CEComputech is a leading global business process outsourcing (BPO) company based in East Rutherford, NJ. Specializing in Healthcare back office services, Recruitment support, and software application development, CEC is dedicated to delivering business value to our clients. Our commitment to quality service and innovation sets us apart in the industry.
Role Description
- Verify patient insurance coverage and eligibility with insurance providers.
- Document and update patients' insurance and demographic information accurately.
- Communicate effectively with patients, providers, and insurance companies to resolve eligibility issues.
- Review and interpret insurance policy details to determine coverage applicability.
- Coordinate with billing and coding departments to ensure accurate claim submissions.
- Handle pre-authorizations and pre-certifications as required by insurance policies.
- Maintain up-to-date knowledge of insurance regulations and industry standards.
- Process insurance claims for private and employer insurance reimbursement
- Process and follow up on payer denials, consulting with the patient and/or his or her family as needed
- Post payments in a timely manner
