149 Eligibility Verification Jobs

Looking for eligibility and benefit verification / Authorization Company - Ascent Business Solution (Hyderabad) Experience - 1+ years salary - as per company immediate joiner Contact number - 8956069774

Greetings from Vee Healthtek....! We are hiring 200+ AR Callers & Senior AR Callers Experience: 1 Yrs. to 4 Yrs. ( Relevant AR experience) Process - AR Calling - Denials Management (Voice) Designation : AR Caller/Senior AR Caller Location - Chennai Qualification: PUC and Any graduate can apply Remote interview process Virtual meetings Swetha - 9500489666(Available on Whats App) Please share your updated CV with Swetha.g@veehealthtek.com Perks and benefits: * Week Off Details: Fixed off on Saturdays & Sundays * Cab facility: 2-way cab available * Night shift allowance * 1200rs worth food coupon every month * Incentives based on performance

AR Follow up with Eligibility Verification JD About Company Valerion Health exists to bridge the consultative gap between broken RCM and consistent revenue generation. Our new and innovative approach paired with decades of industry experience is helping organizations navigate RCM and implement a value-based revenue cycle journey. Night Shift - 6pm to 3am 5 Days Working (Mon-Fri) Candidate should have own Laptop & Wifi Setup About the role The person who takes on this role will be required to follow up on pending claims from insurance companies based out of the US, to view patient histories, operations, chart reviews, consultation and discharge summaries to support rebuttal for denials. Job Specification The chosen candidate should have In-depth knowledge of doing end to end AR follow ups & Eligibility Verification In-depth knowledge of denial management End-to-end RCM knowledge Experience working on PMS applications like EPIC, CERNER, NextGen and ECW would be an added advantage Desired Skills/Experience Excellent verbal and written communication skills Proficient in AR follow up with In-depth knowledge of denial management Graduate with any specialization To Apply - Interested candidates can get in touch on 9599552766 or can send CV on Simran HR- Sthapa@valerionhealth.in

Company: Med Globe Healthcare Services. ****WE NEED EXCELLENT VERBAL AND WRITTEN SKILLS**** We are hiring only for the Kolkata location; those who live in Kolkata can only apply. Designation: "AR Caller" / Account Receivable Analyst / AR Caller / Medical Billing | US - Healthcare - Night Shifts/US Shifts. Mode: HYBRID - NEWTOWN, KOLKATA, W.B. Account Receivable: Analyst | US - Healthcare | AR - Calling | AR - Follow-Up | Denial Management | Multispeciality denials | FRESHERS Roles and responsibilities * Build a learning culture. * Manage and handle effectively escalations raised by the clients. * Adhere to organizational policies and procedures. * The candidate should lead by demonstrating the highest standards of ethical behavior. * Reporting your performance to the team head according to the requirements. * Eager to learn new things. * Passionate. * Enthusiastic. * Quick Learner. * Eager to contribute to the organization. Desired Candidate Profile and Requirements - * Dual-monitor computer with a webcam. * Good Internet/Wi-Fi connection. * Candidate should have advanced computer knowledge of MS Excel, MS Word, Google Drive, email writing, etc. * Candidates should be familiar with US medical insurance and claims processing cycles after joining. * The candidate should be flexible with the work and give the productivity per the requirements. Job Requirements: To be considered for this position, applicants need to meet the following qualification criteria: Job Benefits & Perks Health Insurance. 5 days of work. Employee Development Plans. Paid sick days. Office Perks. Salary Hikes Friendly & Healthy Environment. Cooperative Teams. Annual Leave. Increasing employee engagement. Boosting morale, positivity, and enthusiasm. Education UG: Any graduate or undergraduate. We need candidates who are comfortable on the night shift. Week off: Saturday & Sunday off. Shift timings: 06:30 PM to 03:30 AM **The candidate should be completely comfortable with the US Voice Process.** This is a B2B, USA-based healthcare process. The candidates will be responsible for contacting the insurance company on behalf of the doctor/hospital to check the status of the claim and reimbursement. Regards, HR Department MED GLOBE HEALTHCARE SERVICES

Eligibility Verification/Insurance verification (EV/IV) Walk-in Interview on June (10th & 11th) 2025 Preferred candidate profile : Insurance Verification/Eligibility Verification - (EV/IV) - (Healthcare) Looking for a candidate who has good experience in Eligibility Verification Flexible to WFO Experience Required Min 1-4 years Salary best in industry Interview day : June (10th 11th) 2025 Walk-in time : 3 PM to 6 PM Contact person : Prabakaran E Interview Address : 7th Floor , Millenia Business Park II, 4A Campus,143 , Dr. M.G.R. Road, Kandanchavadi, Perungudi,Chennai, Tamil Nadu 600096, India Perks and Benefits Cab facility (2 way) Captive Company

