VOB Specialist in Medical Billing Operations
Job Description:
Responsibilities:
Insurance Verification: Verify active coverage, effective dates, and plan types by getting in touch with insurance companies.
Benefit Documentation: Get thorough information about patient liabilities, such as maximum out-of-pocket (MOOP) limits, deductibles, co-insurance, and co-payments.
Pre-Authorization Check: Find out if a Primary Care Physician (PCP) referral or Prior Authorization is needed for particular medical procedures, durable medical equipment (DME), or drugs.
Coverage Scope: Determine whether the services being sought are In-Network or Out-of-Network and note any exclusions or particular restrictions in the patient's policy.
Data entry: Accurately enter each call's unique reference number and confirmed benefit information into the Practice Management System (PMS) or Billing Software.
Coordination of Benefits (COB): To guarantee the proper billing order and avoid double-dipping mistakes, identify the primary, secondary, and tertiary insurance levels.
Experience: 0 to 3 yrs
Education: Any Basic Degree
If Interested Please do Send your CV along with you Informations as below to
Full Name:
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Candidate Category: Fresher / Experienced
Willingness to Relocate: Yes / No
Total Years of Experience: (If applicable)
Current/Last Drawn Salary (Monthly/Annual):
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Warm regards,
HR- Maria