Benefits Verification

GetixHealth; Bengaluru; On-site; INR 350,000 - 550,000; Full time

Job summary

GetixHealth in Bengaluru is seeking an Insurance Verification Specialist to verify patient eligibility, benefits, and coverage details through payer portals or direct calls. You will identify discrepancies and coordinate with front office, billing, and AR teams to ensure accurate processing.

The role requires meticulous data entry of demographics and insurance information, timely communication with insurers for clarifications, and adherence to daily productivity and quality targets as per SLA.

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