26 Benefits Verification Jobs

Role & Responsibilities We're hiring a Benefits Verification Specialist with 58 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 J...

Please share your cv @shikha.nillay@provana.com Job Title: EV Caller & Authorization Specialist Location: Noida Shift: Night Shift Experience Required: 2-8 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 Responsibilit...

Job Title: EV Caller & Authorization Specialist Location: Noida Shift: Night Shift Experience Required: 2-8 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 patie...

Role Overview: As a Medical Billing & Accounts Receivable Specialist, you will be responsible for processing and reviewing medical claims for accuracy, following up with insurance companies and patients on outstanding balances or denied claims, managing insurance credentialing, verifying patient insurance coverage, handling claim denials and appeals, ensuring compliance with healthcare regulations, and assisting in financial reporting related to billing and collections. Key Responsibilities: - Process and review medical claims for accuracy before submission to insurance companies. - Follow up with insurance companies and patients on outstanding balances or denied claims. - Manage and maintai...

Role & Responsibilities We're hiring a Benefits Verification Specialist with 14 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 J...

Medical Billing – Insurance(Blended) Location: Airoli / Andheri US Shift: 5:30 pm–5:30 am Sat–Sun Fixed Off AR Trainee: HSC/Grad Fresher AR/ Sr AR/ Domain: Exp Required Salary: 10.7k–30k + 5k Inc Office Work | Cab One Side Call -7276825565

As a Benefits Verification Specialist with 4+ years of experience in US health insurance eligibility and benefits verification, you will be an integral part of the operations team, focusing on verifying insurance benefits for patients receiving specialty care in the U.S. Key Responsibilities: - Accurately document findings in internal systems. - Collaborate with internal teams to resolve missing or mismatched data. - Collaborate with technology teams to enhance data/systems. - Ensure timely completion of verifications with high accuracy and within defined SLAs. Qualifications Required: - 4+ years of experience in US healthcare insurance verification. - Understanding of insurance types such a...

Role & Responsibilities We're hiring a Benefits Verification Specialist with 58 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 J...

Company Size Startup / Small Enterprise Experience Required 1 - 4 years Working Days 5 days/week Office Location Domlur, Bengaluru Role & Responsibilities We're hiring a Benefits Verification Specialist with 14 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). Vali...

Looking for Eligibility & Benefits Verification Caller Experience : 0.6 Month - 2 Years Must have previous experience in RCM as a caller Immediate Joiners Preferred Only! No Virtual Interview For Queries Call: 8939703901 Janani / 9384000327 Subathra

As a candidate for the role, you will be responsible for the following: - Thorough knowledge of US healthcare, US Dental industry, and Revenue Cycle Management for US healthcare. - Planning and managing the operations of the unit. - Developing the team to efficiently execute business operations and cater to projected growth. - Training the team and developing operating processes & systems, to deliver outstanding customer services. - Analysing the workflow to improve process quality and enhance productivity. - Contributing to the team's processes and quality standards. - Developing the organization's policies to motivate & retain the manpower. In order to qualify for this position, you should...

Join Our Growing RCM Team! We are seeking experienced professionals to be part of our dynamic US Healthcare Revenue Cycle Management (RCM) operations. Multiple roles available across: Accounts Receivable (AR) Executive Prior Authorization Executive Eligibility & Benefits Verification Specialist About the Roles As part of our RCM team, you will play a vital role in managing billing operations, ensuring timely collections, and supporting patient access to care by streamlining financial processes. Key Responsibilities AR Executive Follow up with insurance payers on unpaid or denied claims via calls. Investigate claim denials, underpayments, and reprocess as necessary. Analyze EOBs and denial co...

Precertification Intake Support involves determination of precertification requirement of an upcoming medical/surgical procedure. It consists of frontline professional staff who take incoming calls either from members or providers Front line staff accepts incoming calls from members or providers to determine precertification requirement for any medical and surgical procedure Screens requests in order to appropriately refer items to the medical services staff Utilizes reference tools to determine the need for notification and medical review Collates medical information and determines precertification review in accordance with the benefit plan Assigns length of stay based on approved reference...

Hello, We are hiring for EVBV Check eligibility and benefit information of patient’s health insurance. Check patient's plan benefits on various insurance websites and portals. To call insurances payers to collect service level benefits. Required Candidate profile 1 to 4 years of in eligibility & benefits verification with US healthcare industry. Willing to work in Night Shift. Should have excellent communication. Sound knowledge of EV process.

