97 Eligibility Verification Jobs

We are looking for candidates with experience in AR Calling, Eligibility and Verification, and initiating Authorizations in the US Healthcare industry. Perks and benefits Cab facility, PF, Health insurance

Job description Greetings from Vee HealthTek...!!! We are hiring for candidates who have experienced in EV/BV Caller with Authorization Mandatory Experience for medical billing in the US Healthcare industry... Experience - 1 to 4 years excellent communication skills. Designation - AR Caller/Senior AR Caller Expertise in EV ,with Authorization experience is Mandatory - Physician Billing / Hospital Billing. Joining: Immediate/ or a max of within 5 days Work Mode: Work from Office Night shifts Salary - 2.5 to 4.5LPA. Perks and benefits: * Week Off Details: Fixed off on Saturdays & Sundays * Cab facility: 2-way cab available * Night shift allowance * 1200 worth food coupon * Incentives based on performance Interested candidate's kindly contact HR: - Name - Arun Kumar Contact Number - 8050524977 available on WhatsApp Mail Id -Arunkumar.n@veehealthtek.com

Job Title Billing RCM Team Lead Summary of Duties : Maintaining the team productivity / Quality which includes charges / Payment posting and Accounts receivables , monitoring the calls and giving solutions for the team’s problems and assisting them in all areas. Must have strong AR knowledge in approaching the AR aging report. Must have internal medicine/ Family practice specialty knowledge. Flexibility to work based on the work schedule Skills / Roles & Responsibilities Tasks includes below but not limited to 1. Medical Terminology knowledge 2. Ability to operate a computer, phone, and basic office equipment 3. Typing skills is must and able to type fast 4. Clear communication skill is mandatory 5. Must be good in excel and reporting 6. Must know how to plan to work on Accounts Aging report 7. Assisting team on their clarifications and used to work on the client deliverables within TAT. 8. Attention to detail and organizational skills evident in the preparation of accurate weekly and monthly reports within tight deadlines to team and to client. 9. Accountable for maintaining the KPI metrics, Team productivity and Quality. 10. Duties include making a work plan every day, running reports, creating spread sheets, resolving issues bought forward by team, and ensure the smooth operations of our billing practice. Educational Qualification Any degree

Omega Healthcare is hiring for EV (Eligibility And Verification Callers) Work Location - Bangalore (WFO) Job description Responsible for supervising the team to work on assigned verifications Communicate with insurance companies for the purpose of collecting and documenting information necessary to financially clear patients eligibility, authorization, benefits, and calculate patient liability calculations Provide subject matter expertise on the eligibility verification process Work within a team setting and be supportive of team members Audit work assigned to ensure quality and productivity targets are met Keep the SOP procedures updated and establish a due control mechanism Assist with onboarding of new team members Perform any other duties as required to support the organization or team Should have 1-2 years experience in US healthcare insurance verification process Excellent verbal and written communication skills Proficiency in MS Office products (Word, Excel, PowerPoint) Exceptional problem solving and analytical abilities Fresher can apply. Training applicable Interested and eligible candidates can share your resume to Venkatesh.ramesh@omegahms.com Contact Number - 8762650131

Role & responsibilities As a Program Specialist, you'll play a vital role in ensuring accurate patient information for the insurance reverification. You'll be responsible for: Outbound Calling: Conducting calls to payers to verify medication details, costs, and eligibility for coverage. Benefits Investigation: Working closely with doctor's offices to investigate insurance benefits and coordinate prior authorizations. Patient Assistance: Providing comprehensive support to patients, including identifying alternative coverage options and tracking prescription orders. Key Responsibilities Document calls and efficiently handle escalations. Conduct insurance verifications and coordinate prior authorizations. Process patient applications and follow up on inquiries. Liaise with distributors and manufacturers for product requests. Coordinate prescription transfers to specialty pharmacies. Educate patients on available insurance options. Assist with training new team members. Maintain a professional and friendly demeanor. Qualifications: Graduation- Bachelor degree in any field 1- 3 years of experience in Customer service( International Voice Process) , healthcare preferred Insurance benefits verification experience Previous International Call center experience (Outbound) Experience with benefits investigation, Experience working remotely in US shift (6pm- 3am) Computer/technology experience Strong communication skills For more details connect Gulshan - 7300523092 or gansari@astoncarter.com

