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Benefit Verification Specialist (Health Insurance, USA),
Benefit Verification Specialist (Health Insurance, USA),
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Benefit Verification Specialist (Health Insurance, USA),

Mayank choudhary's profile picture
Posted by Mayank choudhary
1 - 4 yrs
₹4L - ₹6L / yr
Bengaluru (Bangalore)
Skills
Customer Relationship Management (CRM)
Health care design

Strong Benefit/ Insurance Verifcation Specialists profile

Mandatory (Experience 1) – Must have minimum 6 months of hands-on experience in US healthcare insurance eligibility and benefits verification

Mandatory (Experience 2) – Must have worked on payer portals such as Availity, NaviNet, Aetna, UHC, or equivalent.

Mandatory (Experience 3) – Strong understanding of insurance types — Commercial, Medicare, Medicare Advantage, Medicaid, Managed Medicaid, HMO/PPO, VA, DoD, etc.

Mandatory (Experience 4) – Experience in verifying deductibles, co-pay/coinsurance, prior authorization requirements, network status, and J-code/CPT/HCPCS-specific benefits.

Mandatory (Experience 5) – Ability to accurately document benefit details and maintain data in internal systems (CRM, RCM, or EMR platforms)

Manadatory (Skills) - Good communication skills

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Shubham Vishwakarma

Full Stack Developer - Averlon
I had an amazing experience. It was a delight getting interviewed via Cutshort. The entire end to end process was amazing. I would like to mention Reshika, she was just amazing wrt guiding me through the process. Thank you team.
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About Talent Pro

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2024
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Shubham Vishwakarma

Full Stack Developer - Averlon
I had an amazing experience. It was a delight getting interviewed via Cutshort. The entire end to end process was amazing. I would like to mention Reshika, she was just amazing wrt guiding me through the process. Thank you team.
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