12 Eligibility Benefits Jobs

Job Title: EV Caller Location: Noida Shift: Night Shift Experience Required: 3-5 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 Contact Person: HR - S.Revathi Contact Number: 9354634696

Eligible Candidate must have worked for EVBV or Pre Auth. US Healthcare - Provide Side Exp is mandatory Shift - 5.30pm to 2.30am both side cab facilities available 5 days working in a week Sat & Sun fixed OFF

Job description You are a graduate who likes to work in a structured environment You will be verifying the detailed benefits information of the patients using the insurance websites, phone calls to the insurance companies and capturing the same information in the practice management system You will also work on claims that are pending from the Insurance companies Preferred candidate profile Graduate in any discipline Good oral and written communication skills (English) Ability to multi-task Behavioural Attributes Required Team Player Logical thinking Problem solving Customer focus

OPEN Positions: 1. AR Caller - PB / HB - HYDERABAD & Chennai & Bangalore & Trichy & Mumbai 2. Pre Auth - AR - Chennai / Mumbai 3. EVB - AR - Eligibility - HYDERABAD / Mumbai Job description Responsibility Areas: Should handle US Healthcare Physicians/ Hospital's Accounts Receivable. To work closely with the team leader. Ensure that the deliverables to the client adhere to the quality standards. Responsible for working on Denials, Rejections, LOA's to accounts, making required corrections to claims. Calling the insurance carrier & Document the actions taken in claims billing summary notes. To review emails for any updates Identify issues and escalate the same to the immediate supervisor Update Production logs Strict adherence to the company policies and procedures. Requirements: Sound knowledge in Healthcare concept. Should have 12 months to 48 months of AR calling Experience. Excellent Knowledge on Denial management. Should be proficient in calling the insurance companies. Ensure targeted collections are met on a daily / monthly basis Meet the productivity targets of clients within the stipulated time. Ensure accurate and timely follow up on pending claims wherein required. Prepare and Maintain status reports Long career Gap candidates will not consider We have openings for Hospital Billing _AR & Physician AR Skills & Education: Any degree mandate/10+2 Excellent Communication Skills, Analytical & Good Listening Skills Basic Computer Skills Employee Benefits: Cab Facility Performance Incentives Relocation Allowance Family Insurance CONTACT:ahmed@talentqs.com or Whatsap cv to 9652673062 / 8297774733

OPEN Positions: 1. AR Caller - PB / HB - HYDERABAD & Chennai & Bangalore & Trichy & Mumbai 2. Pre Auth - AR - Chennai / Mumbai 3. EVB - AR - Eligibility - HYDERABAD / Mumbai Job description Responsibility Areas: Should handle US Healthcare Physicians/ Hospital's Accounts Receivable. To work closely with the team leader. Ensure that the deliverables to the client adhere to the quality standards. Responsible for working on Denials, Rejections, LOA's to accounts, making required corrections to claims. Calling the insurance carrier & Document the actions taken in claims billing summary notes. To review emails for any updates Identify issues and escalate the same to the immediate supervisor Update Production logs Strict adherence to the company policies and procedures. Requirements: Sound knowledge in Healthcare concept. Should have 12 months to 48 months of AR calling Experience. Excellent Knowledge on Denial management. Should be proficient in calling the insurance companies. Ensure targeted collections are met on a daily / monthly basis Meet the productivity targets of clients within the stipulated time. Ensure accurate and timely follow up on pending claims wherein required. Prepare and Maintain status reports Long career Gap candidates will not consider We have openings for Hospital Billing _AR & Physician AR Skills & Education: Any degree mandate/10+2 Excellent Communication Skills, Analytical & Good Listening Skills Basic Computer Skills Employee Benefits: Cab Facility Performance Incentives Relocation Allowance Family Insurance CONTACT:ahmed@talentqs.com or Whatsap cv to 9652673062 / 8297774733

Job Title: EV Caller & Authorization Specialist Location: Chennai Shift: Night Shift Experience Required: 3-5 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

verifying patient insurance coverage and benefits before medical services are provided, ensuring accurate billing and minimising claim denials Perks and benefits Cab Facility - Home Pick & Home Drop

Responsibilities: * Maintain eligibility database accuracy * Collaborate with cross-functional teams on process improvements * Verify client eligibility per RCM guidelines * Manage blended process for efficient claims handling Office cab/shuttle Health insurance Annual bonus Provident fund

Job Title Billing RCM Team Lead Summary of Duties : Maintaining the team productivity / Quality which includes charges / Payment posting and Accounts receivables , monitoring the calls and giving solutions for the team’s problems and assisting them in all areas. Must have strong AR knowledge in approaching the AR aging report. Must have internal medicine/ Family practice specialty knowledge. Flexibility to work based on the work schedule Skills / Roles & Responsibilities Tasks includes below but not limited to 1. Medical Terminology knowledge 2. Ability to operate a computer, phone, and basic office equipment 3. Typing skills is must and able to type fast 4. Clear communication skill is mandatory 5. Must be good in excel and reporting 6. Must know how to plan to work on Accounts Aging report 7. Assisting team on their clarifications and used to work on the client deliverables within TAT. 8. Attention to detail and organizational skills evident in the preparation of accurate weekly and monthly reports within tight deadlines to team and to client. 9. Accountable for maintaining the KPI metrics, Team productivity and Quality. 10. Duties include making a work plan every day, running reports, creating spread sheets, resolving issues bought forward by team, and ensure the smooth operations of our billing practice. Educational Qualification Any degree

Hiring for Patient Caller Exp - 0.7 to 6 yrs (Patient Calling Exp Must) Work location: Chennai (Perungudi) Shift Timing: Night shift (US Shift) Immediate joiner only Note : No Virtual Interview / No WFH Contact : 8939703901 / 9384000327 -Janani

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 Perks And Benefits: Opportunities for Career Advancement Continuous Learning and Development Regular Appraisals and Salary Increments Positive and Supportive Work Environment Vibrant and Inclusive Office Culture Immediate Joining Preferred Candidate Profile: Graduate in any stream is mandatory. Should have proficiency in Typing (25 WPM with 97% of accuracy) 1+ years of experience required. Package up to 5LPA Contact Details: Contact Person - HR Revathi Call or Text - 9354634696 Please note that Provana is operational 5 days a week and works from the office.

We are hiring graduates with at least 1 year of experience in eligibility verification or payment posting. This is a full-time role. Fixed Saturday and Sunday off. Cab facility and meals are provided. Required Candidate profile Good communication skills are required. Candidates should be familiar with US healthcare processes.