105 Eligibility Verification Jobs - Page 3

Roles and Responsibilities Entering of patient demogrpahics and insruance information. Verifying Insurance Policy coverage from the webportal. Order Corrections for the screnrios : Changes in the calories, different product, Hospital Re-admit, discharge, patient expired. Delivery Worksheet : Orders are being picked from the Patient Medical records Monthly facility billing (PART A Report ) and MA reports are prepared and sent to the client. Develop understanding of client specifics and requirements File are split and renamed as per the client naming convention. Renamed Invoices are allocated to the users for further tasks Based on the Invoice, users should reconcile or enter the PO in the accounting application. Following up with clients on Invoice clarification Understand special situations and procedures that relate to the client we work on. Performs other duties as assigned. Desired Candidate Profile Education, Training, and Experience Required: Bachelors Degree or 3 year Diploma or equivalent is required. Medical Transcription experience is a huge plus Two (2) years of Medical Billing DME Billing, Charge Entry, Payment Entry experience is preferred; Equivalent combination of experience, education, and training that would provide the required knowledge and abilities. Knowledge/Skills: Knowledge of medical terminology; anatomy and ; English grammar and usage. Ability to research and analyze data, draw conclusions, and resolve issues; read, interpret, and apply policies, procedures, laws, and regulations. Ability to read and interpret medical billing clinical notes Ability to develop training materials, make group presentations, and to train staff Ability to exercise independent judgment; Excellent written and verbal communication skills to prepare reports and related documents and to maintain working relationships with physicians and other staff. Ability to competently use Microsoft Office Suite, particularly Word, Excel and Outlook. Ability to maintain confidentiality. Perks and Benefits As per market standards

We are seeking a dedicated and experienced US Medical Billing specialist to join our team at Sage Healthy Global Pvt Ltd. located in Chennai, India. As a Charges and Payment Posting employee you would have specific duties related to handling charges and payments. Requirements: Bachelors degree in accounting & finance, or a related field. Proven experience in finance accounting and preferably worked in Charted Accounting firm. Strong communication, organization, and problem-solving skills. Ability to work collaboratively with cross-functional teams and manage multiple client accounts simultaneously. Proficiency in using relevant software and tools for documentation, reporting, and project management. Qualifications: Familiarity with various insurance plans, including private, Medicare, and Medicaid. Excellent attention to detail and accuracy in data entry and documentation. Strong analytical and problem-solving skills. Effective communication skills, both verbal and written. Ability to work independently and collaboratively within a team.

Role & responsibilities Perform pre-call analysis and check the status by calling the payer or using IVR or web portal services Maintain adequate documentation on the client software to send the necessary documentation to insurance companies and maintain a clear audit trail for future reference Record after-call actions and perform post call analysis for the claim follow-up Assess and resolve inquiries, requests, and complaints through calling to ensure those customer inquiries are resolved at the first point of contact Provide accurate product/ service information to the customer, research available documentation including authorization, nursing notes, medical documentation on client's systems, interpret explanation of benefits received, etc prior to making the call Preferred candidate profile Ability to work night shifts, Ability to speak to insurance rep and Analytical thinking Perks and benefits Regular Annual performance appraisals, be a part of growing organisation and get recognised for your hard work

HIRING US Healthcare Openings for experienced in Prior Authorization at Advantum Health, Hitech City, Hyderabad. Should have experience of at least 5 years in Prior Authorization Seasoned prior authorization with insurance calling is mandatory Location : Hyderabad Work from office Shift: Night Shift (5.30pm to 2.30am) Salary upto 52k Per Month and Net Take Home excluding transportation is upto 50k per month. One way cab + Rs. 2000 Transportation allowance is provided. For 2 way, Rs. 4000 is the Transport allowance HR Dept, Advantum Health Pvt Ltd Cybergateway, Block C, Hitech City, Hyderabad Ph: 9100337774, 7382307530, 8247410763, 9059683624

