Job Title Eligibility Verification Specialist Job Summary The Eligibility Verification Specialist is responsible for verifying patients insurance coverage and eligibility for services This role ensures that all necessary pre-authorization and insurance requirements are met prior to service delivery reducing denials and optimizing reimbursement The ideal candidate has robust attention to detail excellent communication skills and a solid understanding of insurance processes and regulations Key Responsibilities Verify patient insurance eligibility and benefits through payer portals phone calls or electronic verification systems Determine co-pays deductibles co-insurance and out-of-pocket responsibilities Ensure required authorizations or referrals are obtained before services are rendered Accurately update insurance information and verification notes in the patient management system Work closely with front desk billing and clinical staff to resolve coverage issues Contact patients regarding their insurance coverage and explain financial responsibility if needed Track and follow up on pending verifications and authorizations Maintain compliance with HIPAA and all payer and regulatory requirements Identify and escalate complex coverage or authorization issues to supervisors or appropriate departments Qualifications Required High school diploma or GED 2 years of experience in medical insurance verification eligibility or a similar role Knowledge of commercial Medicare Medicaid and managed care plans Please share your cv to ssangar scale-healthcare in or can call us at (phone hidden) Job Type Full-time Pay 23 000 00 - 45 000 00 per month Work Location In person