Verify patient insurance eligibility and coverage by, online portals, or other methods.
Confirm details such as active policy status, coverage limits, co-pays, deductibles, coinsurance, pre-authorization, and prior authorization requirements.
Maintain accurate documentation of verification results within medical records or billing systems and comply with client-specific call note standards.
Communicate with patients, insurance providers, and healthcare teams to resolve coverage issues or discrepancies. • Ensure patient demographic and insurance information is accurate and up to date.
Prepare detailed call notes and implement corrective measures to address any verification errors or inconsistencies.
Support the revenue cycle by reducing billing errors and avoiding claim denials through thorough eligibility verification.
Follow HIPAA regulations and maintain strict confidentiality and data integrity in all verification tasks.
Use specialized portals such as Medicaid, Oscar, Cigna, NCH Availity, or payer portals to cross-check insurance benefits