About this role
• 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