
Medical Insurance Eligibility Specialist
13 hours ago
As a vital member of our healthcare team, you will play a crucial role in ensuring the smooth delivery of medical services by verifying patient insurance coverage and eligibility.
Key Responsibilities:- Verify patient insurance eligibility for Neurology and Allergy services to ensure seamless billing and claims processing.
- Enter and update accurate patient information in electronic medical records software.
- Communicate effectively with insurance companies to confirm benefits and resolve discrepancies.
- Collaborate closely with healthcare providers, billing, and front-office staff to guarantee claims accuracy.
- Assist in resolving prior authorization and referral requirements.
- Maintain strict compliance with HIPAA and payer-specific guidelines.
To excel in this role, you must possess strong attention to detail, excellent organizational skills, and exceptional communication abilities.
Requirements:- A minimum of 3 years of relevant experience in insurance verification.
- Prior background in Neurology and Allergy specialties is highly desirable.
- Proficiency in electronic medical records software is mandatory.
- A solid understanding of healthcare insurance plans, coverage, and policies is essential.
- The ability to work independently in a remote environment is required.
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