Job Description
Insurance Eligibility Verification
• Verify patient insurance eligibility using insurance payer websites, clearinghouses,
and outbound calls.
• Confirm active insurance coverage before scheduled appointments or medical
procedures.
• Validate patient demographic information and insurance details.
• Ensure all insurance information is accurate and up to date in the practice
management system.
Benefits Verification
• Verify and document:
o Co-payment
o Deductible
o Co-insurance
o Out-of-pocket expenses
o Coverage limitations
o Lifetime benefits
o Network participation
• Determine covered and non-covered medical services.
Prior Authorization & Referral Verification
• Verify whether prior authorization is required for scheduled procedures or
treatments.
• Identify referral requirements based on insurance plans.
• Coordinate w...
Ready to Apply?
Submit your application for Insurance Verification Specialist at Sunshine Pediatric and Family Clinic Private Limited
Apply Now