Hiring for Prior Authorization Voice Exp in Prior Authorization is Mandatory Exp : 1yr to 3yrs Job Location : Chennai And Bangalore Salary 37k max Work from Office Only Need Only Immediate Joiners Contact Sathya HR 9659045792

Oncology | Prior Authorisation | Eligibility Verification Oncology & AR Follow up with Eligibility Verification JD About Company Valerion Health exists to bridge the consultative gap between broken RCM and consistent revenue generation. Our new and innovative approach paired with decades of industry experience is helping organizations navigate RCM and implement a value-based revenue cycle journey. Night Shift - 6pm to 3am 5 Days Working (Mon-Fri) Candidate should have own Laptop & Wifi Setup Job Summary Minimum 3-5 Years of experience in Pre Authorization and Eligibility Verification (Voice process). Should have worked in Verification of Eligibility and Benefits and also involved in Patient Authorization calling. Should have excellent communication Skill. Required Candidate Profile Prior Work Experience in Eligibility Verification and Pre Authorization is mandatory. Candidates serving a notice period or immediate joiners are preferred. Willing to work in Night Shifts. Job Specification The chosen candidate should have Candidate should have in-depth knowledge of doing Pre-Authorization and Patient Eligibility Verification. End-to-end RCM knowledge Experience working on PMS applications like EPIC, CERNER, NextGen and ECW would be an added advantage Candidate should have their laptop and Wi-Fi as this will be complete WFH. Desired Skills/Experience Excellent verbal and written communication skills Proficient in EV & PRior Auth with In-depth knowledge Graduate with any specialization To Apply - Interested candidates can get in touch on 9599552766 or can send CV on Simran HR- Sthapa@valerionhealth.in

Hiring for Senior AR Caller Exp - 1 to 6 yrs(Denial Management Exp Must) Location: Chennai(Perungudi) Shift Timing: Night shift (US Shift) Immediate joiner only Note : No Virtual Interview / No WFH Contact : 8939703901 -Janani / 9384000327 - Subathra

Job description AR Caller Accounts Receivables (RCM) Prior Authorization Location: Chennai Shift: Night Shift (U.S. Time Zones) Experience : 1+ years in Accounts Receivables (RCM) / Medical Billing Calling experience is mandatory Requirements : 1+ years of experience in Accounts Receivables (RCM) or medical billing. Prior Authorization Good understanding of denial codes, claim lifecycle, and U.S. healthcare Salary : Upto 40K Take home Two way cab available Interested Candidates can call or wats app resume to HR Preethi 93455 56473

Job description AR Caller Accounts Receivables (RCM) Prior Authorization Location: Chennai Shift: Night Shift (U.S. Time Zones) Experience : 1+ years in Accounts Receivables (RCM) / Medical Billing Calling experience is mandatory Requirements : 1+ years of experience in Accounts Receivables (RCM) or medical billing. Prior Authorization Good understanding of denial codes, claim lifecycle, and U.S. healthcare Salary : Upto 40K Take home Two way cab available Interested Candidates can call or wats app resume to HR Tamil 8637450658 or to Collarjobs34@gmail.com

Job description AR Caller Accounts Receivables (RCM) Prior Authorization Location: Chennai Shift: Night Shift (U.S. Time Zones) Experience : 1+ years in Accounts Receivables (RCM) / Medical Billing Calling experience is mandatory Requirements : 1+ years of experience in Accounts Receivables (RCM) or medical billing. Prior Authorization Good understanding of denial codes, claim lifecycle, and U.S. healthcare Salary : Upto 40K Take home Two way cab available Interested Candidates can call or wats app resume to HR Boopathy 9944781780

Omega Healthcare is hiring for EV (Eligibility And Verification Callers) Work Location - Bangalore (WFO) Responsibilities 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. Interested and eligible candidates can share your resume to deepak.babu@omegahms.com Contact Number - 97917 06774

