Candidates with USA billing experience only need to apply

WORK TIMINGS WILL BE 8 AM TO 5 PM CST. (NOT INDIA TIME)

Overview

Join our dynamic healthcare team as a Medical Insurance Verification and Authorizations Specialist! In this vital role, you will be the cornerstone of ensuring seamless insurance processes, verifying patient coverage, and securing necessary authorizations for medical services. Your energetic approach will help facilitate smooth interactions between patients, healthcare providers, and insurance companies, ultimately contributing to exceptional patient care and operational efficiency. If you thrive in a fast-paced environment, possess a keen eye for detail, and are passionate about health insurance policies, this is the perfect opportunity to make a meaningful impact.

Responsibilities

- Verify patient insurance coverage accurately by reviewing policies, advantages, and eligibility through electronic health records (EHR) systems and managed care portals.
- Obtain prior authorization for medical procedures, diagnostic tests, and treatments by communicating effectively with insurance carriers and healthcare providers.
- Maintain comprehensive documentation of all verification activities, authorizations, and correspondence in accordance with clinical confidentiality policies.
- Utilize medical coding skills including CPT (Current Procedural Terminology), ICD-9, ICD-10, and ICD coding to support accurate billing and claim submissions.




- Collaborate with medical office staff to ensure all required documentation is complete for insurance claims processing.
- Stay updated on health insurance policy changes, managed care guidelines, and compliance requirements such as HIPAA regulations.
- Provide excellent customer service by addressing patient inquiries related to insurance coverage and authorization status promptly and professionally.

Experience

- Prior experience in a medical office setting or healthcare workplace with exposure to insurance verification or medical billing preferred.
- Strong knowledge of health insurance policies, managed care processes, and prior authorization procedures.
- Proficiency in Microsoft Office applications including Word and Excel for record keeping and reporting purposes.
- Familiarity with Eclinical Works for managing medical records efficiently.
- Knowledge of medical terminology, medical coding (CPT, ICD-9/10), and medical billing practices to support accurate documentation.
- Experience with Cardiology office operations insurance verification is a plus.
- Excellent communication skills coupled with a customer service-oriented mindset to effectively liaise with patients, providers, and insurance representatives.

Join us in delivering exceptional healthcare support through your expertise in insurance verification and authorizations! Your dedication will help streamline processes, ensure compliance with clinical confidentiality policies, and enhance patient satisfaction every step of the way.

Pay: ₹25,000.00 - ₹60,000.00 per month

Benefits:

- Work from home

Work Location: Remote

📌 Medical Insurance Verification and Authorizations Specialist for USA based clinic (India)
🏢 Mangalpally Ramchander health care private
📍 India