Outsource Eligibility Verification Specialist
Insurance Eligibility Verification is a vital step in the cycle which refers to the process of reviewing and checking a patient’s insurance plan’s coverage.
Outsourced Eligibility Verification Specialists provide effective and accurate patient record transcription, verify data entered from the claim form is accurate and complete to enable the claim to be processed correctly and accurately.
Eligibility verification specialists contact insurance providers to verify if a patient’s insurance coverage is eligible and active. They verify that the data entered from the claim form is accurate and complete to enable the claim to be processed correctly by insurance payers.
Aside from reviewing a patient’s insurance plan’s coverage and status, eligibility verification includes regular updating and monitoring of the patient’s basic information and electronic medical records, contacting of the payor, and identifying co-pays and deductibles.
They make follow-up telephone calls to maintain accurate records and ensure that medical record account entries are up to date.
Eligibility verification Specialists ensure timely & correct payment posting. By verifying insurance eligibility, they increase the number of clean claims and reducing billing errors and denials.