Medusind Solutions Openings for AR Callers/ WFO Location : Ahmedabad ( 7th & 8th Floor, Corporate Rd, Makarba, Ahmedabad, Gujarat 380015 ) HR : Rohan 878007771 Role & responsibilities Outbound calls to insurances for claim status and eligibility verification Denial documentation and further action Calling the insurance carriers based on the appointment received by the clients. Working on the outstanding claims reports/account receivable reports received from the client or generated from the specific client software. Calling insurance companies to get the status of the unpaid claims. Willing to work in any process pertaining to voice based on the requirement (Insurance Follow UP, Patient calling, Provider outreach program etc. Maintain the individual daily logs. Performs assigned tasks/ completes targets with speed and accuracy as per client SLAs Work cohesively in a team setting. Assist team members to achieve shared goals. Compliance with Medusind' s Information Security Policy, client/project guidelines, business rules and training provided, company's quality system and policies Communication / Issue escalation to seniors if there is any in a timely manner Punctuality is expected all the time Perks and benefits Any Undergraduate 0.6-2 Years Relevant experience into medical billing Basic knowledge of MS Office Preparing spreadsheets and documents Good Communication skills must be able to fluently converse in English. Must have a neutral accent No stammering Working Day - 5 days working (Sat & sun fixed off ) Shift timing - 5.30 PM to 2.30 AM Drop Available with 25kM office radius Interested candidate can call on 878007771 or Can share their profiles rohan.shaikh@medusind.com

******READ POST BEFORE APPLYING****** Interview Process: 1- Online Assessment (50 MCQ's based on RCM knowledge and Aptitude) 2- Virtual Interview Weekends Off Skills Required : Minimum 3+ years of experience in RCM domain in US Health, preferably in Quality Auditor/Expert capacity in Eligibility Verification OR Credit Balance Report OR Medical Billing Expertise in medical billing end to end RCM Strong knowledge on various denials and remark codes and able to take immediate action to resolve them and follow up on the claims for collection of payment Monitor and analyze RCM process errors Audit error corrections both short- and long-term Quantify error rates and their trends individually, by team, by client, and by client pool Analyze the errors to build training materials and tests Create automation solutions to reduce error rates Should be able to resolve billing issues that have resulted in delay in payment Responsible for call/data quality monitoring Provide feedback to agents using the prescribed feedback model Mentoring and coaching agents on process-level issues Monitor adherence to compliance procedures and processes Responsible for reporting program-level quality scores to the process owners Responsible for conducting calibration and performance review calls in terms of quality with clients as well as the internal team Conduct refresher training on the basis of the errors identified Perform weekly analysis aiming at improving SLA Perform brainstorming and root cause analysis to analyze data and provide tips or suggestions to the operation/management team Identify and highlight potential risk areas and recommend preventive action Maintaining a robust monitoring system to ensure key program metrics are adhered to and the required level of quality is maintained across the board

Role & responsibilities Outbound calls to insurances for claim status and eligibility verification Denial documentation and further action Calling the insurance carriers based on the appointment received by the clients. Working on the outstanding claims reports/account receivable reports received from the client or generated from the specific client software. Calling insurance companies to get the status of the unpaid claims. Willing to work in any process pertaining to voice based on the requirement (Insurance Follow UP, Patient calling, Provider outreach program etc. Maintain the individual daily logs. Performs assigned tasks/ completes targets with speed and accuracy as per client SLAs Work cohesively in a team setting. Assist team members to achieve shared goals. Preferred candidate profile • 0-3 months in any international call center. Minimum typing speed of 35 WPM • Basic knowledge of MS Office Preparing spreadsheets and documents • Good Communication skills must be able to fluently converse in English. • Must have a neutral accent • No stammering and lisp Interested candidates can forward their resume on neha.prajapati@medusind.com

Greetings from Vee Healthtek....! We are hiring for AR Callers & Senior AR Callers (EBV & Prior Auth Process) Experience: 1 Yrs. to 4 Yrs. ( Relevant AR experience) Process - AR Calling - EBV and Prior Authorisation Designation : AR Caller/Senior AR Caller Location - Chennai Qualification: PUC and Any graduate can apply Remote interview process Virtual meetings Varun-9600908462 (Available on Whats App) Please share your updated CV with varun.si @veehealthtek.com Perks and benefits: * Week Off Details: Fixed off on Saturdays & Sundays * Cab facility: 2-way cab available * Night shift allowance * 900rs worth food coupon every month * Incentives based on performance

Hiring for Patient Caller Exp - 0.7 to 6 yrs (Patient Calling Exp Must) Work location: Chennai (Perungudi) Shift Timing: Night shift (US Shift) Immediate joiner only Note : No Virtual Interview / No WFH Contact : 8939703901 / 9384000327 -Janani

