Insurance verification specialist

Join Our Team at Staffingly, Inc. – Kondapur, Hyderabad

Location: Kondapur, Hyderabad

Shift Timing: (Indian Night Shift) 7.30 AM -4.30 AM EST

Start Date: Immediate

We appreciate the value of your time as well as ours, so please review the entire job description and apply only if you are interested in working at our office in Kondapur, Hyderabad.

At Staffingly, Inc., we are at the forefront of revolutionizing healthcare operations by providing essential services to doctors, laboratories, pharmacies, and other healthcare providers. As a leader in economic Prior Authorization solutions, we tackle the challenges of staff shortages that impact revenue flow and patient care quality. Our mission is to empower healthcare facilities to focus on what truly matters—exceptional patient care—by simplifying and streamlining their administrative processes.

Our comprehensive service offerings include handling intricate Prior Authorization processes, accurate insurance verifications, expert management of medication and procedural authorizations, full-spectrum Revenue Cycle Management (RCM), Medical Billing/Coding, Data Entry, and Customer Support services. With 24/7 operations, we ensure efficiency and responsiveness, supporting our clients in maintaining smooth and effective healthcare delivery.

If you’re passionate about making a meaningful impact in the healthcare industry by improving operational efficiencies and enhancing patient care, Staffingly, Inc. is the place for you. We are eager to see how your skills and expertise can contribute to our growth and success. For more information, visit us at https://staffingly.com

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Position Overview

The Insurance Verification Specialist is responsible for verifying insurance information, ensuring accurate patient coverage details, and coordinating with healthcare providers and insurance companies. This role involves a high level of detail orientation and communication skills to support seamless patient service and claims processing.

Key Responsibilities

Insurance Verification and Pre-authorization

• Contact insurance providers to confirm patients’ coverage, benefits, and eligibility.
• Obtain necessary authorizations for treatments, procedures, and medications as required by insurance policies.
• Confirm any co-pay, deductible, or out-of-pocket expenses that may apply.
  
  

Data Entry and Documentation

• Accurately input patient insurance details into the system and maintain up-to-date information.
• Record and manage documentation for all insurance verifications, authorizations, and related communications.
  
  

Communication and Coordination

• Collaborate with healthcare providers, billing departments, and patients to resolve any insurance issues.
• Notify patients of any pre-authorization requirements, policy limitations, or out-of-pocket costs before appointments or procedures.
• Communicate with medical staff to provide updates on patient eligibility or authorization status.
  
  

Billing and Claims Assistance

• Assist with preparing and processing insurance claims by providing verification documentation.
• Identify and resolve any issues that could delay claims processing, such as incorrect patient information or missing authorizations.
  
  

Compliance and Confidentiality

• Adhere to HIPAA and other relevant regulations to ensure patient confidentiality.
• Maintain compliance with insurance policies and procedures to avoid potential penalties.
  
  

Qualification

• Education: Degree or certification in healthcare administration is preferred.
• Experience: 1-2 years of experience in insurance verification or a related role in healthcare preferred.
• Skills: Strong communication and interpersonal skills, proficiency in using insurance portals, electronic medical records (EMR) systems, and a high level of accuracy in data entry.
  
  

Benefits

Provident Fund contributions.

Overtime and holiday pay.

On-site benefits, including travel allowances and meals.

Referral and birthday bonuses.

Night shift allowances.

Recognition through our “Employee of the Month” program.

Please email your CVs to [email protected] with the subject line “JOB APPLICATION – INSURANCE VERIFICATION SPECIALIST“