Insurance Verification Representative

Med-Metrix; Chennai District; On-site; INR 335,000 - 558,000; Full time

Job summary

Med-Metrix in Chennai, India, is looking for an Insurance Verification Representative to collect and input accurate insurance data into client systems. You will use payer web portals to confirm current coverage and update records to reflect the most up-to-date information.

This onsite role requires strong communication, organization, and the ability to work independently from queues, with adherence to HIPAA standards and client procedures. Shifts are onsite from 5:30 PM to 2:30 AM.

Qualifications

• High school diploma or equivalent required.
• Experience with practice management software (GE Centricity, EPIC PB, Cerner, Allscripts) preferred.
• Knowledge of payor websites (eviCore, Navinet, Novitasphere).
• Strong communication and organizational skills.
• Ability to work independently and in a team environments.
• Proficiency with MS Office; basic Excel skills.

Responsibilities

• Obtain and verify patient insurance information via payer portals.
• Update client system with current insurance data.
• Verify information against insurer cards in the system.
• File claims following updates.
• Document actions in internal and client systems.
• Work independently from assigned queues.
• Meet daily productivity and quality standards.
• Adhere to client/team policies and procedures.
• Communicate effectively with leadership.
• Maintain a professional attitude.
• Handle HIPAA compliance and security requirements.

Skills

Communication skills

Organization & prioritization

Teamwork

MS Office basics

Education

High school diploma or equivalent

Tools

GE Centricity

EPIC PB

Cerner

Allscripts

eviCore

Navinet

Novitasphere

MS Office

Excel

Job description

Job Purpose

The Insurance Verification Representative is responsible for obtaining and providing accurate and complete data input for insurance verifications in clients host systems

Duties and Responsibilities

Utilize payer web portals to obtain patients current insurance information and update the information in the client system

Verify insurance information against patient’s insurance cards scanned in client system and ensure the correct and most up to date information is on the patient’s account

Once updates are entered in client system, follow procedure on filing the claims

Comment all actions taken in internal and client host system

Work independently from assigned work queues

Meets and maintains daily productivity/quality standards established in departmental policies

Adheres to the policies and procedures established for the client/team

Communicate effectively with leadership

Maintain a professional attitude

Other duties as assigned by the management team

Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards

Qualifications

High school diploma or equivalent required

Insurance Verification knowledge helpful

Experience with practice management software: GE Centricity, EPIC PB, Cerner, Allscripts preferred

Knowledge of individual payor websites, including eviCore, Navinet and Novitasphere

Ability to work well individually and in a team environment

Strong organizational and task prioritization skills

Proficiency with MS Office. Must have basic Excel skillset

Strong communication skills/oral and written

Strong organizational skills

Working Conditions

• Work Set-up: Onsite
• Work Schedule: 5:30PM to 2:30AM

Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear.

Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress.

Work Environment: The noise level in the work environment is usually minimal.

EEO Statement

Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.