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Benefits Verification

Job Description - Benefits Verification


 


 



  • 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


 

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