Urgent Hiring - EV Caller / Prior Auth - TamilNadu- Remote

Lincoln Reimbursement Services India Private Limit Ed; United States; Remote; USD 2.800 - 4.700; Vollzeit

Benefits dieser Stelle

Work from home flexibility

Night shift alignment

Career growth opportunities

Healthcare insurance for dependents

Zusammenfassung

Lincoln Reimbursement Services India Pvt. Ltd. is hiring an Authorization and Verification Specialist for U.S. Medical Billing. You will manage referrals, verify insurance eligibility, obtain prior authorizations, and ensure complete documentation for smooth claims processing.

This full-time, night-shift role is remote from TamilNadu, requiring 2–4 years of experience, strong communication, and solid knowledge of U.S. healthcare billing workflows.

Qualifikationen

• Graduate in any discipline.
• Minimum 2 years of experience in US healthcare voice process.

Aufgaben

• Manage patient referrals and verify insurance eligibility and benefits.
• Obtain prior authorizations/LOA and track status; communicate requirements to teams.
• Enter data accurately in EMR/billing systems and maintain HIPAA-compliant records.
• Coordinate with providers, insurers, and RCM teams; discuss patient coverage and costs.

Kenntnisse

Communication skills

US healthcare voice process

Ausbildung

Graduate in any discipline

Jobbeschreibung

Job Title: Authorization and Verification Specialist
Company: Lincoln Reimbursement Services India Pvt. Ltd.
Location: Remote / Work From Home (TamilNadu Only)
Experience: 2-4 years
Employment Type: Full-time
Experience: 1-5 Years
Shift: Night Shift
Salary: UPTO 40,000 Take-Home (based on the years of experience)

Job Summary

The Authorization and Verification Specialist U.S. Medical Billing is responsible for managing patient referrals, verifying insurance eligibility and benefits, obtaining prior authorizations/LOA, and ensuring all required documentation is complete for smooth claims processing. This role requires strong communication skills, high accuracy, and solid knowledge of U.S. healthcare insurance and medical billing workflows.

Key Responsibilities

1. Referral & Intake Processing

• Receive and review patient referrals from providers or healthcare facilities.
• Verify patient demographics and insurance details in the system.
• Ensure all necessary documents are collected, such as:
• Insurance cards
• Physician orders
• Prescriptions
• Supporting medical documents

2. Insurance Verification & Authorization

• Verify eligibility and benefits with primary and secondary insurance payers.
• Obtain prior authorizations/Letters of Agreement (LOA) as required.
• Track authorization status and follow up on pending or delayed requests.
• Communicate approvals, denials, or additional requirements to internal teams promptly.

3. Data Entry & Documentation

• Accurately enter patient, insurance, and authorization information into the billing/EMR system.
• Maintain updated records of referrals, eligibility checks, and authorization activities.
• Ensure strict compliance with HIPAA and organizational data security standards.

4. Coordination & Communication

• Act as a liaison between providers, insurance companies, and internal billing/RCM teams.
• Communicate with patients regarding coverage, co-payments, deductibles, and out-of-pocket costs when required.
• Work with the RCM team to troubleshoot and resolve issues related to eligibility, benefits, or authorization delays.

Qualifications:

• Graduate in any discipline.
• Minimum 2year of experience in US healthcare voice process

Perks and Benefits:

• Work from home flexibility.
• Attractive salary .
• Weekend off (Saturday & Sunday).
• Opportunities for career growth within the company.
• Medical Medical Insurance for Parents