Ad in: Chennai, India - Other Jobs
Walk in Drive going on for VOB Caller - Price: Rs. 0
Ad # 985438
Walk in Drive going on for VOB Caller
Job Description
Duties:
Insurance Verification: Verify active coverage, effective dates, and plan types (HMO, PPO, etc.) by contacting insurance providers by phone or online.
Benefit Documentation: Get thorough information about patient liabilities, such as maximum out-of-pocket limits, deductibles, co-insurance, and co-payments.
Pre-Authorization Check: Find out whether a Primary Care Physician (PCP) referral or Prior Authorization is needed for particular medical procedures or drugs.
Coverage Scope: Determine whether the services are "In-Network" or "Out-of-Network" and note any policy exclusions or restrictions.
Data Entry: Correctly enter validated benefit information and reference numbers into the Practice Management System (PMS) or Billing Software.
Coordination of Benefits (COB): To guarantee the proper billing order, identify the primary, secondary, and tertiary insurance levels.
Provider Communication: Before the appointment, let the front desk or billing staff know about any "Ineligible" status or high-patient-responsibility situations.
SLA Compliance: Achieve daily goals for the quantity of verifications finished while keeping data documentation accuracy at 98% or higher.
Focus Skills:
Insurance Knowledge: A thorough comprehension of US healthcare insurance jargon.
Professional phone manners and the capacity to effectively elicit particular information from insurance agents are examples of communication skills.
Attention to Detail: Accurately recording complex benefit systems and alphanumeric policy numbers.
The capacity to navigate several software screens and insurance websites while maintaining focus during a call.
Problem Solving: The ability to resolve "Eligibility Issues" or inconsistencies between insurance data and information provided by patients.
Apply now to become an integral part of our growing team!
With Regards,
HR - Maria
88708 33430
infohrmaria04@gmail.com
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Job Description
Duties:
Insurance Verification: Verify active coverage, effective dates, and plan types (HMO, PPO, etc.) by contacting insurance providers by phone or online.
Benefit Documentation: Get thorough information about patient liabilities, such as maximum out-of-pocket limits, deductibles, co-insurance, and co-payments.
Pre-Authorization Check: Find out whether a Primary Care Physician (PCP) referral or Prior Authorization is needed for particular medical procedures or drugs.
Coverage Scope: Determine whether the services are "In-Network" or "Out-of-Network" and note any policy exclusions or restrictions.
Data Entry: Correctly enter validated benefit information and reference numbers into the Practice Management System (PMS) or Billing Software.
Coordination of Benefits (COB): To guarantee the proper billing order, identify the primary, secondary, and tertiary insurance levels.
Provider Communication: Before the appointment, let the front desk or billing staff know about any "Ineligible" status or high-patient-responsibility situations.
SLA Compliance: Achieve daily goals for the quantity of verifications finished while keeping data documentation accuracy at 98% or higher.
Focus Skills:
Insurance Knowledge: A thorough comprehension of US healthcare insurance jargon.
Professional phone manners and the capacity to effectively elicit particular information from insurance agents are examples of communication skills.
Attention to Detail: Accurately recording complex benefit systems and alphanumeric policy numbers.
The capacity to navigate several software screens and insurance websites while maintaining focus during a call.
Problem Solving: The ability to resolve "Eligibility Issues" or inconsistencies between insurance data and information provided by patients.
Apply now to become an integral part of our growing team!
With Regards,
HR - Maria
88708 33430
infohrmaria04@gmail.com
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