Verifies insurance eligibility and benefits of prospects/ referrals and determines rate requirements as it relates to in or out of network coverage on a daily basis in an accurate and timely manner.
Communicates patient benefits in a timely manner using the appropriate system and associated software application as found in patient notes, tasks, workflow, email and or phone calls with insurance agencies.
Documents and forwards patient deductible, out-of-pocket expense, life time maximum, home health or hospice days, and patient responsibility to client in an accurate and timely manner.
Reviews and replies to stat and urgent requests in a timely and accurate manner.
Obtains all authorization as needed from payer for services ordered/requested in a timely manner
Documents specific details related to the authorization including effective and end dates using the appropriate system and associated software application for patient notes, authorizations, tasks, workflow, phone calls and/or email.
Serves as a liaison between the site location and the staff on a regular basis.
Coordinates and communicates with the site location regarding any changes or updates in a timely manner.
Resolves all client requests, inquiries, and concerns in an expedient and respectful manner.
Problem solves independently before referring issues to the Supervisor/Manager for resolution.
Performs eligibility and or similar, comparable, or related duties as may be required or assigned
Manages the team for the site and reports to the Team Lead/manager of that site.
Excellent oral and written communication skills.
Excellent organizational and analytical skills.
Basic PC skills including PC based applications (MS Word, Excel).
Min 3 Year Experience in performing insurance verification and pre-authorization for Radiology, Cardiology, Surgery, OB/GYN, Orthopedic, etc..
Interested candidates share there updated resumes on email@example.com or call on below mention Number.
Mob No. 8108668847
Catalyst Corporate Services Pvt. Ltd.
A- 302, Everest Chambers, Next to Marol Metro Station,Andheri Kurla Road, Andheri East, Mumbai 400059
Salary: Not Disclosed by Recruiter
Role Category:Back Office/Web/Transaction Processing
Role:Team Leader -(Technical)
Desired Candidate Profile
Catalyst Corporate Services Pvt Ltd
Contact Company:Catalyst Corporate Services Pvt Ltd