Job Title : AR Caller & US Healthcare Medical Billing RCM Specialist Job Description : We are seeking a skilled AR Caller & US Healthcare Medical Billing RCM Specialist to manage and optimize revenue cycle processes for our healthcare clients. The ideal candidate will handle accounts receivables, follow up on denied or unpaid claims, and work directly with insurance companies to resolve outstanding issues. The role requires a deep understanding of medical billing, claims processing, and insurance follow-up within the US healthcare system. Key Responsibilities : Manage accounts receivable, including timely follow-up on unpaid claims Call insurance companies to resolve denied or delayed claims Investigate and address claim rejections or underpayments Review and submit appeals for denied claims Maintain accurate documentation and reporting on claim statuses Collaborate with billing teams to improve revenue cycle processes Stay updated on payer rules, regulations, and changes in billing practices Qualifications : 1+ years of experience in US healthcare billing and RCM processes Familiarity with EOBs, denials, and insurance payer policies Excellent communication and negotiation skills Proficiency in medical billing software and MS Office Hiring for freshers salary 10.7k to 25k ( Depends on last drawn salary) Location- Mumbai *FOR EXPERIENCE CANDIDATES IN MEDICAL BILLING (Voice Process)* Salary upto 50k open for right candidate/ decent hike on last drawn/ Home Pickup and Home Drop facility provided. If travelling not taken then 4000 allowance provided. Us shift/ 5:30pm-2:30am Monday-Friday working / Saturday & Sunday Fixed Off. Location :- Navi Mumbai, Mumbai, Hyderbad, Banglore, Pune, Andheri, Turbhe Extra Perks: - Incentives - up to 5500 Overtime - per hour 150rs & If working on Saturday - Double Salary Preferred : Certification in Medical Billing and Coding or equivalent Experience with Medicare/Medicaid billing Location: Pune / Navi Mumbai / Bangalore / Andheri / Ghansoli / Airoli /Hyderabad Job Type : Full-time Contact Details. SR.HR Shreya - 9136512502

Greetings from Legacy Med Pvt Ltd We are the leading Revenue Cycle Management Company We are hiring for AR Callers & Senior AR Callers for Chennai Location Job profile : Making call to the Insurance company Checking on claims for which we don't have EOB Making follow-ups on corrected claims and appeals. Working on denial according to non-denial management. End-to-End Denials PB - CMS 1500/HB - UB04 Preferred candidate profile : A Candidate should have a minimum 1 Year of Strong Experience in Denial Management working with a leading Medical billing company Immediate Joiners Preferred Benefits: Pick up and Drop Transport Allowance Night meal pass ( Sodexo ) Referral Bonus Attendance Bonus Ready To Relocate Interested candidates can call or WhatsApp Vignesh - 8925998452 / Vignesh.munuswamy@legacyhealthllc.com

Greetings from E-care India Pvt Ltd!!!Whats App We are looking for Experienced AR Callers!! Designation : Executive AR Caller / Senior AR Caller. Job Responsibilities: - Min of 1 Year to 3 years into AR calling experience is required. - Knowledge into Healthcare concept is mandatory. - Knowledge on Denial management. - Good communication skills. - Understand the client requirements and specifications of the project. Job Benefits: - Joining Bonus - Attractive Attendance and performance incentives . - Free one-way cab drop facility for all employee and home drop for women employees - Fixed Week off. - Medical Insurance will be covered. - Free refreshments will be provided. - Reward & Recognition practice. Interested and Suitable candidates can send your resume through WhatsApp along with the below mentioned information @ 9344624861 Name: Position applying for: AR Calling Current company: Current Salary: Expected Salary: Notice period: Current Location: **Note: Mention you're looking for AR calling position in the WhatsApp message along with the updated resume while Sending. Interviews will be happening through Gmeet only.

