Eligibility & Benefits Verification Specialist

We are looking for a highly organized and detail-oriented Insurance Verification & Authorization Specialist to become part of our medical billing team. This position plays a key role in verifying patient insurance eligibility, obtaining timely prior authorizations, and maintaining accurate documentation to support efficient billing and claims processing.

The ideal candidate will possess strong communication abilities, exceptional attention to detail, and a solid understanding of payer guidelines, with the ability to work effectively in a fast-paced healthcare environment.

Key ResponsibilitiesInsurance Verification & Eligibility

• Verify patient insurance coverage through payer portals and direct communication with insurance providers.
• Maintain accurate and current eligibility records within the Electronic Health Record (EHR) system, such as eClinicalWorks.
• Complete and upload insurance verification documentation promptly for all newly registered patients.
• Clearly explain patient financial responsibilities, including copayments, deductibles, and out-of-pocket expenses.
• Escalate unresolved coverage discrepancies or eligibility concerns to the Patient Collections team when required.
• Follow up proactively with patients to obtain missing, corrected, or updated insurance information.

Authorizations & Compliance

• Obtain prior authorizations for medical and behavioral health services requiring insurance approval.
• Ensure adherence to Medicaid and other payer-specific authorization requirements and policies.
• Coordinate with the Patient Services team to manage out-of-network insurance cases.
• Secure authorizations for psychological evaluations while maintaining accurate documentation and system alerts.

Operational Support & Collaboration

• Assist with urgent or same-day appointment scheduling when necessary.
• Monitor and communicate updates related to payer policies, billing concerns, and provider network participation.
• Collaborate with the Practice Manager to resolve incomplete or inaccurate patient intake documentation.
• Participate in team meetings focused on improving workflow efficiency, data accuracy, and continuous process improvement.

Pay: Rs40,000.00 - Rs70,000.00 per month

Ability to commute/relocate:

• Wapda Town: Reliably commute or planning to relocate before starting work (Required)

Application Question(s):

• Willing to work the night shift in Wapda Town, Lahore?

Experience:

• Medical Billing: 1 year (Preferred)

Language:

• English (Required)

Work Location: In person