773 Eligibility Verification Jobs

Job Title: AR Caller US Healthcare (RCM | Provider Side) Job Location: Pune CTC: Up to 5.5 LPA Work Schedule: 5 Days Working | 2 Days Off Shift: US Shifts Joining: Immediate Joiners Preferred Job Description: We are hiring experienced AR Callers for the US Healthcare RCM Provider Side process. The ideal candidate will be responsible for handling insurance follow-ups, resolving claim issues, and ensuring timely reimbursements. Key Responsibilities: Follow up with US insurance companies for unpaid and underpaid claims Analyze AR reports and work on denials, rejections, and pending claims Resolve claim issues by coordinating with insurance representatives Ensure timely payment posting and accou...

5+ yrs exp. in US healthcare insurance verification Familiarity with payer portals - Availity, Navinet, Aetna, UHC, insurance types -commercial, Medicare, Medicaid, HMO/PPO Working knowledge of CPT codes, HCPCS, and payer-specific benefits rules Required Candidate profile Experience in specialty pharmacy, oncology, infusion therapy, or behavioral health Background working with RCM platforms, EMRs, or AI-based automation tools 5 days WFO including rotational night shift

Hiring For Eligibility, Authorizations& Referrals (US Healthcare) Job opening at Intellisight India Pvt. Ltd in the field of Eligibility, Authorizations & Referrals (US Healthcare) Role : Eligibility, Authorizations & Referrals in US Healthcare Role & Responsibilities : Processes prior authorizations and referral requests promptly, ensuring they are completed before patient services commence. Researches patient member benefits, coverage limitations, and allowances to secure necessary authorizations and referrals for patient services. Receives and manages referral requests from providers and health plans related to patient visits and procedures. Verifies member eligibility and benefits using ...

Greetings from Vee HealthTek...!!! We are hiring for candidates who have experienced in EV/BV Caller with Authorization Mandatory Experience for medical billing in the US Healthcare industry... Experience - 1 to 4 years excellent communication skills. Designation - AR Caller/Senior AR Caller Expertise in EV ,with Authorization experience is Mandatory - Physician Billing / Hospital Billing. Joining: Immediate Work Mode: Work from Office Night shifts Perks and benefits: * Week Off Details: Fixed off on Saturdays & Sundays * Cab facility: 2-way cab available * Night shift allowance * 1200 worth food coupon * Incentives based on performance Interested candidate's kindly contact HR: - Name - Anki...

Greetings from Collar Jobskart, Huge opening for AR Callers Designation: AR Caller & SR AR Caller ONLY EXPERIENCED CANDIDATES. (Minimum 1year experience needed) Preferring Immediate joiners. Relieving letter is not mandatory. Shift: Night Shift. Week off: Saturday & Sunday. Package: Good Hike from previous package. Free Cab: Two-way Cab. Location: Chennai, Bangalore. Interview Mode: Virtual To Schedule Interview Contact: Tamilselvan HR Talent Acquisition | Mobile NO: 8637450658 (Call or Whatsapp)

Greetings from Elixir Business Solutions! We are looking for dynamic and experienced professionals to join our growing US Healthcare Revenue Cycle Management team. The purpose of this role is to support the US medical billing process by accurately verifying patient insurance eligibility and effectively following up on unpaid or denied insurance claims. The role ensures timely reimbursement, reduces denials, and maintains compliance with HIPAA and client-specific billing guidelines. Eligibility Verification Caller: Verify patient insurance eligibility and benefits with payers Check coverage details including copay, deductible, coinsurance, and authorization requirements Update accurate eligib...

Responsibilities: * Manage US healthcare accounts receivable from AR calling to payment posting. * Execute RCM processes with eligibility verification and denial management. Working on Eligibility Verification, Charge Entry ,AR Denial follow-up. Office cab/shuttle Annual bonus Provident fund

Role & responsibilities : Act as the primary point of contact for the branch (US onshore), providing comprehensive support • Understanding and implementation of US Health Insurance regulatory standards, guidelines, policies and procedures Ensure end-to-end support of the policy lifecycle services. Conduct end-to-end renewal activities as a US Health Insurance domain expert. Coordinate with internal operations teams to complete renewal activities on time. Handle queries effectively to minimize rework at the service center. • Identify risks and issues and navigate them to successful resolution. • Maintain strong time management and organizational skills. Foster a positive relationship with ons...

Role Overview: As an Eligibility Verification/Insurance Verification (EV/IV) professional, you will be responsible for verifying insurance coverage and confirming the eligibility of patients. You should have a minimum of 1-4 years of experience in Eligibility Verification and be willing to work from the office. Key Responsibilities: - Verify insurance coverage for patients - Confirm the eligibility of patients for specific medical procedures - Coordinate with insurance companies to gather necessary information - Maintain accurate records of insurance verification activities Qualifications Required: - Minimum 1-4 years of experience in Eligibility Verification/Insurance Verification - Strong ...

As an Accounts Receivable Specialist at Ceequence Technologies Pvt Ltd, your role will involve the following responsibilities: - Good understanding of Accounts Receivable. - In-depth knowledge of Eligibility verification. - Experience in handling both patient and Insurance calling. - Checking the status of the claim with the insurance companies on behalf of the doctors. - Handling insurance claims Denials and checking on claims status. Qualifications required for this position include: - Any Graduates with a minimum of 6 months in the health care BPO Voice Support. - Flexible to work in Night Shifts. - Should have excellent communication skills. If you are interested in this position, you ca...

