Insurance and Compliance Expert

7 days ago


Karachi, Sindh, Pakistan Galaxy EHR Full time

We are looking for a skilled Insurance and Compliance Expert to join our team at Galaxy EHR. As a key member of our staff, you will be responsible for overseeing the verification process for patient eligibility, insurance coverage, and compliance with healthcare regulations.

Our Team

At Galaxy EHR, we pride ourselves on being a startup that moves at the speed of light. We encourage innovation and creativity, and our team is committed to helping you succeed.

The Insurance and Compliance Expert will be responsible for verifying patient payer benefits and eligibility for services, identifying private insurance, dependent insurance, and Medicare/Medicaid plans, and utilizing portal software to verify insurance and maintain proficiency in related systems.

Responsibilities
  • Verify patient payer benefits and eligibility for services.
  • Identify private insurance, dependent insurance, and Medicare/Medicaid plans.
  • Utilize portal software to verify insurance and maintain proficiency in related systems.
  • Determine authorization or referral requirements as defined by payers.

Additionally, they will explain financial responsibilities to patients, update patient profiles accordingly, identify COB according to insurances and plans, and maintain confidentiality adhering to HIPAA guidelines.



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