Job Summary:The Eligibility Verification & Authorization Specialist is responsible for verifying patient insurance coverage, determining eligibility for services, and securing prior authorizations and referrals as required by insurance carriers. This role plays a vital part in ensuring patients receive timely care and that services are reimbursed accurately by payers.

Key Responsibilities:
- Verify patient insurance coverage and eligibility via online payer portals or by contacting insurance carriers directly.
- Obtain prior authorizations for procedures, and specialist visits as required.
- Proactively follow up with insurance companies on pending authorizations and denials.
- Maintain knowledge of payer-specific guidelines, medical necessity requirements, and authorization procedures.
- Work closely with the billing team to ensure accurate claim submission and reduce denials.
- Ensure compliance with HIPAA and other applicable regulations in all communications.

Job Types: Full time, Permanent

Pay: ₹23,000.00 - ₹35,000.00 per month

Benefits:
- Commuter assistance
- Food provided

Experience:
- elegibility verification & authorization: 1 year (preferred)

Work Location: In person

📌 Eligibility Verification (Sahibzada Ajit Singh Nagar)
🏢 PAMM INFOTECH
📍 Sahibzada Ajit Singh Nagar