Authorization&verification - Delhi, India - Grow4sure

Grow4sure

Verified Company

Delhi, India

2 weeks ago

Posted by:

Deepika Kaur

beBee Recuiter

Description

Full Job Description

Position Summary / Career Interest:

The Authorisation and Verification Specialist is responsible for identifying patients who qualify for pre-registration to include all new patients and all return patients.

This role is responsible for verification and pre-certification, notification and authorization of all admissions and / or outpatient visits.

For all sponsored admissions, will contact patients' employer and/or insurance company to verify coverage and benefits, obtain benefit level, patient liability.

Responsibilities:

Works daily according to duty specifications to retrieve all uncontacted patients prior to service. Utilizes worklists to preregister / precertify hospital services.
Conducts telephone interviews as needed with patients to elicit demographic information and thirdparty payer data that will be needed for billing purposes.
Enters patient data directly into registration systems
Verifies with third party payer dependent eligibility, certificate and group numbers, copayment and deductible amounts, statement mailing address, etc. Complies with Medicare / Medicaid and other insurance rules and regulations.
Works closely with the clinics, hospital ancillary departments, and patient financial advisors regarding potential complications regarding insurance coverage.

JOB REQUIREMENTS

Required: