VOB-Medical Billing

We are seeking a highly organized and detail-oriented Insurance Verification & Authorization Specialist to join our medical billing team. This role is vital in ensuring accurate verification of patient insurance eligibility, obtaining timely prior authorizations, and maintaining complete documentation to support efficient billing and claims processing.

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

Key ResponsibilitiesInsurance Verification & Eligibility

• Verify patient insurance coverage through payer portals and by directly contacting insurance providers.
• Maintain accurate and up-to-date eligibility information within the Electronic Health Record (EHR) system, such as eClinicalWorks.
• Complete and upload insurance verification documentation promptly for all newly registered patients.
• Clearly communicate estimated patient financial responsibilities, including copayments, deductibles, and out-of-pocket costs.
• Escalate unresolved eligibility discrepancies or coverage concerns to the Patient Collections team when necessary.
• Proactively follow up with patients to obtain missing, corrected, or updated insurance information.

Authorizations & Regulatory Compliance

• Obtain prior authorizations for medical and behavioral health services that require insurance approval.
• Ensure compliance with Medicaid and other payer-specific authorization policies and guidelines.
• Collaborate with the Patient Services team to manage out-of-network insurance cases.
• Secure authorizations for psychological assessments while maintaining accurate system alerts and supporting documentation.

Operational Support & Collaboration

• Provide assistance with urgent or same-day appointment scheduling when needed.
• Monitor and communicate updates related to payer policies, billing concerns, and provider network participation.
• Work closely with the Practice Manager to resolve incomplete or inaccurate patient intake documentation.
• Participate in team meetings to improve workflows, enhance data accuracy, and support ongoing process improvement initiatives.

Job Type: Full-time

Pay: Rs45,000.00 - 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