24 Eligibility Benefits Jobs

***HOSPITAL BILLING AR PREFERRED***. Candidate should have experience in Eligibility and Benefits verification, Authorisation initiating, AR CALLING, Perks and benefits Both pickup and drop cab facilities, Insurance

Job Role : Team Lead(CMS1500/UB04) End to End RCM Organization : ECLAT Health Solutions Location: Lucknow, Uttar Pradesh Mode: Work from Office Shift: Night shift (5:30 to 2:30) No of Openings: 1 Required Skills: 5+ years of experience in PP/EVBV/end to end RCM (with 2 years in Team lead role) Willing to work in flexible shift including night. Proven ability to lead large teams (25+ FTEs) Strong in AR reporting, analytical tools & MS Excel Excellent communication & people management skills Perks and benefits: Travel allowance Dinner provided Contact Details: 9140294477 (Samuel) samueljohn.massey@eclathealth.com

Business Unit: Resolv was formed in 2022, bringing together a suite of industry-leading healthcare revenue cycle leaders with over 30 years of industry expertise, including Ultimate Billing, First Pacific Corporation, Innovative Healthcare Systems, and Innovative Medical Management. Our DNA is rooted in revenue cycle solutions. As we continue to expand, we remain dedicated to partnering with RCM companies that offer diverse solutions and address today's most pressing healthcare reimbursement and revenue cycle operations complexities. Together, we improve financial performance and patient experience, helping to build sustainable healthcare businesses. Job Summary: Responsible for managing pri...

Job description Responsible for supervising the team to work on assigned verifications Communicate with insurance companies for the purpose of collecting and documenting information necessary to financially clear patients eligibility, authorization, benefits, and calculate patient liability calculations Provide subject matter expertise on the eligibility verification process Work within a team setting and be supportive of team members Audit work assigned to ensure quality and productivity targets are met Keep the SOP procedures updated and establish a due control mechanism Assist with onboarding of new team members Perform any other duties as required to support the organization or team Shou...

Candidate should have experience in Eligibility and Benefits verification, Authorisation initiating, AR CALLING, Perks and benefits Both pickup and drop cab facilities, Insurance

* 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 Interview Rounds: 3 Requirements: Experience: 1 year in the U.S. healthcare and overall experience 1.6 years. Must be familiar with HIPAA guidelines and handling sensitive data. Education: A bachelor's or master's degree is preferred. Preferred candidate profile Candidates should be flexible in working from home or in an office setting...

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 pati...

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 + ...

* 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 Interview Rounds: 3 Requirements: Experience: At least 2-4 years of customer service experience, with a background in the U.S. healthcare industry . Must be familiar with HIPAA guidelines and handling sensitive data. Education: A bachelor's or master's degree is preferred. Preferred candidate profile Candidates should be flexible in wo...

Role & responsibilities Key Responsibilities: Lead and manage a team of specialists handling Eligibility & Benefits Verification and Prior Authorization . Oversee day-to-day operations, ensuring SLAs, quality standards, and productivity targets are met. Review and analyze authorization and eligibility data to identify trends, gaps, and opportunities for process improvement. Ensure timely verification of insurance coverage, benefit details, and preauthorization requirements. Liaise with insurance payers and provider offices to resolve complex authorization or eligibility issues. Implement and maintain standard operating procedures (SOPs) in compliance with payer requirements and HIPAA regulat...

Job Summary: The Pre-Registration / Eligibility Verification Associate is responsible for gathering and verifying patient insurance information prior to service. This role ensures timely and accurate verification of eligibility and benefits to support clean claim submission and minimize denials. Key Responsibilities: * Perform pre-registration of patients by collecting demographics and insurance details. * Verify insurance eligibility and benefits using payer portals, phone calls, or clearinghouses. * Accurately enter and update patient information in the system. * Communicate with patients regarding coverage, co-pays, deductibles, and out-of-pocket estimates. * Identify and escalate coverag...

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 ...

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 Updat...

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 Updat...

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 pati...

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 mand...

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 pati...

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.

Candidate should have experience in Eligibility and Benefits verification, Authorisation initiating, AR CALLING, Perks and benefits Both pickup and drop cab facilities, Insurance