Min 3-4 years in Dental Verification - Voice process Work from office - AHMEDABAD, Gujarat 5:30 PM to 2:30 AM - Mon to Fri Should have handled a team for atleast 1-2 years Share updated CV at 75670 60888 / glory.m@crystalvoxx.com

Greetings from Isource ITES Pvt Ltd !!! We are hiring for Authorization Caller, Immediate joiners prefered... Key Responsibilities: * Review and process prior authorization requests for medical treatments and services. * Communicate with insurance companies to ensure timely approvals. * Work closely with healthcare professionals to gather necessary documentation. * Maintain accurate records and follow up on pending authorizations. * Ensure compliance with healthcare regulations and company policies. Who Can Apply? * AR Caller Prior Authorization: 1 year of experience in healthcare. * Strong understanding of US healthcare revenue cycle management. * Excellent communication and analytical skills. * Ability to work night shifts and meet performance targets. Benefits: * 5 Days of working * 2 Way cab provided * Dinner provided Further details Call or whatsapp Reshma 9363256851/Nisha - 7904600955

We have an opportunity for the role of Team Manager in RCM, the details of which are mentioned below: Designation: Team Manager (Auth/EVBV) No. of Openings: Pre-Auth Team Manager - 4 EVBV Team Manager - 4 Experience: 4+ years Location: Navi Mumbai (Airoli) Skills Required: Work experience of 4+ years in the RCM (in functions like Prior Authorization/EVBV) of a US Healthcare Setup Experience in managing teams of 20+ executives Experienced in setting & measuring team targets, basic people management & leadership skills Graduate in any stream Responsibilities: Drive high levels of employee engagement (include Daily, weekly, monthly team connects) to enable high retention and satisfaction rates Help manage team work life balance through efforts on leave planning and rostering Communicate effectively within & with team members & escalate issues to the management for timely resolution Continuously manage performance through timely and effective feedback and coaching Partner with Recruiting and Training functions to help improve the quality of incoming talent. If interested, please share your updated CV on shivani.tripathi@ikshealth.com

U.S Health Insurance for Medical Billing, Demo & Charge Entry Process. Review and audit claims, Rebilling. The candidate will be responsible for reviewing and auditing medical claims, handling charge entries. Required Candidate profile Seeking experts in U.S. medical billing, charge entry with ECW software experience. Knowledge of ICD-10, CPT, claims processing a must. Immediate joiners preferred.Send CV: recruitment1.hipl@gmail.com

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.

Candidate will be responsible for handling dental insurance claims, verifying patient dental eligibility, processing claims from various insurance providers, and ensuring smooth communication between patients, providers. dental insurance software

Looking For Immediate Joiner's Interview Mode-Direct Experience in end-to-end RCM would be preferred. Should be flexible towards jobs and the requirements. Should be a good team player. Interested candidates can call directly. 9025832788.

