Billing Executive – Eligibility and Insurance Verification

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Location:

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How to Apply:

Interested candidates can share their CVs at hr@yogesher.com or +91-9310472822.

About Us:

Yogesher is a healthcare revenue cycle management and medical billing company offering global capabilities & specialised solutions. By using industry-leading technology combined with high- touch relationship building, we allow healthcare practitioners & facilities to focus on patient care, maintain financial independence, and cultivate financial success. An end-to-end value-added services partner for extended.

Job Overview:

The Billing Executive – Insurance & Eligibility Verification is responsible for verifying patients’

insurance coverage and eligibility before services are provided. This role ensures that all

information related to patient insurance is accurate, up-to-date, and compliant with healthcare

regulations. The Billing Executive will collaborate with patients, insurance carriers, and internal

teams to ensure accurate claims processing, reduce errors, and improve revenue cycle efficiency.

Key Responsibilities:

1. Insurance Verification:

• Verify patient insurance coverage for all scheduled procedures and appointments by contacting insurance companies or utilizing online payer portals.

• Confirm both primary and secondary insurance details for patients, including policy number, coverage start and end dates, benefits, and exclusions.

• Ensure all insurance information is accurately documented in the billing system for claims submission.

2. Eligibility Verification:

• Perform eligibility checks for insurance coverage by working directly with insurers or using payer-specific online verification systems.

• Validate patient eligibility for services covered under their insurance plan, including any necessary co-pays, deductibles, and co-insurance amounts.

• Resolve discrepancies in eligibility information and escalate issues to the appropriate team members or insurers.

3. Claims Support:

• Ensure that all verified insurance and eligibility details are communicated to the billing team for accurate claim submissions.

• Assist in identifying and resolving issues that may prevent accurate claims from being submitted, including eligibility gaps, coverage limitations, and prior authorization discrepancies.

• Collaborate with the coding and billing teams to ensure smooth claim generation and prevent rejections due to inaccurate or incomplete insurance information.

4. Documentation & Reporting:

• Document all insurance verification and eligibility activities accurately in the patient’s electronic health record (EHR) and billing system.

• Generate reports on insurance verification results, documenting any denied or unresolved eligibility issues for follow-up.

• Provide periodic updates to management on the status of insurance verifications and eligibility checks.

Qualifications:

• At least 1-2 years of experience in insurance verification, eligibility verification, or billing within the U.S. healthcare system.

• Experience working with various insurance plans, including Medicare, Medicaid, PPO, HMO, and commercial insurance.

• Familiarity with insurance verification software and payer portals. Desirable Skills & Experience:

• Excellent communication skills for both patient interactions and internal coordination with the billing team and insurance providers.

• Strong attention to detail, ensuring all information is entered accurately to prevent billing errors.

• Ability to work independently, manage multiple priorities, and meet deadlines.

• Proficient in Microsoft Office Suite (Word, Excel, Outlook) and healthcare billing systems (such as Epic, Cerner, Meditech).

• In-depth knowledge of HIPAA regulations and patient confidentiality guidelines.

How to Apply:

+91-9310472822