Medical Insurance Benefit Validator

5 days ago


Karachi, Sindh, Pakistan beBee Careers Full time
Key Responsibilities
  • Verify patient insurance eligibility and benefits for psychiatric services via insurance portals and payer contact.
  • Identify primary/secondary insurances, including Private Insurance, Dependent Insurance, Medicare, and Medicaid plans.
  • Determine whether the case requires prior authorizations or referrals as per payer guidelines and document accordingly.
  • Review Coordination of Benefits (COB) and notify patients if updates are required.
  • Clearly communicate financial responsibilities to patients, including deductibles, co-pays, co-insurance, and update patient profiles accordingly.
  • Demonstrate proficiency in insurance verification portals such as Availity, Navinet, UHC, etc.
  • Ensure that insurance contracts and payer-specific agreements are taken into account during verification.

Excellent communication skills are essential for this role, as the successful candidate will need to liaise with patients and internal departments to gather all necessary information before scheduled appointments.



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