Policy Possess a thorough understanding of all the policies applicable under the act (SRA/MHADA) Support in conducting thorough research on the existing and upcoming policies for the application of the same in the interest of the organization Tenant Survey & Eligibility Carry out timely Tenant surveys to identify eligible and non eligible tenants Carry out surveys related to existing structures and amenities. Support in collection and submission of appropriate documents confirming the eligibility of the tenants and verifying the same Identify non eligible tenants and support in the alternative procedure for them Support in coordinating with Annexure II team and Archival Documentation team Stakeholder Management Develop and maintain networking and relation with the key people and influential groups in the interest of the organisation Engage with the tenants on a regular basis to develop and manage trustworthy relationships with tenants and local authorities Negotiate with and influence with all groups of people, bodies and agencies for participation support and smooth implementation of scheme Support in Managing and tackling morchas & demonstration through effective oratory skills and public relations skills. Support in commencement of various project phases as per evacuation plan Coordinate with Front office and Back office Liasion team for various activities like General body Resolution Regularly hold General Body meetings for tenants Coordinate with Finance team for monthly disbursal of rent to the tenants. Maintain and manage Public Relations through various sources of media (Printed, non printed, verbal) Rehabilitation Coordinate for legal procedures and documentations with society. Like GBR, Development agreement, power of attorney, common and individual consent etc. & sharing drawings or required data Smoothly manage the process of vacating the residents Manage challenges of non-cooperating tenant, religious structures and amenity areas by means of influencing, negotiation or legal procedure. Support in implementation of various CSR activities to engage the tenants on a regular basis (Like schooling, education, skill development programs, celebrations, health surveys and health camps etc.) Coordinate and support in implementation of communication/Grievance cell for the benefit of the tenants Co-ordination and liaison with SRA/MHADA offices related to the projects for approval and clearances related to tenants affair Implement the process for allotment of rehab units, training to make tenants aware of new changes in their life style and how to maintain new rehab building, and aspects of managing society from legal point of view. Develop leadership and influencing abilities in aspects of facing the members of the opposition, local goons etc. Implement the process of rehabilitation of the tenants in their newly developed projects Post Project Completion Support in phase wise allotment of completed flats for the tenants Coordinate the formation of the society & Committee Manage the process of possession handover, society operations, maintenance, legal society formation till moving out of the project Look after the maintenance of project buildings for at least 10 years post shifting and handover to residents Documentation Collect and submit all the documents under the project like rent documents, ownership documents and various other eligibility documents to the document archival team Coordinate with various departments to ensure smooth resolution of issues till project is completed Collect and submit the documents under annexure II

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

HIRING US Healthcare Openings for experienced in Prior Authorization at Advantum Health, Hitech City, Hyderabad. Should have experience of atleast 2 years in Prior Authorization Experience in Ortho is preferred Seasoned prior authorization with insurance calling is mandatory Location : Hyderabad Work from office Shift: Night Shift (5.30pm to 2.30am) WALK -IN with your resume from 6pm to 11pm on any day from Monday to Friday. Interviews would be completed on same day. Ph: 9100337774, 7382307530, 8247410763, 9059683624 Salary upto 52k Per Month. One way cab + Rs. 2000 Transportation allowance is provided. For 2 way, Rs. 4000 is the Transport allowance Address for WALK-IN: Advantum Health Private Limited, Cyber gateway, Block C, 4th floor Hitech City, Hyderabad. Location: https://www.google.com/maps/place/Advantum+Health+India/@17.4469674,78.3747158,289m/data=!3m2!1e3!5s0x3bcb93e01f1bbe71:0x694a7f60f2062a1!4m6!3m5!1s0x3bcb930059ea66d1:0x5f2dcd85862cf8be!8m2!3d17.4467126!4d78.3767566!16s%2Fg%2F11whflplxg?entry=ttu&g_ep=EgoyMDI1MDMxNi4wIKXMDSoASAFQAw%3D%3D Follow us on LinkedIn, Facebook, Instagram, Youtube and Threads for all updates: Advantum Health Linkedin Page: https://www.linkedin.com/showcase/advantum-health-india/ Advantum Health Facebook Page: https://www.facebook.com/profile.php?id=61564435551477 Advantum Health Instagram Page: https://www.instagram.com/reel/DCXISlIO2os/?igsh=dHd3czVtc3Fyb2hk Advantum Health India Youtube link: https://youtube.com/@advantumhealthindia-rcmandcodi?si=265M1T2IF0gF-oF1 Advantum Health Threads link: https://www.threads.net/@advantum.health.india HR Dept, Advantum Health Pvt Ltd Cybergateway, Block C, Hitech City, Hyderabad Ph: 9100337774, 7382307530, 8247410763, 9059683624

