Outsourced Eligibility Verification Specialists offer efficient and precise transcription of patient records. They validate the accuracy and completeness of data entered from claim forms, ensuring the correct and accurate processing of claims.

These specialists also communicate with insurance providers to confirm the eligibility and activation of a patient's insurance coverage. They meticulously verify the information inputted on claim forms to facilitate accurate processing by insurance payers.

Beyond assessing a patient's insurance plan coverage and status, eligibility verification encompasses the regular updating and monitoring of patient demographic information and electronic medical records. It involves engaging with payors and identifying co-pays and deductibles.

Furthermore, they conduct follow-up phone calls to maintain updated records and ensure the accuracy of medical account entries.

Eligibility Verification Specialists play a pivotal role in ensuring timely and accurate payment posting. Through their diligent work in verifying insurance eligibility, they bolster the number of clean claims while reducing billing errors and denials.