Eligibility Verification

0 - 4 years

0 Lacs

Posted:1 week ago| Platform: Shine logo

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Work Mode

On-site

Job Type

Full Time

Job Description

Are you a motivated and detail-oriented fresher looking to start a career in Revenue Cycle Management (RCM) for US Healthcare Do you have strong communication skills and a willingness to learn If yes, we have the perfect opportunity for you! We are looking for a Fresher - Eligibility Verification Specialist to join our dynamic team. This role is ideal for someone who is eager to build a career in the healthcare industry and gain expertise in insurance verification, patient eligibility checks, and RCM processes. No prior experience is required, just a positive attitude, excellent communication skills, and a strong desire to learn! As an Eligibility Verification Specialist, your primary responsibility will be to verify patient insurance coverage and eligibility to ensure smooth medical billing and claims processing. Your day-to-day tasks will include contacting US insurance companies via phone or online portals to verify patient insurance eligibility, ensuring accuracy of patient data before claim submission, identifying policy changes or discrepancies and updating records accordingly, coordinating with the billing team to resolve insurance-related queries, communicating professionally with clients, insurance representatives, and internal teams, learning and following HIPAA compliance guidelines to protect patient data, and staying updated on US healthcare policies, insurance plans, and RCM workflows. No prior experience is needed, but the ideal candidate should have good English communication skills (spoken & written) to interact with US-based insurance companies, eagerness to learn and develop skills in Revenue Cycle Management (RCM), basic computer skills (MS Office, internet research, data entry), strong attention to detail and ability to work with accuracy, ability to work in a fast-paced, deadline-driven environment, a positive attitude and willingness to take feedback and improve, and any degree (Graduate/Undergraduate) Healthcare or Business background is a plus. We believe in nurturing fresh talent and providing the right platform for career growth. When you join us, you'll benefit from comprehensive training in US Healthcare RCM processes, opportunities for career advancement in medical billing and coding, competitive salary and performance-based incentives, and a dynamic and supportive work environment.,

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