105 Eligibility Verification Jobs

Looking for an experienced End-to-End RCM Manager (US Healthcare) skilled in Credentialing, Payment Posting, Charge Entry, Authorization, Eligibility Verification, Medical Billing, and knowledge of Adaptive Behavior Assessment. Responsible for managing the entire revenue cycle, ensuring compliance, optimizing revenue flow, and leading the RCM team effectively. Roles & Responsibilities Revenue Cycle Management: Manage and optimize the entire RCM process. Credentialing: Oversee provider credentialing, revalidations, and insurance enrollments. Payment Posting & Charge Entry: Ensure accurate and timely payment postings and charge entries. Authorization & Eligibility Verification: Manage insurance eligibility checks and authorization processes. Medical Billing & Claims: Supervise billing, reduce denials, and enhance collections. Adaptive Behavior Assessment: Knowledge of ABAS or similar tools; ensure proper documentation and billing. Team Leadership: Train, mentor, and enhance team productivity. Reporting & Analysis: Generate reports, analyze data, and improve revenue generation. Client & Stakeholder Communication: Address queries, resolve issues, and provide updates. Continuous Improvement: Stay updated with industry changes and implement process improvements. Please share CV at annu.misra@rsystems.com

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 - Bhagyashree V Contact Number - 9741406191available on WhatsApp Mail Id -Bhagyashree.v@veehealthtek.com

Hi Applicants !! Greetings from Flatworld Healthcare Service !! Hiring for Subject Matter Expert (SME) - AR Caller Department: Revenue Cycle Management (RCM) Location: Bangalore -Kudlu Gate Experience: 3-6 years in AR calling, with 1-2 years in a lead or SME role (provider side) Roles and Responsibility : Act as a knowledge resource for AR callers handling complex denials, rejections, and aged claims. Resolve high-value or critical accounts and assist with escalated payer issues. Analyze EOBs/ERAs and guide on next steps for denied or underpaid claims. Understand and interpret payer-specific guidelines (e.g., Medicare, Medicaid, BCBS, Aetna). Support the team in crafting effective appeals, reconsiderations, and dispute letters. Identify denial trends and assist in root cause analysis to prevent recurrence. Train new AR callers on provider-specific policies, systems, and payer rules. Participate in internal review meetings and client calls (if offshore). Skills & Qualifications: 3-6 years of experience in AR Calling (Provider side), with strong knowledge of US healthcare RCM. In-depth understanding of CPT/ICD codes, modifiers, EOBs, ERAs, and claim adjudication. Experience with EMRs and billing software (e.g., Athena, Epic, Allscripts). Excellent communication, leadership, and problem-solving skills. Proficiency in Excel and AR reporting tools. Thanks & Regards Danuja HR Flatworld Healthcare Solutions Contact 9035473862 Email: danuja.s@flatworldsolutions.in / danuja.s@finnastra.com Web: www.flatworldsolutions.com

Role & responsibilities A Prior Authorization Specialist or Coordinator role involves securing pre-approval from insurance companies for medical treatments and procedures . This includes verifying patient eligibility, gathering necessary information, submitting requests, and following up to ensure timely approvals. They act as a liaison between patients, healthcare Preferred candidate profile

verifying patient insurance coverage and benefits before medical services are provided, ensuring accurate billing and minimising claim denials Perks and benefits Cab Facility - Home Pick & Home Drop

Responsibilities: * Maintain eligibility database accuracy * Collaborate with cross-functional teams on process improvements * Verify client eligibility per RCM guidelines * Manage blended process for efficient claims handling Office cab/shuttle Health insurance Annual bonus Provident fund

Job Title: Senior AR Caller / AR Caller Report To: Team Leader Experience: 1 - 5 Years Qualification: PUC / 12th Location: Bangalore / Coimbatore Shift Time: 6:30PM - 3:30 AM - Night shift Mode: Work from office Terms-Fulltime/Part time/Contractual: Full-time Job Summary As an AR caller/Senior AR Caller, you will be responsible for tasks related to medical billing. These include contacting insurance companies, patients, or responsible parties to resolve unpaid or denied medical claims. This role aims to ensure timely payment, maximize revenue, and minimize financial losses for healthcare providers. Key Responsibilities Meet Quality and productivity standards. Contact insurance companies for further explanation of denials & underpayments. Experience working with multiple denials is required. Take appropriate action on claims to guarantee resolution. Ensure accurate & timely follow-up where required. Should be thorough with all AR Cycles and AR Scenarios. Should have worked on appeals, refiling, and denial management . Mandatory Skills Excellent written and oral communication skills. Minimum 1-year experience in AR calling Understand the Revenue Cycle Management (RCM) of US Healthcare providers. Basic knowledge of Denials and immediate action to resolve them. Follow up on the claims for collection of payment. Responsible for calling insurance companies in the USA on behalf of doctors/physicians and following up on outstanding accounts receivables. Should be able to resolve billing issues that have resulted in payment delays. Must be spontaneous and enthusiastic Desired skills Experience Physician billing is an added advantage Experience in EPIC, ATHENA and NextGen

Dear Applicant, Greetings from Omega Healthcare.. Excellent opportunity..! We are looking for a skilled professional to join our team as an Senior Executive - AR in Omega Healthcare Management Services Pvt. Ltd ., located in Bangalore. Responsibility Areas: 1. Should handle US Healthcare providers/ Physicians/ Accounts Receivable. 2. To work closely with the team leader. 3. Ensure that the deliverables to the client adhere to the quality standards. 4. Responsible for working on Denials, Rejections, LOA's to accounts, making required corrections to claims. 5. Calling the insurance carrier & Document the actions taken in claims billing summary notes. 6. To review emails for any updates 7. Identify issues and escalate the same to the immediate supervisor 8. Update Production logs 9. Strict adherence to the company policies and procedures. Desired Profile 1. Sound knowledge in Healthcare concept ( Physician Billing ). 2. Should have Minimum 2 Year of AR calling Experience in US Healthcare. 3. Excellent Knowledge on RCM, Medicare, Medicaid, Hospice, HMO, PPO, POS, EPO, MCO plans, Modifiers, CPT codes, Office code visits, Drug codes, Appeals, Denial management, CMS-1500 form, clearing house etc. 4. Understand the client requirements and specifications of the project 5. Should be proficient in calling the insurance companies. 6. Ensure targeted collections are met on a daily / monthly basis 7. Meet the productivity targets of clients within the stipulated time. 8. Ensure accurate and timely follow up on pending claims wherein required. 9. Prepare and Maintain status reports. Interested candidate please share your resume below mail id or share the resume on WhatsApp. HR Name : Mohammed Nawaz Contact Number : 9380309508 Mail : Mohammednawaz.shaikbabu@omegahms.com

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