Customer Service Representative
Job Summary
The Verification Agent – Outbound is responsible for making outbound calls to healthcare providers and insurance companies to verify patient insurance information. The role involves following up on claims, verifying prior authorization requests, and documenting call outcomes accurately. Candidates must meet productivity, quality, and attendance standards while handling sensitive information confidentially.
Responsibilities
- Make outbound calls to verify health insurance coverage, benefits, and eligibility
- Follow up on claims, claim status, and prior authorization requests
- Document call outcomes, verification details, and follow-up actions accurately
Required Skills
- High School Graduate or equivalent
- Good verbal and written English communication skills
- Strong attention to detail and accuracy
- Comfortable making frequent outbound calls
Job Details
The Verification Agent – Outbound is responsible for making outbound calls to healthcare providers, insurance companies, and other relevant parties to verify patient insurance information and assist with claims and authorization-related inquiries.
Responsibilities
Make outbound calls to verify health insurance coverage, benefits, and eligibility.
Verify and update patient insurance information accurately.
Conduct benefits and eligibility verification with insurance providers.
Follow up on claims, including claim status and related concerns.
Follow up on prior authorization requests and verify their status.
Conduct provider data verification and update relevant information.
Document call outcomes, verification details, and follow-up actions accurately.
Communicate professionally with insurance representatives and healthcare providers.
Handle sensitive information with confidentiality and follow company policies and procedures.
Meet productivity, quality, accuracy, and attendance standards.
Job Requirements
High School Graduate or equivalent.
With or without BPO, CSR, or healthcare-related experience.
Good verbal and written English communication skills.
Strong attention to detail and accuracy.
Comfortable making frequent outbound calls.
Willing to learn healthcare insurance verification processes.
Able to work independently and follow established procedures.
Willing to work on-site and follow the required schedule.