Overview
The Registration/Eligibility Edits Specialist is responsible for ensuring the accuracy and completeness of patient demographics information used for medical billing and claims processing.
This role is critical in reducing the billing errors and ensuring the timely reimbursement by verifying the insurance information, correcting data discrepancies, and maintaining up-to-date patient records.
Responsibilities
Validate Patient Demographics: Review and ensure accuracy of patient details such as name, date of birth, address, and contact info in billing systems.
Verify Insurance Information: Confirm insurance coverage and eligibility through payer portals or clearinghouses, and update records accordingly.
Maintain Compliance and Documentation:
Adhere to HIPAA regulations, maintain data confidentiality, and document all corrections and validations for audit purposes.
Qualifications
High School Diploma or equivalent (required).
1–2 years of experience in medical billing, patient registration, insurance verification, or related healthcare administrative role.
Knowledge of insurance plans, billing processes, and HIPAA compliance.
Familiarity with Electronic Health Records (EHR) and billing systems (e.g., Epic, Cerner, Athena).
📌 Registration/eligibility Edits Specialist Chennai (India)
🏢 Ventra Health
📍 India
Reply to this offer
Impress this employer describing Your skills and abilities, fill out the form below and leave Your personal touch in the presentation letter.