Insurance Eligibility Verification

I need a detail-oriented professional who can take full ownership of insurance claims and eligibility checks for my clinic. Your core task will be to verify each patient’s insurance coverage before services are rendered.

Scope of work
• Confirm active coverage and policy dates directly with payers or via clearinghouse portals.
• Identify benefits, copays, and deductibles so our front desk can collect the correct amount up front.
• Flag any services that require prior authorization and alert our clinical team immediately.

Day-to-day expectations
• Access our EHR and billing platform remotely (training provided).
• Log every verification in the patient record with time-stamped notes.
• Escalate discrepancies and expired policies the same business day.
• Maintain strict HIPAA compliance and data security.

Deliverables
1. Daily spreadsheet or in-system report summarizing verifications completed, pending, and flagged.
2. Accurate documentation for 100 % of scheduled patients at least 24 hours before their appointment.
3. Weekly status update highlighting trends or recurring payer issues.

You should already be comfortable with common payer portals, eligibility tools, and healthcare terminology. Reliability, accuracy, and clear communication are essential because our billing cycle depends on the information you provide.

If you have prior experience in medical data entry, insurance verification, or revenue cycle management, I’d love to hear how you can streamline this process for us.

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來源：Freelancer.com | 出價次數：2 | 剩餘時間：6 日 | 專案類型：固定預算