Eligibity Verification Benfits Verification

Key Responsibilities:

• Verify insurance eligibility and benefits for patients/clients prior to claims submission.
• Review, process, and follow up on insurance claims to ensure timely resolution.
• Ensure quality standards and adherence to turnaround time (TAT) and compliance guidelines.
• Analyze outstanding accounts, identify discrepancies, and work toward account resolution.
• Coordinate with internal teams such as billing, coding, and customer service for issue resolution.
• Maintain accurate documentation of claim status, eligibility checks, and actions taken.
• Provide feedback and insights to improve claims handling processes.

Required Skills & Qualifications:

• Experience in insurance verification, medical billing, or healthcare revenue cycle management.
• Strong knowledge of insurance policies, claims lifecycle, and payer guidelines.
• Excellent attention to detail and organizational skills.
• Proficiency in claims management systems and MS Office tools.
• Strong communication and problem-solving abilities.