Benefits Verification

Responsibilities include verifying patient insurance eligibility, benefits, and coverage details via payer portals or calls; checking co-pay, co-insurance, deductibles, and out-of-pocket expenses; confirming pre-authorization and referral requirements; updating patient demographics and insurance information; identifying and resolving discrepancies; communicating with insurance providers for clarifications; coordinating with front office, billing, and AR to ensure accurate processing; maintaining daily productivity and achieving SLA targets; documenting verification details for audit-ready records; and escalating complex issues to the supervisor as needed.