EVBV (Eligibility and Benefits Verification) at Gebbs Healthcare Solutions (2025-06 – Present)
Handling patient eligibility and benefits verification for healthcare services
- Receiving patient schedules (via EDI, email, fax)
- Verifying coverage for primary & secondary payers with multiple sources (payer websites, IVR, phone calls)
- Contacting patients to get/update insurance information
- Providing detailed results: member ID, group ID, coverage dates, co-pay info etc.
- Obtaining pre-authorization (and/or PCP referral if required) for services that require it
- Informing clients if there are issues with coverage or authorizations
EVBV (Eligibility and Benefits Verification) at Cascade Healthcare Solutions (2024-01 – 2025-06)
Conducted eligibility and benefits verification and managed patient insurance records with HIPAA compliance
- Conducted eligibility and benefits verification by contacting insurance companies and validating patient coverage details for medical services
- Reviewed and analyzed insurance policies to confirm active status, plan coverage pays, deductibles, and limitations
- Accurately updated and maintained patient records in client systems, ensuring HIPAA compliance and confidentiality
- Coordinated with providers, payers, and patients to resolve discrepancies in insurance benefits and eligibility
- Ensured timely verification to support smooth claims processing and reduce denials or rejections
- Delivered high-quality customer service while meeting daily productivity and accuracy targets
