Benefits Verification

GetixHealth, LLC; Bengaluru; On-site; INR 300,000 - 540,000; Full time

Job summary

GetixHealth, LLC in Bengaluru is seeking an Insurance Verification Specialist to verify patient coverage and benefits, as well as confirm pre-authorization requirements. You will use payer portals or direct calls to obtain accurate details.

You will update patient demographics in the system, coordinate with front office and billing teams, and escalate unresolved issues as needed. This role offers daily targets and the chance to contribute to high-quality patient care.

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