12 Benefits Verification Jobs

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 + Incentives Location :- Hyderabad Qualification :- Inter & above Shifts & Timings :- Night Shifts - 6:30 PM to 3:30 AM Notice Period :- Need Immediate Joiners Only, relieving letter is not mandate 2 Way Cab - Upto 30 KMS Radius Interview Mode :- Virtual Apply Today Share your resume to HR Harshitha - 7207444236 ragaharshitha.gunturu@axisservice.co.in Refer your friends / Colleagues

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 on changes in regulations and billing practices. Furthermore, you will assist in preparing financial reports related to billing and collections for the management team. The required qualifications for this position include a high school diploma or equivalent, with an Associate's or Bachelor's degree in Healthcare Administration or a related field preferred. You should have 2-3 years of experience in medical billing, accounts receivable, or healthcare finance, along with familiarity with medical insurance carriers, claims processing, and eligibility verification procedures. Proficiency in medical billing software and electronic health record systems is essential, as well as knowledge of insurance terminology, coding, and regulatory guidelines. Desired skills include previous experience in insurance credentialing, provider enrollment, handling complex billing inquiries, and proficiency in Microsoft Office Suite. The work environment is primarily office-based, with potential for remote work based on organizational policies. The compensation is competitive and includes benefits. The job type is full-time, with a Monday to Friday schedule, including night shifts and US shifts. The work location is in person.,

*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 Interview Rounds: 3 Round 1: Section 1: Mettl-Test Assessment: Typing test (Typing speed of 35 words per minute with 85% accuracy) Section 2: Customer Enquiry ( Listening audio and Q/A) Round 2: Online Group Discussion Online Screening Round Round 3: In person Interview At Allegis Bangalore Office HR Discussion Selection /Offer About the Role : Aston Carter is looking for a Program Specialist to be the main point of contact for our customers. In this role, you'll provide crucial operational and reimbursement support, ensuring patients get the therapies they need. You'll be a self-starter who identifies and removes obstacles, using your problem-solving skills to advocate for our customers. Key Responsibilities: Handle incoming calls and faxes, and make outbound calls for insurance verification. Document all communications and escalate issues as needed. Process patient applications to determine program eligibility. Coordinate prescription transfers to specialty pharmacies. Educate patients on available insurance options. Maintain a professional demeanor while adhering to HIPAA guidelines and SOPs. What We're Looking For: Proficient in English, both written and verbal. Ability to multitask and navigate multiple computer programs. Strong customer service and problem-solving skills. Empathetic, accountable, and driven to help customers. Ability to work both independently and as part of a team. Preferred candidate profile Candidates should be flexible in working from home or in an office setting per business needs Must be comfortable working in US shift Must be comfortable to attend F2F final interview Must be a residing in Bangalore For quick response drop resume at gansari@astoncarter.com along with the details below Name as per Aadhar and PAN: Contact No.: Email Address: Gender: Highest Qualification: Total Years of Experience: Relevant years of experience in US Healthcare Current/Last Organization : Notice Period/LWD : Current Location : Current CTC : Expected CTC: Are you comfortable for Work From Office whenever asked by the organization: Are you comfortable with the 6 months CONTRACT: Comfortable with shift timings( Shift would be 6:00 PM - 3:00 AM) :

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 Specialist holds immense significance. With over 14 years of experience in U.S. health insurance eligibility and benefits verification, you will contribute to verifying insurance benefits for patients undergoing specialty care in the United States. This is a full-time position based in Bangalore, requiring partial availability during U.S. hours. Key Responsibilities - Accurately document findings in internal systems. - Collaborate with internal teams to address missing or inconsistent data. - Engage with technology teams to enhance data/systems. - Ensure timely completion of verifications with high precision and adherence to defined SLAs. Requirements - Minimum of 2 years of experience in U.S. healthcare insurance verification. - Proficiency in understanding various insurance types (commercial, Medicare, Medicaid, HMO/PPO, etc.). - Strong attention to detail and adeptness in precise documentation. - Proficient in both written and verbal English communication. Good to Have - Background in specialty pharmacy, oncology, infusion therapy, or behavioral health. - Prior exposure to RCM platforms, EMRs, or AI-driven automation tools. Compensation - Salary: 3.0 - 5.4 LPA (experience-based). - Equity: Up to 0.01%. - Location: Bangalore (on-site). Why Join Us - Contribute to resolving crucial challenges in healthcare automation. - Embrace a high-responsibility role within a startup environment, fostering mentorship and rapid learning. - Collaborate closely with product and engineering teams to develop state-of-the-art AI agents. - Contribute towards enhancing access to care for patients throughout the U.S. Job Type: Full-time Benefits: - Health insurance Work Location: In person,

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 tools for certain elective inpatient surgical procedures Pend cases that require medical review Appropriately identifies cases for case management and disease management Performs Non-medical research including eligibility verification, coordination of benefits and benefits verification OUTPUT : Medical procedures/ services authorized or cases created and sent to clinicians for review.

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 City, Hyderabad. Location: https://www.google.com/maps/place/17%C2%B026'50.0%22N+78%C2%B022'30.9%22E/@17.44721,78.3726691,636m/data=!3m2!1e3!4b1!4m4!3m3!8m2!3d17.44721!4d78.375244?entry=ttu&g_ep=EgoyMDI1MDEwOC4wIKXMDSoASAFQAw%3D%3D Follow us on LinkedIn, Facebook and Instagram 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

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 to 2:30 AM IST), with a proven ability to maintain productivity and focus during unconventional hours. Desired profile of the candidate * Key Qualifications: Educational Background: Bachelor's degree in any related field is preferred. Communication Skills: Excellent proficiency in English, both written and verbal, to effectively communicate with clients and team members. Technical Skills: Basic knowledge of insurance verification processes and the ability to navigate online portals. Work Ethic: Demonstrated ability to work diligently and efficiently, ensuring accuracy and attention to detail in all tasks. Adaptability: Comfortable working in a night shift environment (5:30 PM to 2:30 AM IST), aligning with US business hours. Team Collaboration: Ability to work collaboratively within a team, supporting colleagues and contributing to collective goals. Additional Attributes: Problem-Solving Skills: Capable of identifying issues and implementing effective solutions promptly. Confidentiality: Understanding of the importance of maintaining patient confidentiality and handling sensitive information responsibly. Professionalism: Exhibits a professional demeanor in all interactions, representing the company positively.

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 Medical Billing Wholesalers!!!! Designation: Benefits Verification Specialist Experience: 1 - 5 years Shift timings: Night Shift (6.30 pm to 3.30 am) Working days (Monday to Friday) Looking for Immediate Joiners For further details, Share your resume to Mobile No: Lavanya - 7871090718 / Gowri - 7708462567 Perks and Benefits Two-way cab facilities are provided Night Shift Allowance Candidate Profile Should have worked as an Eligibility Verification for at least 1+ year with medical billing service providers. Good knowledge of revenue cycle, Eligibility Benefits Verification and Prior Authorization Ability to absorb client's business rules Knowledge of generating report