Job Description

Insurance Verification (Voice Profile) Main Responsibilities:
1) Obtain and verify complete insurance information, including the prior authorization process, co- pay assistance and coordination of benefits
2) Obtain and verify insurance eligibility for services provided and document complete information in system
3) Perform prior authorizations as required by payer source, including procurement of needed documentation by collaborating with physician offices and insurance companies
4) Collect any clinical information such as lab values, diagnosis codes, etc.
5) Determine patient\xe2\x80\x99s financial responsibilities as stated by insurance
6) Configure coordination of benefits information on every referral
7) Ensure assignment of benefits are obtained and on file for Medicare claims
8) Bill insurance companies for therapies provided
9) Document all pertinent communication with patient, physician, insurance company as it may relate to collection procedures
10) Identify and coordinate patient resources as it pertains to reimbursement, such as co-pay cards, third party assistance programs, and manufacturer assistance programs
11) Handle inbound calls from patients, physician offices, and/or insurance companies
12) Resolve claim rejections for eligibility, coverage, and other issues Skills:

• Email writing skills
• Insurance Eligibility criteria
• Good Communication with less accent for Calling profile
• Ready to work in Night Shift for Calling Profile

Notice Period: Available to join immediately OR maximum within 15 days Experience required: Minimum 1 year in related work profile Salary:
We are offering very attractive package prevailing in the trade, looking to the credential of candidate. Category - RCM
Job Title \xe2\x80\x93 Insurance Eligibility & Authorization
Location \xe2\x80\x93 Vadodara / Anand /Ahmedabad
Qualification \xe2\x80\x93 Graduation
Degree \xe2\x80\x93 Graduation in any field
Experience \xe2\x80\x93 Minimum 1 year in same profile
Position Type \xe2\x80\x93 Full-Time
Timing \xe2\x80\x93 07:00pm to 04:00am IST (for Calling) Job Type: Full-time Salary: \xe2\x82\xb9200,000.00 - \xe2\x82\xb9360,000.00 per year Benefits:

• Paid sick time
• Provident Fund

Schedule:

• Night shift
• US shift

Supplemental pay types:

• Overtime pay

Application Question(s):

• HIPAA Stands for?

What is Deductible?
Difference between billed amount and allowed amount.
What is the difference between Eligibility Date and Effective Date?
Difference between 11 & 12 place of service.
What does "AMA" stand for?
What is the function of a clearinghouse?
Which part of the Medicare is the drug prescription coverage.
Who is eligible for Medicaid? Education:

• Bachelor\'s (Preferred)

Experience:

• total work: 1 year (Preferred)

Shift availability:

• Night Shift (Preferred)

Ability to Relocate:

• Vadodara, Gujarat: Relocate before starting work (Preferred)

Speak with the employer
+91 9558558023