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PwC Service Delivery Center
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Eligibility Verification Specialist

Eligibility Verification Specialist

PwC Service Delivery Center

2 - 4 years

|

1 - 4 Lacs

Posted:2 hours ago| Platform:

Apply

Skills Required

eligibility verification authorization oct insurance eligibility insurance verification document copays coinsurance

Work Mode

Work from Office

Job Type

Full Time

Job Description

Eligibility Verification Specialist

Responsibilities:

Verify patient insurance eligibility and benefits prior to scheduled visits or procedures.
Confirm coverage for exams, diagnostic tests (OCT, visual fields, etc.), and surgical procedures.
Document copays, deductibles, coinsurance, and authorization requirements.
Communicate insurance details to patients and front office staff.
Work with insurance carriers to resolve eligibility issues.
Maintain up-to-date records for compliance and billing accuracy.

Qualifications:

2 and above years of experience in medical eligibility verification.
Familiarity with payer requirements.
Strong communication and customer service skills.
Ability to manage multiple verification requests in a timely manner.
Flexible working in Shifts

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