Eligibility and Benefit Verification Executive

We are seeking a detail-oriented and highly organized Insurance Verification and Benefit Executive to join our healthcare team. In this role, you will be responsible for verifying insurance information to ensure accurate billing and smooth claims processing. Your meticulous attention to detail and dedication to providing a seamless experience for both patients and providers will be crucial to your success. This position plays a vital role in supporting the healthcare process by ensuring that insurance details are accurately confirmed and documented, helping to prevent delays and errors in billing.

Key Responsibilities
- Review the list of patients scheduled for the following day to prepare for insurance verification.
- Prioritize verification tasks by considering external factors such as insurer processing times and appointment dates to optimize workflow efficiency.
- Accurately complete PPO/HMO forms using information collected from the clinic, patients, and insurance providers.
- Enter all relevant data clearly and legibly into the designated database to maintain precise records.
- Use company-approved identification methods to confirm patient eligibility for medical center services.
- Meet daily verification compliance metrics to ensure timely and accurate processing of insurance information.
- Communicate effectively with patients to obtain additional insurance details or clarify discrepancies.
- Investigate and resolve insurance-related issues to prevent delays in billing and claims processing.
- Provide excellent customer service to internal teams and external stakeholders, fostering positive working relationships.

Required Qualifications
- Strong working knowledge of Electronic Health Records (EHR) and medical billing software, including CureMD, Kareo, Practice Fusion, MS Office, Web Fax (Metro Fax), Encoder Pro, and various payer portals.
- Good understanding of medical billing processes and procedures.
- Proficiency in using insurance verification software and electronic health record systems.
- Experience with authorization processes such as pre-authorization, post-authorization, and retroactive authorization.
- Ability to conduct research and prepare management reports as required.
- Excellent verbal and written communication skills in English, along with a good typing speed.
- Demonstrated ability to work effectively within a team environment.

Experience
- 1 to 2 years of relevant experience in insurance verification or medical billing.

Job Details
- Employment Type: Full-time
- Work Location: On-site

This role offers an excellent opportunity to contribute meaningfully to healthcare operations by ensuring accurate insurance verification and supporting efficient billing processes. If you are a motivated professional with strong attention to detail and a passion for customer service, this position is an ideal fit.