who will verify patient insurance coverage, benefits, and policy details for US healthcare providers.
Key Responsibilities
Verify
insurance eligibility & benefits
through portals, IVR, or payer calls.
Check coverage details for:
Deductibles
Co-pays / Co-insurance
Out-of-pocket
Plan limitations
Pre-authorization requirements
Confirm patient
demographics and policy status
.
Identify
inactive/terminated insurance
and update the billing system.
Communicate with AR / Charge Entry teams if any issues found.
Maintain accuracy, productivity, and meet daily targets.
Add proper notes in EMR/PM systems.
Ensure HIPAA compliance & data security.
Eligibility Criteria
Minimum
1 year experience
in Eligibility & Benefits (E&B) in RCM.
Strong knowledge of
US Payer portals
(Availity, Navinet, Aetna, UHC, Medicare, Medicaid, etc.)
Understanding of
insurance plans
(HMO, PPO, EPO, POS).
Good English communication & interpretation skills.
Ability to read and analyze insurance coverage details.
Comfortable with
Night Shift (US Shift)
.
Attention to detail & strong analytical ability.
Benefits
Salary up to
?35,000 per month
(based on experience).
Performance-based incentives.
Saturday-Sunday fixed off (depending on process).
On-job training & long-term career growth in RCM.
Supportive management & stable US client process.
Contact to Apply
9129872778
(Call or WhatsApp your resume)
Job Type: Full-time
Pay: ₹20,000.00 - ₹35,000.00 per month
Experience:
Eligblity & Benifits (RCM): 2 years (Required)
Language:
Fluent English (Required)
Location:
Ahmadabad, Gujarat (Required)
Work Location: In person
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