588 Eligibility Verification Jobs

Roles and Responsibilities Verify patient eligibility for medical services by checking insurance policies, benefits, and coverage. Process claims accurately and efficiently according to established guidelines. Identify and resolve billing discrepancies, denials, or errors in a timely manner. Collaborate with healthcare providers to obtain necessary documentation for claim submission. Maintain accurate records of all interactions with patients, insurance companies, and other stakeholders.

Hello, Greetings from Eclat Health !!! We are hiring for Team lead Ops - Hospital Billing Prior - Authorization Job Description We are looking for an experienced Team Lead Hospital Billing Inpatient Prior Authorization to lead our growing Pre-Authorization (RCM) team. The ideal candidate will oversee inpatient authorization processes, guide team performance, and ensure seamless coordination with U.S. healthcare payers and clinical teams. Key Responsibilities Verify insurance coverage for hospital inpatient and emergency admissions Estimate patient charges and calculate deposit requirements Submit clinical documentation to support medical necessity reviews Track and secure initial and continu...

#Hiring AR Callers | Hyderabad, Mumbai, Mohali, Chennai & Bangalore Experience: Minimum 1 Year in AR Calling (Physician & Hospital Billing) Package: Up to 42K Take-Home + allowances + Incentives Qualification: Intermediate & Above Preference: Immediate Joiners (Relieving Not Mandatory) Benefits: 2-Way Cab Facility Provided Locations: Hyderabad, Mumbai, Mohali, Chennai & Bangalore ( Max age Limit 38 years for associate ) Hiring EVBV & Prior Authorization (AR Caller) | Mumbai Location Experience: Minimum 1 Year in EVBV Process Salary: Up to 5.75 LPA + Attractive Incentives Qualification: Intermediate & Above Joining: Immediate Joiners (060 Days Notice Accepted) Benefits: 2-Way Cab Facility Pro...

Responsibilities of Team Lead - AR: 1. Provide expert knowledge and guidance in medical billing procedures, coding, and compliance standards. 2. Process Improvement: Analyze existing billing processes and systems to identify opportunities for improvement in efficiency and accuracy. 3. Training and Development: Develop training materials and conduct training sessions for staff on medical billing best practices, new regulations, and software updates. 4. Audit and Compliance: Conduct regular audits to ensure billing practices comply with regulatory requirements and internal policies. 5. Quality Assurance: Implement quality assurance measures to maintain high standards of accuracy and completene...

As a Reviewer of Precertification Requests for Medical Necessity, your role involves evaluating requests based on clinical policy guidelines. This includes: - Providing unbiased recommendations on medical necessity by analyzing medical records from requesting parties. - Collaborating with Medical Directors to refer cases that do not meet the established guidelines initially. - Reviewing the appropriate length of hospital stays using Milliman Care Guidelines. - Conducting efficient and timely reviews while adhering to urgent and non-urgent turnaround time standards. - Offering peer-to-peer reviews and participating in the appeals process for case denials. In addition to these responsibilities...

R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation and workflow orchestration. With over 30,000 employees globally and a robust presence in India, comprising over 17,000 employees across Delhi NCR, Hyderabad, Bangalore, and Chennai, we foster an inclusive culture where every team member feels valued and empowered. Our mission is to transform the hea...

Dear Job Aspirants, Greetings from AGSHealth.. We are currently hiring for IV Callers with minimum 1 year of experience into Medical Billing Domain - Insurance verification & Prior Auth . Role Summary This position is based out of the Chennai office, responsible for the following: The team member will work for specific project or process assigned based on the client They will work under the direction of and report directly to process owners The member should perform tasks that are assigned to them To ensure all benefits are verified and authorization is initiated Responsibilities To ensure that the Invoice or Medical Record or encounter number match with the listed on the payment EOB or stat...

Hiring for Authcreate profile - US Healthcare B.Pharma/M.Pharma/BDS/BPT/Bsc (nursing) graduate freshers can apply Voice Process Salary- 16k in hand Fixed night shifts Fixed Sat/Sun off Loc- Gurgaon 5 Days working Both side cabs One time meal

Dear Candidates, Greetings from Omega Healthcare! We are looking for highly motivated and Experienced callers with detail-oriented for the position of Prior Authorization to join our team. Designation: Prior Authorization Caller Shift Timing: 6.30PM - 3.30AM US Timing (Night Shift) Qualification: Any Graduates Roles and Responsibility Manage accounts receivable processes with high accuracy and efficiency. Coordinate with the Medical billing team to ensure timely invoicing and payment collection. Develop and implement effective strategies to reduce outstanding accounts and improve cash flow. Collaborate with the customer service team to resolve customer inquiries and disputes. Analyze financi...

