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Insurance Verification Specialist

Job description

  • Responsible for researching patient member benefits, additional coverages, coverage limitations, and general coverage allowances to obtain the necessary authorizations and referrals for patient services.
  • Initiate and manage the prior authorization process for medical procedures, treatments, or medications.
  • Prepare and submit prior authorization requests to insurance companies or healthcare payers according to established procedures.
  • Ensure all required documentation, including clinical notes, medical history, and supporting documents, are complete and accurate.
  • Processes prior authorizations and referral requests in a timely manner, prior to the patient’s services being rendered.

Job Requirement:

  • Bachelor’s degree in any discipline.
  • Min 1 year experience in Pre-Authorization & eligibility, benefits
  • Strong knowledge of medical terminology, insurance policies, and healthcare reimbursement processes.
  • Excellent communication, organizational, and problem-solving skills.
  • Ability to work independently and collaboratively in a fast-paced, deadline-driven environment.
  • eClinicalWorks experience will be an added advantage.
  • Willing to work the night shift (any 9 hrs. between 6:30 pm 3:30 am)
  • Salary: as per company policy
Job Type: Full Time
Job Location: Ahmedabad
Job Shift: Night Shift

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Shukla Information Solutions has been in the IT Industry since its establishment in 2015. We offer IT Services, Medical Billing, Web Development Solutions, and Web Designing.

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