Benefits Verification

GetixHealth; Bengaluru; On-site; INR 250,000 - 450,000; Full time

Job summary

GetixHealth, LLC in Bengaluru seeks an Insurance Verification Specialist to verify patient insurance eligibility, benefits, and coverage details through payer portals or calls. You will check co-pays, co-insurance, deductibles, and out-of-pocket expenses, and confirm pre-authorizations and referral requirements before services.

You will update patient demographic and insurance information accurately in the system, identify discrepancies, communicate with insurance providers for clarifications,

Responsibilities

• 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

Job description

• 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