Job Description

  • Perform insurance verification and eligibility checks for commercial and government payers (e.g., Medicare, Medicare Advantage, Medicaid, Managed Medicaid, VA, DoD).
  • Validate coverage details including deductibles, co-pay/coinsurance, network status, referrals, and prior authorization requirements.
  • Ensure accurate documentation of insurance verification results.
  • Identify and escalate coverage issues or discrepancies to relevant teams.
  • Maintain up-to-date knowledge of payer-specific policies and procedures.
  • Support process improvements and adherence to compliance standards.


Skills Required
insurance verification, prior authorization

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