Anand Techverce LLP jobs - Patient Service Assistant - Insurance

Candidate preferred Industry: Healthcare (Insurance)

Experience: 2-3 years

Job Types: Full-time, Permanent

Pay: ₹20,000.00 - ₹40,000.00 per month

Schedule:

 Monday to Friday

 Night shift (US shift)

Education:

 Bachelors (Preferred)

Language:

 English (Required)

Work Location: Chennai – Mandaveli

Role and responsibilities: -

·        Make calls to collect patient demographics and insurance information.

·        Verify eligibility and benefits before the patient sees the doctor to determine if the insurance covers the service.

·        Identify if authorization is required and obtain it if necessary.

·        Conduct email intake, ensuring that consent forms are filled out by the patient and uploaded to the EHR.

·        Confirm the patient's eligibility and benefits before services are rendered, including checking deductible, copay, and coinsurance.

·        Request referrals from the PCP or authorizations from insurance companies via phone, website, or fax.

·        Bill claims to insurance companies using billing software and insurance websites such as Availity, UHC, and others.

·        Coordinate with patients regarding their billing and insurance payment queries.

·        Assist patients in securing payment from their insurance companies.

·        Coordinate and manage the credentialing and re-credentialing process for healthcare providers, including physicians, nurses, therapists, and other allied health professionals

·        Strong understanding of credentialing processes, standards, and regulations, including NCQA, URAC, and CMS requirements is preferred.