Please share your cv @shikha.nillay@provana.com Job Title: EV Caller & Authorization Specialist Location: Noida Shift: Night Shift Experience Required: 2-8 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 Responsibilit...

Responsibilities: * Ensure accurate medical billing * Verify eligibility & insurance for US healthcare services * Maintain confidentiality at all times * Manage RCM process from admission to payment

Role & responsibilities Verifying patient insurance coverage either online or via phone with insurance providers Role involves long phone hold times when calling the insurance benefits department Maintain a timely turnaround for verifications Communicating with team lead and/or verifications manager when issues arise Entering data in an accurate manner Updating patients benefit information in facilitys electronic medical record system Re-verifying active patients within assigned facilities Ensuring and verifying that existing patient demographics within the EMR system are accurate and up to date Utilizing online payer resources to research patient insurance information Adheres to documentati...

Job Title: Prior Authorization (voice process) Company: Vee Healthtek Pvt Ltd Locations: Chennai , Bangalore & Trichy. Job Type: Full-time Benefits: 1200 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 A...

Greetings from Bristol Healthcare Services Pvt Ltd - SALEM We are Hiring AR Callers (Denials & Auth) AR Quality AR GC / TL Charge & Payments "New Job, New start, New beginnings. Shine bright in your new role. Wishing you a happy new year! may it be filled with new adventures and good fortunes" Job Title 1: AR Callers (Denials & Auth) Vacancy: 20+ Experience: 1 to 3 Years in AR Calling Shift: Night shift Work Mode: WFO Skills : Excellent communication skills and strong knowledge of denial management and Auth process. Job Title 2: AR Quality Audit / AR GC (Denials) Vacancy: 10+ Experience: Above 5+ Years in AR Audit / Leadership role Shift: Night shift Work Mode: WFO Skills: Excellent communic...

Job Summary We are looking for an experienced and detail-oriented Account Manager to oversee client accounts within our Medical Billing process. The ideal candidate should have strong communication skills, good analytical ability, and hands-on experience in US Healthcare RCM (Revenue Cycle Management). This role involves managing client relationships, ensuring timely deliverables, and coordinating with internal teams to achieve performance targets. Role & responsibilities Serve as the primary point of contact for assigned clients in the medical billing process. Monitor daily, weekly, and monthly billing deliverables (Charges, Payments, AR, Eligibility/Benefits). Review client escalations and...

The Medical Billing Executive is responsible for managing end-to-end billing processes including charge entry, claim submission, payment posting, and denial management. Perform accurate charge entry and payment posting 9289585899:- Call or WhatsApp

The AR Caller, or Accounts Receivable Caller, plays a vital role in the healthcare revenue cycle. Responsible for contacting insurance companies and patients to follow up on outstanding medical claims. Key Responsibilities: Follow up with insurance companies on outstanding claims to ensure timely payments. Analyse denied claims and work on resolving discrepancies. Communicate with insurance representatives and healthcare providers for claim resolution. Accurate notes documentation in logs and in PMS. Ensure compliance with HIPAA and company policies. Achieve individual productivity and quality standards. Requirements: Education: Any Graduate should be fine. Skills: Good communication skills ...

Role & responsibilities Experience in Eligibility Verification. End to End RCM Preferred candidate profile Bachelor / master's degree mandatory Flexibility with Rotational Shifts Looking for Immediate joiner In case if you are interested, please share your profile on vgattupalli@primehealthcare.com or saddla@primehealthcare.com with Notice Period, Current and Expected Salary. Please mention Job Posting Headline in Subject line while applying.

Job Title: EV Caller & Authorization Specialist Location: Noida Shift: Night Shift Experience Required: 2-8 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 patie...

Job description Greetings from Vee HealthTek...!!! We are hiring for candidates who have experienced in EV/BV Caller with Authorization Mandatory Experience for medical billing in the US Healthcare industry... Experience - 1 to 4 years excellent communication skills. Designation - AR Caller/Senior AR Caller Expertise in EV ,with Authorization experience is Mandatory - Physician Billing / Hospital Billing. Joining: Immediate Work Mode: Work from Office Night shifts Perks and benefits: * Week Off Details: Fixed off on Saturdays & Sundays * Cab facility: 2-way cab available * Night shift allowance * 1200 worth food coupon * Incentives based on performance Interested candidate's kindly contact H...

Requirements: 1+ years of experience in AR calling / EV calling (healthcare industry). Verify claim status, payment details, and denial reasons..(OR) Verify patient insurance eligibility, coverage, and benefits before services.

Job Title: Prior Authorization (voice process) Company: Vee Healthtek Pvt Ltd Locations: Chennai , Bangalore & Trichy. Job Type: Full-time Benefits: 1200 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 A...

Prior Authorization (voice process) Company: Vee Healthtek Pvt Ltd Locations: Chennai & Bangalore Job Type: Full-time Benefits: 1200 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 Author...

Job Title:Referral & Authorization Specialist (Non-Voice) Location: Bangalore (Mandatory Work From Office) Experience: 2+ Years in US Healthcare (Authorization/Billing/RCM) Shift: US Shifts (Night Shifts) Job Type: Full-Time Position Summary- The Referral & Authorization Specialist is a critical non-voice back-office role responsible for managing and processing patient referrals and obtaining prior authorizations from insurance payers. This position requires meticulous attention to detail, adherence to HIPAA compliance, and strong written communication skills to ensure seamless patient care and accurate billing. Key Responsibilities Referral and Authorization Processing: Receive, review, and...