HIRING US Healthcare Openings for experienced in Prior Authorization at Advantum Health, Hitech City, Hyderabad. Should have experience of atleast 2 years in Prior Authorization Seasoned prior authorization with insurance calling is mandatory Location : Hyderabad Work from office Shift: Night Shift (5.30pm to 2.30am) WALK -IN with your resume from 3pm to 8pm on any day from Monday to Friday. Interviews would be completed on same day. Ph: 9100337774, 7382307530, 8247410763, 9059683624 Salary upto 52k Per Month and Net Take Home excluding transportation is upto 50k per month. One way cab + Rs. 2000 Transportation allowance is provided. For 2 way, Rs. 4000 is the Transport allowance Address for WALK-IN: Advantum Health Private Limited, Cyber gateway, Block C, 4th floor Hitech City, Hyderabad. Location: https://www.google.com/maps/place/Advantum+Health+India/@17.4469674,78.3747158,289m/data=!3m2!1e3!5s0x3bcb93e01f1bbe71:0x694a7f60f2062a1!4m6!3m5!1s0x3bcb930059ea66d1:0x5f2dcd85862cf8be!8m2!3d17.4467126!4d78.3767566!16s%2Fg%2F11whflplxg?entry=ttu&g_ep=EgoyMDI1MDMxNi4wIKXMDSoASAFQAw%3D%3D Follow us on LinkedIn, Facebook, Instagram, Youtube and Threads for all updates: Advantum Health Linkedin Page: https://www.linkedin.com/showcase/advantum-health-india/ Advantum Health Facebook Page: https://www.facebook.com/profile.php?id=61564435551477 Advantum Health Instagram Page: https://www.instagram.com/reel/DCXISlIO2os/?igsh=dHd3czVtc3Fyb2hk Advantum Health India Youtube link: https://youtube.com/@advantumhealthindia-rcmandcodi?si=265M1T2IF0gF-oF1 Advantum Health Threads link: https://www.threads.net/@advantum.health.india HR Dept, Advantum Health Pvt Ltd Cybergateway, Block C, Hitech City, Hyderabad Ph: 9100337774, 7382307530, 8247410763, 9059683624

Working Hours- Night shift(8pm-5:30am)-(Mon-Fri) Sound knowledge of HCPCS, CPT, and ICD-10 coding. Results Oriented (Energetic self-starter; sets realistic goals; meets commitments; persistent, prioritizes daily to achieve results). Customer Service Advocate (flexible and adaptive; empathetic; passionate; ethical). Ability to respond to common inquiries from customers, staff, vendors, or other members of the community. Ability to draw valid conclusions, apply sound judgment in making decisions, and to make decisions under pressure; ability to interpret and apply policiesand procedures. Must address others professionally and respectfully by actions, words and deeds. Detail oriented, organized, process focused, problem solver, self-motivated, proactive, customer service focused. Displays independent judgment by willingness to make timely and accurate decisions based on available information that is sometimes vague or limited innature. Ability to multitask effectively and work in a fast paced and sometimes ambiguous environment, without compromising quality of work. Ability to prioritize tasks and projects with limited direction, understanding and contributing to the success of the clinic.