Job Title: Accounts Receivable (AR) Caller Medical Billing Job Type: Full-Time Job Summary: We are looking for an Accounts Receivable (AR)/EV Caller to join our dynamic medical billing team. The ideal candidate will be responsible for handling the follow-up on unpaid claims, resolving billing discrepancies, and working directly with insurance companies to ensure timely payment. This role requires strong communication skills, attention to detail, and knowledge of medical billing practices. Key Responsibilities: Follow up on outstanding insurance claims and unpaid accounts. Communicate with insurance companies to resolve claims issues, including denials and underpayments. Ensure accurate and timely payment posting into the system. Work with the billing team to correct any claim discrepancies or coding errors. Review EOBs (Explanation of Benefits) and identify any errors or discrepancies. Maintain detailed records of all communication and updates with insurance companies and clients. Escalate unresolved issues to higher management as needed. Keep up to date with changes in insurance policies and reimbursement regulations. Qualifications & Requirements: Experience: Minimum 1-2 years in accounts receivable, medical billing, or related field. Knowledge: Understanding of medical billing, AR processes, and insurance terminology (Medicare, Medicaid, PPO, HMO, etc.). Skills: Strong verbal and written communication skills. Attention to detail and problem-solving abilities. Familiarity with medical billing software (e.g., Kareo, Athenahealth, eClinicalWorks). Ability to multitask and prioritize effectively. Shift: Night shift (for US-based clients) Transportation: No cab facility provided candidates must arrange their own commute. Benefits: Competitive salary & incentives Career growth opportunities Training & development programs Interested Candidates please contact Saranya devi HR- 7200153996

We are hiring for freshers in Mumbai, Ahmedabad and Chennai for Dental Billing and Accounts Receivables ( AR) . Qualification: BSc, BCom, BA and BBM Shifts: 5:30pm to 2:30 am or 8 pm to 5 am shift . While this is a WFO opportunity, over a period of time, if the productivity and Quality targets are met, we do offer WFH opportunity. Education: Graduate in any stream ( BSc, BBA, BA, BCom etc) Skills: Good communication skills (verbal & written) in English. Both these positions are blended processes with 60% processing and 40 % outbound calls to Insurance providers or doctors in US for any clarifications pertaining to the billing. We also hire experienced AR Callers and Coders. Walk-in to any of the below listed Medusind Office between 11am to 5pm. Chennai Office: 8th Floor, Prestige Centre Court, The Forum Vijaya Mall, No.183, NSK Salai, Arcot Road, Vadapalani, Chennai, Tamil Nadu 600026 Ahmedabad Office: 7th & 8th Floor, Corporate Rd, Makarba, Ahmedabad, Gujarat 380015. Mumbai Office: 6th Floor, The Great Oasis, D13, Street 21, Shree Krishna Nagar, Marol MIDC Industry Estate, Andheri East, Mumbai, Maharashtra 400093

AR Follow up with Eligibility Verification JD About Company Valerion Health exists to bridge the consultative gap between broken RCM and consistent revenue generation. Our new and innovative approach paired with decades of industry experience is helping organizations navigate RCM and implement a value-based revenue cycle journey. Night Shift - 6pm to 3am 5 Days Working (Mon-Fri) Candidate should have own Laptop & Wifi Setup Job Summary Minimum 3-5 Years of experience in Pre Authorization and Eligibility Verification (Voice process). Should have worked in Verification of Eligibility and Benefits and also involved in Patient Authorization calling. Should have excellent communication Skill. Required Candidate Profile Prior Work Experience in Eligibility Verification and Pre Authorization is mandatory. Candidates serving a notice period or immediate joiners are preferred. Willing to work in Night Shifts. Job Specification The chosen candidate should have Candidate should have in-depth knowledge of doing Pre-Authorization and Patient Eligibility Verification. End-to-end RCM knowledge Experience working on PMS applications like EPIC, CERNER, NextGen and ECW would be an added advantage Candidate should have their laptop and Wi-Fi as this will be complete WFH. Desired Skills/Experience Excellent verbal and written communication skills Proficient in EV & PRior Auth with In-depth knowledge Graduate with any specialization To Apply - Interested candidates can get in touch on 9599552766 or can send CV on Simran HR- Sthapa@valerionhealth.in

