About the role
- Verify patient insurance eligibility, benefits, and coverage details through payer portals or calls
- Check co-pay, co-insurance, deductibles, and out-of-pocket expenses
- Confirm pre-authorization and referral requirements before services
- Update patient demographic and insurance information accurately in the system
- Identify discrepancies in insurance details and resolve them proactively
- Communicate with insurance providers for clarifications and additional details
- Coordinate with internal teams (front office, billing, AR) to ensure accurate processing
- Maintain daily productivity and quality targets as per SLA
- Document verification details and maintain audit-ready records
- Escalate complex cases or unresolved issues to the supervisor in a timely manner