6 Aetna Jobs

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1.0 - 5.0 years

2 - 5 Lacs

bengaluru

Work from Office

Familiarity with payer portals (e.g., Availity, Navinet, Aetna, UHC) Understanding of insurance types (commercial, Medicare, Medicaid, HMO/PPO, etc.) Working knowledge of CPT codes, HCPCS, and payer-specific benefits rules

Posted 3 hours ago

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1.0 - 5.0 years

5 - 6 Lacs

bengaluru

Work from Office

Role & Responsibilities Were hiring a Benefits Verification Specialist with 1–4 years of experience in US health insurance eligibility and benefits verification. You’ll be part of our operations team, helping verify insurance benefits for patients receiving speciality care in the U.S. This is a full-time, in-office role based in Bangalore, with partial overlap with US hours. Key Responsibilities: Perform insurance verification and eligibility checks for commercial and government payers (e.g., Medicare, Medicare Advantage, Medicaid, Managed Medicaid, VA, DoD). Validate coverage details including deductibles, co-pay/coinsurance, network status, referrals, prior authorization requirements, and ...

Posted 2 days ago

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1.0 - 4.0 years

2 - 5 Lacs

chennai

Work from Office

Key Skills Required: To manage and maintain the complete provider credentialing and re-credentialing process with payers, ensuring compliance with all regulatory and contractual requirements for smooth claim processing and revenue flow. To collect, verify, and update provider information (licenses, certifications, NPI, CAQH, DEA, malpractice insurance, etc.). To complete credentialing applications to add providers to commercial payers, Medicare, and Medicaid. Coordinate to collect required documents (licenses, certifications, CVs, insurance, signatures). Ensure timely submission and re-credentialing .Work jointly on new payer enrolments, group additions, and contract renewals to ensure provi...

Posted 2 weeks ago

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1.0 - 5.0 years

0 Lacs

chandigarh

On-site

Role Overview: As a US Operations Coordinator in the Intake Team at Proelio Technologies, you will be the first point of contact for patients, playing a crucial role in ensuring smooth and accurate intake processes. Your responsibilities will include verifying insurance, checking eligibility, and obtaining authorizations for medical services. Key Responsibilities: - Collect and record patient information accurately - Process incoming referrals and inquiries for medical services - Verify patient insurance coverage and benefits - Confirm insurance eligibility and accuracy of information - Determine patient eligibility for medical services based on insurance coverage - Identify any coverage lim...

Posted 1 month ago

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4.0 - 7.0 years

0 - 0 Lacs

bangalore

On-site

Benefit Verification Specialist (Health Insurance, USA) 1 - 4 years Bengaluru, Domlur Max Notice Period 60 Working Days 5 days/week Review Criteria Mandatory Strong Benefit/ Insurance Verifcation Specialists profile Mandatory (Experience 1) Must have minimum 6 months of hands-on experience in US healthcare insurance eligibility and benefits verification Mandatory (Experience 2) Must have worked on payer portals such as Availity, NaviNet, Aetna, UHC, or equivalent. Mandatory (Experience 3) Strong understanding of insurance types Commercial, Medicare, Medicare Advantage, Medicaid, Managed Medicaid, HMO/PPO, VA, DoD, etc. Mandatory (Experience 4) Experience in verifying deductibles, co-pay/coin...

Posted 1 month ago

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1.0 - 5.0 years

0 Lacs

chandigarh

On-site

We are seeking an organized and detail-oriented individual to join our team as a US Operations Coordinator in the Intake Team. As the initial point of contact for patients, you will play a vital role in ensuring smooth and accurate intake processes. Your primary duties will include verifying insurance, checking eligibility, and obtaining authorizations for medical services. Your responsibilities will involve collecting and accurately recording patient information, processing incoming referrals and inquiries for medical services, verifying patient insurance coverage and benefits, determining patient eligibility for medical services based on insurance coverage, and providing clear information ...

Posted 3 months ago

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