Roles & Responsibilities : Review patient demographics, insurance details, and clinical information in the system prior to initiating authorization. Verify insurance eligibility and benefits through payer portals or telephonic verification. Identify coverage limitations, copays, deductibles, and referral requirements. Confirm if prior authorization is required based on CPT/HCPCS codes and payer policy. Contact insurance carriers via phone, fax, or payer portals (e.g., Availity, NaviNet, Epic, UnitedHealthcare portal, etc.) to initiate authorization requests. Submit required clinical documentation, physician orders, and medical records to obtain timely approval. Ensure accurate entry of autho...

Greeting from Med-Pro Health Care! Hiring AR Callers / Patient Callers Eligibility- min 1yr in AR calling (Excellent communication is required) Looking for immediate joiners Salary - Based on domain knowledge Health insurance Provident fund

AR CALLER (DENIAL MANAGEMENT) ACTIVE VACANCIES Hyderabad Experience: Min 1+ year of experience in AR Calling (PB & HB) Package: Up to 5 Lpa+ Allowances + Incentives Qualification: Inter & above Chennai Experience: Min 1+ year of experience in AR Calling (PB & HB) Package: Up to 40k TH + Allowances + Incentives Qualification: Inter & above Reliving Letter : Mandate (last company) Mumbai Experience: Min 1+ year of experience in AR Calling (PB & HB) Package: Up to 40k TH + Allowances + Incentives Qualification: Inter & above Mohali Experience: Min 1+ year of experience in AR Calling (PB & HB) Package: Up to 36k TH + Incentives Qualification: Inter & above Preferred Immediate Joiners - 15 days o...

Dear Job Aspirants, Greetings from AGSHealth.. We are currently hiring for IV Callers with minimum 1 year of experience into Medical Billing Domain - Insurance verification & Prior Auth . Basic Requirements: Experience: 1 Year to 2 Years Salary: Best in Industry Work Mode: WFO Location: Chennai (Ambattur) Notice Period: Immediate Joiners Shift: Night Shift Timing: 05:30 PM to 2:30 AM or 7:00 PM to 4:00 AM Night Shift (US Shift). Should be flexible for both shifts. Transport: Two-way transport is available based on boundary limits.or 7:00 PM to 4:00 AM Night Shift (US Shift). Should be flexible for both shifts Mode of interview: Direct walk-in interview Prince Infocity II, 1st Floor, R.S.No:2...

Were currently looking for passionate and experienced professionals for the following roles: EVBV Specialists Prior Authorization Executives Industry: US Healthcare, Physicians billing , Denials Voice process experience Mandatory.

We are hiring at Credence Resource Management! Roles Available: Eligibility & Verification AR - Caller Prior Authorization Payment Posting Requirements: Minimum 1 year of experience in US Healthcare (RCM Domain) Shift: U.S. Shift Work Location : Pune (Kharadi / Phursungi) Transport: Pickup and Drop available Incentive: Up to 7K per month Salary: 45,000 Max Take Home Eligible for promotion (IJP) in just 6 months!!! Contact: Hr. Akshay K. Call : 8080791017 Mail: Akshay.Kate@in.credencerm.com WhatsApp: wa.me/918080791017 Note : - Please note that Credence Resource Management does not charge any fees at any stage of the recruitment or on boarding process. If anyone approaches you claiming to rep...

Job description Greetings from Legacy Med Pvt Ltd We are the leading Revenue Cycle Management Company We are hiring for AR Callers & Senior AR Callers for the Chennai Location Job profile : Contacting insurance companies to verify coverage details. Maintaining systems for initial and ongoing benefit verification. Preparing call notes and documenting actions on the patient's revenue cycle platform. Using specific call note standards required by the client. Preferred candidate profile: Proven experience as a VOB Specialist or in a similar role. Knowledge of revenue cycle management and prior authorization. Strong communication skills, often with a neutral accent. Excellent attention to detail ...