Greetings from HDB Financial services, Urgent Requirement - EMI Process Executive Location : Chennai Freshers Also Applicable CTC : Max 2.50 LPA incentives : 25 k to 30 K Roles and Responsibilities Handle customer queries related to EMI (Electronic Money Instrument) processing. Conduct eligibility verification, CIBIL checks, document verification, and KYC (Know Your Customer) procedures for new customers. Process loan applications from start to finish, ensuring timely disbursement of funds. Collaborate with internal teams to resolve customer issues and improve overall service delivery. Meet performance targets set by the organization. If anyone interested kindly share your updated resume through my whatsapp number contact no : 7010364128 Mail id : abishake.s@hdbfs.com Perks& Benefits Attractive incentives provided & Medical benefits also added Thanks & Regards, Abishake HR HDB Financial services Ltd

Job Title: Admissions Officers Location: Noida Work From Office ROLE PURPOSE: To assess and evaluate student applications for our diverse university partners worldwide. As an Admissions Officer, you will play a vital role in ensuring the accuracy and completeness of applications, guiding students through the admissions process, and making informed decisions regarding their eligibility for admission. Your primary objective is to support aspiring students in their educational journey by providing comprehensive and efficient admissions services, ultimately contributing to their successful enrolment at esteemed universities across the globe. ROLE and RESPONSIBILITIES: Application Assessment: Review and evaluate student applications received through our online platform, ensuring compliance with university requirements and guidelines. Document Verification: Verify the authenticity and accuracy of applicant documents, including academic transcripts, recommendation letters, and other supporting materials. Eligibility Evaluation: Assess applicants' qualifications, academic achievements, and personal statements to determine their suitability for different university programs. Communication: Correspond with applicants, providing timely updates, guidance, and support throughout the admissions process. Data Management: Maintain accurate and up-to-date records of applicant information, application status, and communication history in our database. Collaborative Approach: Work closely with university partners to address any queries or issues related to the admissions process and ensure a smooth application experience for students. Admissions Policies: Stay updated on the admission requirements, policies, and procedures of our partner universities, ensuring compliance and adherence. Performance Metrics: Meet individual and team targets for application review, decision-making, and response times. Continuous Improvement: Contribute to enhancing our admissions processes, suggesting improvements and innovative solutions to optimize efficiency and applicant experience. Join us on this exciting journey! To know our Privacy Policy, please click on the link below or copy paste the URL on your browser: https://gedu.global/wp-content/uploads/2023/09/GEDU-Privacy-Policy-22092023-V2.0-1.pdf

Job Title: Accounts Receivable (AR) 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 and timely payment posting into the system. Work with the billing team to correct any claim discrepancies or coding errors. Review EOBs (Explanation of Benefits) and identify any errors or discrepancies. Maintain detailed records of all communication and updates with insurance companies and clients. Escalate unresolved issues to higher management as needed. Keep up to date with changes in insurance policies and reimbursement regulations. Qualifications & Requirements: Experience: Minimum 1-3 years in accounts receivable, medical billing, or related field. Knowledge: Understanding of medical billing, AR processes, and insurance terminology (Medicare, Medicaid, PPO, HMO, etc.). Skills: Strong verbal and written communication skills. Attention to detail and problem-solving abilities. Familiarity with medical billing software (e.g., Kareo, Athenahealth, eClinicalWorks). Ability to multitask and prioritize effectively. Education: High school diploma or equivalent (preferred: Bachelors degree in Healthcare Administration or related field). Shift: Night shift (for US-based clients) Transportation: No cab facility provided candidates must arrange their own commute. Benefits: Competitive salary & incentives Health insurance (if applicable) Career growth opportunities Training & development programs Interested Candidates please contact Saranya devi HR- 7200153996

Roles and Responsibilities Entering of patient demogrpahics and insruance information. Verifying Insurance Policy coverage from the webportal. Order Corrections for the screnrios : Changes in the calories, different product, Hospital Re-admit, discharge, patient expired. Delivery Worksheet : Orders are being picked from the Patient Medical records Monthly facility billing (PART A Report ) and MA reports are prepared and sent to the client. Develop understanding of client specifics and requirements File are split and renamed as per the client naming convention. Renamed Invoices are allocated to the users for further tasks Based on the Invoice, users should reconcile or enter the PO in the accounting application. Following up with clients on Invoice clarification Understand special situations and procedures that relate to the client we work on. Performs other duties as assigned. Desired Candidate Profile Education, Training, and Experience Required: Bachelors Degree or 3 year Diploma or equivalent is required. Medical Transcription experience is a huge plus Two (2) years of Medical Billing DME Billing, Charge Entry, Payment Entry experience is preferred; Equivalent combination of experience, education, and training that would provide the required knowledge and abilities. