Eligibility & Benefit Verification Specialist [Pakistan]


 

We are looking to hire an Eligibility and Benefits Verification Specialist as a member of our team, responsible for verifying patient insurance coverage and ensuring necessary procedures are covered by an individual's provider. This individual plays a key role in minimizing financial risks for both the organization and the patient.

Primary Responsibilities:

Verification Tasks: Accurately verify insurance eligibility and benefits information for new and returning patients using various online systems and via telephone calls to insurance carriers.
Data Entry: Enter detailed insurance and benefits information into the patient's electronic health record or company database accurately.
Coordination: Liaise with front office staff, billing teams, and clinicians to update them on coverage details, ensuring a smooth patient experience.
Patient Communication: Inform patients of their insurance benefits, co-payments, deductibles, and any other pertinent insurance details. Address any questions or concerns they might have.
Documentation: Maintain detailed and accurate notes of all interactions with insurance carriers and patients.
Problem-Solving: Work with insurance companies to resolve any eligibility or benefits issues that may arise.
Compliance: Ensure all processes are compliant with federal and state regulations and company policies.

Continuous Learning: Stay updated with changing insurance policies, procedures, and regulations. Reporting:Generate and analyze reports detailing insurance verification activities, discrepancies, and issues. Propose process improvements based on data.

Qualifications:

  • Associate's or Bachelor's degree preferred.
  • Required Experience: 6 months - 2 years in US Medical billing.
  • Proficient in using electronic medical records and other computer systems.
  • Strong communication skills, both written and verbal.
  • Detail-oriented with strong organizational skills.
  • Ability to multitask and prioritize effectively in a fast-paced environment.
  • Must be a good team player

We provide a great career path and our employees are compensated with a great employment package and competitive compensation commensurate with their experience.

Timing: Night Shift (6:00 PM - 3:00 AM)
Location: Gulberg, Lahore

Job Type: Full-time

Salary: Rs50,000.00 - Rs90,000.00 per month

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