Insurance Verification & Authorization Specialist ( Onsite Kolkata)
Core
Verify insurance benefits, obtain pre-authorizations, and communicate coverage details to ensure payer requirements are met before services are provided.
Role type
Insurance verification & authorization specialist (via careerplan.io/jobs/C9-006-4E-276-insurance-verification-authorization-specialist-onsite-kolkata)
Builds
Front-end billing accuracy and revenue cycle support
Domain
Healthcare administration / Insurance verification
Deliverable
client delivery
Required skills
Insurance policy knowledge, EMR/EHR proficiency, communication, documentation accuracy, problem-solving, follow-up abilities
Preferred skills
Medical billing experience, commercial/Medicare/Medicaid payer familiarity, in/out-network benefits knowledge, time management
Responsibilities
Contact carriers to verify policy status and coverage details; obtain and track pre-authorizations; communicate coverage and financial responsibility to providers; resolve insurance discrepancies; document coordination of benefits; update patient info in EHR/EMR; ensure payer requirements are fulfilled before service; follow up on pending authorizations.
Seniority
Junior, individual contributor