Prior Authorization, EVBV and Medical Billing - Mumbai Experience: Minimum 1 Year in Prior Authorization / EVBV / Medical Billing Package: Prior Authorization / EVBV - Upto 5.75 LPA + Incentives Medical Billing - Upto 4.34 LPA + Incentives Qualification: Graduation - If 2yrs below experience Intermediate & Above - If 2yrs+ experience Notice Period: 0 - 60 Days of notice is accepted Relieving Letter: Mandatory Interview Mode: Virtual 2-Way Cab Facility Prior Authorization QA - Hyderabad Eligibility :- Min 4yrs into Prior Auth and 1 year as a Prior Auth QA On Or Off Papers is fine but must have QA experience, must have work experience in clinical review process Package :- Upto 47K Take-home + ...

The position involves managing medical billing and accounts receivable, insurance credentialing, eligibility verification, claim denials and appeals, patient communication, compliance, documentation, reporting, and analysis. You will be responsible for processing and reviewing medical claims, following up with insurance companies and patients on outstanding balances, and managing insurance credentialing processes. Additionally, you will verify patient insurance coverage, assist patients with understanding their benefits, and investigate and resolve denied claims through appeals. You must ensure compliance with healthcare regulations, maintain accurate billing documentation, and stay updated ...

*Please read the JD before applying* Role: Program Specialist (Voice Process-Outbound) Shift: 6:00 PM - 03:00 AM Transportation: Cabs are provided as per company policy Contract Duration: This is a fixed 6-month contract Work Model: Work From Home for initial Few Months, then Work From Office as per company's requirement Location : Bengaluru, Karnataka 560001 Requirements: Experience: At least 2-4 years of customer service experience, with a background in the U.S. healthcare i ndustry. Must be familiar with HIPAA guidelines and handling sensitive data. Education: A bachelor's or master's degree is preferred. Selection Process : Each round of the interview process is an elimination round Inte...

About 100ms At 100ms, we are dedicated to developing AI agents that streamline intricate patient access workflows within the U.S. healthcare sector, commencing with benefits verification, prior authorization, and referral intake in specialty pharmacy. Our primary objective is to assist care teams in diminishing delays and administrative burdens, thereby enabling patients to commence treatment promptly. The foundation of our automation platform lies in the amalgamation of profound healthcare expertise with LLM-based agents and a resilient operational framework. You will become an integral part of the specialized healthcare automation team at 100ms, where your role as a Benefits Verification S...

We're Hiring ! Looking to grow your career in healthcare operations? Eligibility Verification Benefits Verification Prior Authorization Eligibility Criteria : Minimum 1+ year of RCM experience Immediate joiners preferred What We Offer: Attractive Incentives 5-Day Work A dynamic, growth-focused work environment Walk-In Drive | Mohali | DM to apply or walk in directly! Hemalatha HR -7200053787 hemalatha.bjobixoindia.com

Precertification Intake Support involves determination of precertification requirement of an upcoming medical/surgical procedure. It consists of frontline professional staff who take incoming calls either from members or providers Front line staff accepts incoming calls from members or providers to determine precertification requirement for any medical and surgical procedure Screens requests in order to appropriately refer items to the medical services staff Utilizes reference tools to determine the need for notification and medical review Collates medical information and determines precertification review in accordance with the benefit plan Assigns length of stay based on approved reference...

We are hiring for "ELIGIBILITY VERIFICATION ROLE" for an MNC for MULTIPLE Location. Salary : Upto 5.50 LPA Shift : Any 5 Days working WORK FROM OFFICE Need Good English Comm. skills Must have good knowledge of RCM. Only Immediate Joiners needed Required Candidate profile Must have 1 to 5 Yrs of exp. in same profile. Verifying patient insurance coverage, ensuring accurate eligibility & benefits information, & supporting seamless claims processing. Call : 9643-5837-69

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 and Eligibility and Benefits Verification Location : Hyderabad Work from office Shift: Night Shift (5.30pm to 2.30am) WALK -IN with your resume from 6pm to 10pm 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 Cit...

Responsible for verifying insurance eligibility and benefits, addressing claims, ensuring quality and TAT, analyzing accounts for resolution, and coordinating with teams for timely claim resolution.

Role Description This is a full-time on-site EVBV Executive role located in Nagpur. The EVBV Executive will be responsible for verifying Insurance Benefit and patients eligibility. Roles and Responsibilities: Verification of Insurance Coverage (Via Calls/Portals) Verification of Benefits Coverage (Via Calls/Portals) Fluency in English Communication: Proficient in both written and spoken English, ensuring clear and effective communication in professional settings. Energetic and Proactive: Demonstrates a high level of energy and initiative, consistently engaging in tasks with enthusiasm and a positive attitude. Adaptability to Night Shifts: Comfortable working during US night shifts (5:30 PM t...

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