At AGS HEALTHCARE, I verify insurance eligibility and benefits before scheduled medical services, checking coverage status, plan details, and patient financial responsibility.
I review deductibles, copayments, coinsurance, network benefits, exclusions, and plan limitations to clarify what a service may cost and whether it is covered.
I identify services requiring prior authorization, referral, or pre-certification, then submit requests through payer portals and follow up with insurance payers on pending cases.
I maintain authorization records and communicate with insurance representatives to resolve discrepancies. I handle confidential patient information in accordance with HIPAA and support denial prevention through accurate verification and documentation.
