Eligibility & Verification - Rcm

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• Verify patient insurance coverage and eligibility with various insurance providers.
• Document and accurately update patients' insurance and demographic details in the applicable EMR or practice management system.
• Communicate effectively with patients, providers, and insurance companies to resolve eligibility issues or discrepancies.
• Interpret insurance policy details to determine coverage applicability and inform patients of their financial responsibility.
• Handle pre-authorizations and pre-certifications as required by insurance policies.
• Familiarity with medical terminology and billing codes (CPT/ICD-10-CM)
• Understanding of various insurance plans (Medicare, Medicaid, commercial insurance)
• Ensure compliance with HIPAA regulations and company/industry standards.

Required Qualifications & Skills:

• Minimum 1 year of experience
• Detailed oriented knowledge of Utilization Review, eligibility and benefits, Prior Authorization/Pre Certification.
• Software – EPIC, TEBRA, CHARM, DR CHRONO, NEXTGEN FUSION

Interested candidates, Pls share cv at Jyotika.thakur@3dsolutionsllc.net

Job Types: Full-time, Permanent

Pay: ₹25,000.00 - ₹30,000.00 per month

Benefits:

• Provident Fund

Work Location: In person