Job description Hiring for AR Follow-up & Eligibility Verification process in RCM (US Healthcare) Night Shift Work from Office only- Bangalore Experience - Min 3 Year in Eligibility Verification & AR Follow-up About the role Candidate should have in depth knowledge of doing AR Follow-up & Eligibility Verification with the US based Insurance companies via Web/IVR mode and update the same in client application. Job Description Minimum 1 - 5 Years of experience in AR Follow-up Eligibility Verification Should have worked in Verification of Eligibility and Benefits and also involved in Patient Authorization calling. Should have good communication Skill. Required Candidate Profile Prior Work Experience in AR Follow-up Eligibility Verification is mandatory. Candidates serving notice period or Immediate Joiners preferred. Willing to work in Night Shifts How to Apply Ready to take your career to the next level? Apply now! Email your resume to: Mansoor.shaikbabu@omegahms.com Call: +91 8618695607 Chat on WhatsApp: [Click here] (https://wa.me/8618695607?text=Hello) Quick Apply Link WA: [https://l1nk.dev/3XOpM](https://l1nk.dev/3XOpM) Regards: Mohammed Mansoor Human Resources Omega Healthcare LinkedIn: linkedin.com/in/mohammedmansoor8618695607 Phone: +91 8618695607 Email: (Mail to:Mansoor.shaikbabu@omegahms.com)

Hiring: AR Caller (US Healthcare RCM) Location: Pune & Mumbai (Work from Office) CTC: Up to 5.5 LPA Shift: US Shift (Night) | 5 Days Working | 2 Days Rotational Off Notice Period: Immediate to 30 Days About the Role We are looking for experienced AR Calling professionals (Provider Side) to join our growing US Healthcare RCM team . Eligibility: Experience: Minimum 1 year in AR Calling (RCM Provider Side) Qualification: Any Graduate Key Skills: Revenue Cycle Management (RCM) Denial Management & Resolution AR Follow-up / Collections Physician / Provider Billing Prior Authorization HIPAA Compliance Additional Preferred Skills Medical Billing | Claims Management | Appeals | CPT / ICD Awareness | Payment Posting | EOB Analysis | US Healthcare Voice Process | International BPO Healthcare | AR Analyst How to Apply? Contact: Sanjana – 9251688426 Apply now and be part of a leading US Healthcare team!

Job Title: EV Caller & Authorization Specialist Location: Chennai Shift: Night Shift Experience Required: 1-5 Years Job Description: The EV (Eligibility & Verification) Caller is responsible for verifying patients' insurance coverage by calling insurance providers or using online portals. They ensure accurate recording of policy details, coverage limits, co-pays, deductibles, and benefit information.The Authorization Specialist secures prior authorizations for medical services by coordinating with payers and providers. They follow up on pending requests and ensure all approvals are in place before patient services are rendered. Key Responsibilities: Contact insurance companies to verify patient benefits and eligibility Document insurance responses accurately in the system Identify and obtain required prior authorizations for procedures Follow up on authorization requests and escalate when necessary Maintain compliance with HIPAA and organizational policies Coordinate with internal teams to resolve insurance or authorization issues Perks And Benefits: Opportunities for Career Advancement Continuous Learning and Development Regular Appraisals and Salary Increments Positive and Supportive Work Environment Vibrant and Inclusive Office Culture Immediate Joining Preferred Candidate Profile: Graduate in any stream is mandatory. Should have proficiency in Typing (25 WPM with 97% of accuracy) 1+ years of experience required. Package up to 5LPA Contact Details: Contact Person - HR Revathi Call or Text - 9354634696 Please note that Provana is operational 5 days a week and works from the office.

Job Title: EV Caller & Authorization Specialist Location: Chennai Shift: Night Shift Experience Required: 1-5 Years Job Description: The EV (Eligibility & Verification) Caller is responsible for verifying patients' insurance coverage by calling insurance providers or using online portals. They ensure accurate recording of policy details, coverage limits, co-pays, deductibles, and benefit information. The Authorization Specialist secures prior authorizations for medical services by coordinating with payers and providers. They follow up on pending requests and ensure all approvals are in place before patient services are rendered. Key Responsibilities: Contact insurance companies to verify patient benefits and eligibility Document insurance responses accurately in the system Identify and obtain required prior authorizations for procedures Follow up on authorization requests and escalate when necessary Maintain compliance with HIPAA and organizational policies Coordinate with internal teams to resolve insurance or authorization issues Required Skills: Good communication and interpersonal skills Knowledge of US healthcare insurance terms and processes Attention to detail and data accuracy

Candidates with experience in US Healthcare (Medical Billing) are encouraged to share their resumes at avni.g@crystalvoxx.com or send a WhatsApp message to +91 75670 40888.