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Insurance Verification Representative

Medmetrix
0-2 years
preferred by company
10 Jan. 12, 2026
Job Description
Job Type: Full Time Education: B.Sc./ M.Sc./ M.Pharm/ B.Pharm/ Life Sciences Skills: Causality Assessment, Clinical SAS Programming, Communication Skills, CPC Certified, GCP guidelines, ICD-10 CM Codes, CPT-Codes, HCPCS Codes, ICD-10 CM, CPT, HCPCS Coding, ICH guidelines, ICSR Case Processing, Interpersonal Skill, Labelling Assessment, MedDRA Coding, Medical Billing, Medical Coding, Medical Terminology, Narrative Writing, Research & Development, Technical Skill, Triage of ICSRs, WHO DD Coding

Job Title: Insurance Verification Representative
Requisition ID: 1318
Location: Chennai, Tamil Nadu, India
Employment Type: Full-Time
Work Mode: Onsite
Shift Timing: 5:30 PM – 2:30 AM (Night Shift)
Pay Type: Salary
Experience Required: 0–2 Years (Insurance Verification or Revenue Cycle preferred)
Job Family: REP
Posted On: December 31, 2025


Job Overview

The Insurance Verification Representative plays a critical role in the healthcare revenue cycle by ensuring accurate and up-to-date patient insurance information within client host systems. This position supports clean claim submission, timely reimbursements, and compliance with payer and HIPAA regulations. The role is well-suited for detail-oriented professionals with experience or interest in insurance verification and payer portal navigation.


Key Responsibilities

  • Access payer web portals to retrieve and verify current patient insurance details

  • Update and maintain accurate insurance information within client host systems

  • Cross-check insurance data against scanned patient insurance cards to ensure completeness and accuracy

  • Follow established procedures for claim filing after insurance updates are completed

  • Document all actions taken within internal systems and client host platforms

  • Manage assigned work queues independently while meeting daily productivity and quality benchmarks

  • Adhere strictly to client- and team-specific policies and standard operating procedures

  • Communicate effectively with supervisors and leadership regarding work status and issues

  • Maintain professionalism and confidentiality in all interactions and system usage

  • Handle protected health information (PHI) in full compliance with HIPAA guidelines

  • Perform additional tasks as assigned by the management team


Required Qualifications

  • High School Diploma or equivalent (mandatory)

  • 0–2 years of experience in insurance verification, eligibility, or healthcare revenue cycle operations preferred

  • Working knowledge of insurance verification processes and payer requirements is an advantage

  • Experience with practice management systems such as GE Centricity, EPIC PB, Cerner, or Allscripts preferred

  • Familiarity with payer portals including eviCore, Navinet, and Novitasphere

  • Proficiency in MS Office applications with basic Excel skills

  • Strong written and verbal communication abilities

  • Excellent organizational, multitasking, and time-management skills

  • Ability to work independently as well as collaboratively within a team environment


Working Conditions

Work Setup: Onsite
Work Schedule: 5:30 PM – 2:30 AM

Physical Demands:
Occasional movement within the work area; prolonged sitting; use of computers, peripherals, and telephones; manual tasks; ability to extend arms, kneel, talk, and hear as required.

Mental Demands:
Ability to follow instructions, collaborate with team members, prioritize tasks, and work efficiently under pressure.

Work Environment:
Office-based environment with minimal noise levels.


Equal Opportunity Statement

Med-Metrix is an equal opportunity employer and does not discriminate against any employee or applicant on the basis of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information, military or veteran status, political affiliation, or any other characteristic protected by applicable laws.


Apply Now

Apply through thepharmadaily.com to begin or advance your career in insurance verification and healthcare revenue cycle management with a compliance-focused organization.