Greetings From Prochant !!! JD for Team Leader-Night (Eligibility Verification & Prior Auth ) Key Responsibilities and Duties: As a Team Leader you are responsible for several areas that are key to success for the Prochant, an outsourced billing service in the U.S. healthcare industry. In this role, you are accountable to manage the team and ensure production and quality targets are met as per company requirement. You are responsible for identifying issues and alerting the appropriate parties before these issues are identified by the client. Your job is to enhance and expand the capacity of your team members, allowing Prochant to expand the scope of its teams to include a much larger client base. Knowledge Skills and Abilities: Exceptional verbal, interpersonal, and written communication skills. Organized, detail-oriented and self-motivated. Ability to juggle multiple responsibilities. Professional presentation skills and confidence when speaking. Exceptional problem-solving skills to analyze issues and identify potential liabilities. Strong leadership skills to promote personal and professional development and teamwork. Ability to maintain strong professional relationships with internal teams and management. Consistent demonstration of a professional, positive attitude. A strong, working understanding of computers and an ability to self-troubleshoot simple issues. Essential Functions: Production Monitoring overall responsibility for monitoring daily production for assigned clients and updating the Connect Portal with this information. Production Continuity ensure that key processes are completed daily. Tracking Daily production ensure the allocation goes smooth . Review Reports review key reports for accuracy and quality. These reports include: Production log (Target Vs. Achieved), Your analysis should be well documented for reference. Daily Standing Meeting Prepare respective report for daily meeting, reporting results and associated red flags. Always bring proposed solutions when reporting these issues. Allocation of work Prepare downloads of respective process and allocate the work to the subordinates and ensure a smooth flow of production. Quality Assurance Overall responsible for the quality of the team for all Day process. Month End overall responsibility for ensuring that month end procedures like Client invoicing reports and month end closing reports are maintained in timely manner. Note - we are looking for the candidate wo has experience in handling the team of Eligibility Verification & Prior Auth Benefits Salary & Appraisal - Best in Industry Excellent learning platform with great opportunity to build career in Medical Billing Quarterly Rewards & Recognition Program Dinner for Night Shift Upfront Leave Credit Only 5 days working (Monday to Friday) No of openings : 2 Experience : 5+ years Shift timing : Night Shift Mode Of Interview : Zoom / Teams Contact Person : Abdul Wahab Interested candidates call / whats app to 8248165076 or share your updated CV to abdulwahab@prochant.com

Job description Greetings from Vee HealthTek...!!! We are hiring for AR Callers & Senior AR Callers for Prior Auth EV BV Process Experience 1 Yrs to 4 Yrs ( Relevant AR experience) Designation - AR Caller/Senior AR Caller Qualification : PUC and Any Graduate Can apply Remote interview Process virtual meetings Please reach out to Below Mentioned Contact details for More Information Name - Arun Kumar Contact Number - 8050524977 ( Available on WhatsApp) Mail Id - arunkumar.n@veehealthtek.com 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

Manage appointment calendars for healthcare providers. Send appointment reminders to patients via phone calls or emails. Handle patient inquiries regarding appointment details. Eligibility and Verification of Patients Adding patient demographics

Responsibilities •AR follow up/Insurance calling - Medical billing company •Denial management •Responsible for calling Insurance companies (in the US) on behalf of Physicians/Clinics/Hospitals and follow up on outstanding Accounts Receivables

Hiring Eligibility Verification and Authorization Location- Mohali Salary- As per market strandard Qualification- 12th/Graduation Should have 6 months + experience on same profile Interested can call@9877874996

Urgently Required AR Callers !!! . Min 1 year Exp in AR calling in Pre Auth & EV calling For more details contact: Nihila - 7305155582 Varshini - 7305188863 Varalakshmi - 6385161155 Vinothini - 6385161134 Required Candidate profile Salary & Appraisal - Best in Industry. Excellent learning platform with great opportunity. Only 5 days working (Monday to Friday) Two way cab will be provided. Dinner will be provided.

1+ years of experience in AR - Medical Billing - voice process Should have experience in RCM - denials handling Timings: 5:30 PM to 2:30 AM - work from office - Ahmedabad Eligible and can updated CV at 7567202888 / veena.k@crystalvoxx.com

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. Education: High school diploma or equivalent (preferred: Bachelors degree in Healthcare Administration or related field). Shift: Night shift (for US-based clients) Transportation: No cab facility provided candidates must arrange their own commute. Benefits: Competitive salary & incentives Health insurance (if applicable) Career growth opportunities Training & development programs Interested Candidates please contact Saranya devi HR- 7200153996

Dear Candidates, We are hiring for Insurance Verification Executive @ Chennai Process: US RCM Designation: Insurance Verification Executive & Senior Executive Location: Chennai (Guindy) Shift: EST & PST Free Pickup and Drop Available Required Skills Must have exp in US RCM process with end to end process Flexible toward shift timings and weekend support Immediate joiners would be preferred Interested pls share with us your updated resume in watsapp Number: 7397746206 Regards HR Team Qway Technologies