Job Description
we are hiring a senior eligibility & benefits verification specialist with strong experience in verifying patient insurance coverage, interpreting benefits, checking copay/coinsurance/deductibles, and identifying prior authorization requirements. the role requires high accuracy, familiarity with major payer portals, strong documentation skills, and the ability to support clinics/hospitals with timely benefit verification.
Insurance verification (copay, coinsurance, deductible, OOP),Payer portal navigation (Medicare, Medicaid, Commercial),Benefit interpretation (coverage, prior auth requirements)