Benefits Verification

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

Job summary

ARStrat LLC in Bengaluru seeks an Insurance Verification Specialist to verify patient eligibility, benefits, and coverage, ensuring accurate entry and prompt updates in our system.

You will check co-pays, deductibles, and pre-authorization requirements, coordinate with front office and billing teams, and escalate unresolved cases to supervisors as needed. The role emphasizes accuracy, productivity, and adherence to SLA.

Qualifications

• Verify patient insurance eligibility via 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 demographics 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 front office, billing, AR teams for 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 promptly.

Responsibilities

• Verify patient insurance eligibility, benefits, and coverage details via 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 demographics 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 front office, billing, and AR teams 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 promptly.

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