online systems and via telephone calls to insurance carriers.
Data Entry: Enter detailed insurance and benefits information into the patient's electronic health record or company database accurately.
Coordination: Liaise with front office staff, billing teams, and clinicians to update them on coverage details, ensuring a smooth patient experience.
Patient Communication: Inform patients of their insurance benefits, co-payments, deductibles, and any other pertinent insurance details. Address any questions or concerns they might have.
Documentation: Maintain detailed and accurate notes of all interactions with insurance carriers and patients.
Problem-Solving: Work with insurance companies to resolve any eligibility or benefits issues that may arise.
Compliance: Ensure all processes are compliant with federal and state regulations and company policies.
Continuous Learning: Stay updated with changing insurance policies, procedures, and regulations.
Reporting: Generate and analyze reports detailing insurance verification activities, discrepancies, and issues. Propose process improvements based on data.
Qualifications:
- Associate's or Bachelor's degree preferred. Previous experience in insurance verification, billing, or a related field preferred.
- Proficient in using electronic medical records and other computer systems.
- Strong communication skills, both written and verbal.
- Detail-oriented with strong organizational skills.
- Ability to multitask and prioritize effectively in a fast-paced environment.
- Must be a good team player
We provide a great career path and our employees are compensated with a great employment package and competitive compensation commensurate with their experience.
Timing: Night Shift (6:00 PM - 3:00 AM)
Location: Jail Road, Gulberg, Lahore
Job Details
Progressive Resource Group
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