Immediate Hiring AR Caller & Prior Authorization Roles Hyderabad Open Positions: AR Caller (Physician / Hospital Billing) Experience: Minimum 1 Year (CMS 1500 / UB04 Form) Salary: Up to 5.5 LPA Qualification: Intermediate & Above Work Mode: Work From Office Notice Period: 0–15 Days Relieving Letter: Mandatory Immediate Joiners Preferred Chennai AR Caller (Physician / Hospital Billing) Experience: Minimum 1 Year (CMS 1500 / UB04 Form) Salary: Up to 5.5 LPA Qualification: Intermediate & Above Notice Period: 0–15 Days Relieving Letter: Mandatory Immediate Joiners Preferred Mumbai AR Caller (Physician / Hospital Billing) Experience: Minimum 1 Year (CMS 1500 / UB04 Form) Salary: Up to 5.5 LPA Not...

Hiring for Prior Authorization Exp : 1yr to 3yrs Job Location : Chennai Salary 33k max Work from Office Only Need Only Immediate Joiners Must initiate prior authorization Interested Contact us: Geetha S 9344502340

Job Title: Accounts Receivable (AR)/EV Caller -Medical Billing Job Type: Full-Time Job Summary: We are looking for an Accounts Receivable (AR)/EV Caller to join our dynamic medical billing team. The ideal candidate will be responsible for handling the follow-up on unpaid claims, resolving billing discrepancies, and working directly with insurance companies to ensure timely payment. This role requires strong communication skills, attention to detail, and knowledge of medical billing practices. Key Responsibilities: Follow up on outstanding insurance claims and unpaid accounts. Communicate with insurance companies to resolve claims issues, including denials and underpayments. Ensure accurate a...

Requirements Description and Requirements Responsible for updating employee enrollment data in MetLife systems UIS for Core benefits. Data entry includes the following: Creating new records Making changes to existing records Adding/changing beneficiaries Updating demographic data Salary Eligibility verification for Core product coverages About MetLife Recognized on Fortune magazine's list of the World's Most Admired Companies and Fortune World's 25 Best Workplaces, MetLife, through its subsidiaries and affiliates, is one of the world's leading financial services companies; providing insurance, annuities, employee benefits and asset management to individual and institutional customers. With o...

Hiring AR Caller Minimum 1 Year of experience strong knowledge in denial management & Insurance verification eligibility verification work from office location Navi Mumbai, Immediate joiners preferred, Interview mode virtual Contact-Prakash9884950347

1. We Are Hiring -AR Calling || US Healthcare || RCM || Physician Billing || Hospital Billing || Eligibility :- Min 1+ years of experience into AR Calling Package :- 42 K + Incentives + 2 way Cab Location :- Navi Mumbai, Hyderabad , Bangalore, Chennai, Coimbattore, Mohali Immediate Joiners Preferred Relieving letter is Mandate WFO Perks and Benefits : incentives allowances 2 way cab If Interested, Kindly share your updated resume to HR. Swetha- 9059181703 swetha.n@axisservice.co.in References are Welcome 2. Chennai Hospital Billing Openings: 1+ Year Experience in AR Calling (Hospital Billing) Up to 40,000 Take-Home + Incentives Immediate Joiners Preferred Relieving is Mandate. Virtual Interv...

Role & responsibilities Perform pre-call analysis and check the status by calling the payer or using IVR or web portal services Maintain adequate documentation on the client software to send the necessary documentation to insurance companies and maintain a clear audit trail for future reference Record after-call actions and perform post-call analysis for the claim follow-up Assess and resolve inquiries, requests, and complaints through calling to ensure that customer inquiry are resolved at the first point of contact Provide accurate product/ service information to the customer, research available documentation including authorization, nursing notes, medical documentation on client's systems...

Job Title: Prior Authorization (voice process) Company: Vee Healthtek Pvt Ltd Locations: Chennai Job Type: Full-time Benefits: 1000 Allowances, 1200 Food Coupon & Two-way home Cab Key Responsibilities: Review and process prior authorization requests for medical treatments and services. • Communicate with insurance companies to ensure timely approvals. • Work closely with healthcare professionals to gather necessary documentation. • Maintain accurate records and follow up on pending authorizations. • Ensure compliance with healthcare regulations and company policies. Who Can Apply? • AR Caller Prior Authorization: 1 year of experience in healthcare AR calling. • Senior AR Caller Prior Authori...

HIRING - AR CALLERS - Upto 40K Take Home Experience : Minimum 1 Year in AR Calling (PB & HB) Salary : Up to 40,000 Take-Home Locations : Hyderabad, Chennai, Coimbatore and Mumbai Qualification : Intermediate & Above Notice Period : Immediate Joiners - 15 days Perks and Benefits : 2 way cab Incentives Allowances Interested Candidates Can Share Their Resume HR VYSHNAVI - 9603877908 vyshnavi.e@axisservice.co.in References are highly appreciated