AR caller for Eligibility verification - India - healthcare informatics PVT. LTD

healthcare informatics PVT. LTD India

2 weeks ago

Description

Job Title: AR Caller - Eligibility Verification

Job Summary:

We are seeking a detail-oriented and proactive AR Caller specializing in Eligibility Verification to join our team. The AR Caller will be responsible for verifying patient eligibility, benefits, and coverage with insurance companies to ensure accurate billing and timely reimbursement. The ideal candidate will have excellent communication skills, a strong understanding of medical billing processes, and the ability to navigate insurance portals efficiently.

Responsibilities:

Verify Patient Eligibility: Utilize various resources, including insurance portals and phone calls, to verify patient insurance coverage, benefits, and eligibility for services.
Confirm Insurance Information: Ensure accurate patient demographic and insurance information is obtained and updated in the billing system.
Resolve Eligibility Issues: Investigate and resolve any discrepancies or issues related to patient eligibility, coverage, or benefits.
Communicate with Insurance Companies: Initiate and maintain communication with insurance companies to obtain necessary information and resolve any eligibility-related queries.
Document Verification Activities: Record all verification activities accurately in the billing system, including notes on conversations with insurance representatives.
Collaborate with Billing Team: Coordinate closely with the billing team to ensure accurate and timely billing based on verified eligibility and coverage information.
Stay Informed: Stay updated on changes in insurance policies, procedures, and regulations affecting eligibility verification processes.

Requirements:

Previous experience in medical billing, particularly in eligibility verification, is preferred.
Strong knowledge of medical insurance terminology, policies, and procedures.
Excellent communication skills, both verbal and written, with the ability to effectively interact with insurance companies and internal staff.
Proficiency in using insurance portals and other relevant software for eligibility verification.
Detail-oriented with strong analytical and problem-solving skills.
Ability to prioritize tasks and work efficiently in a fast-paced environment.
High school diploma or equivalent; additional certification in medical billing or related field is a plus.

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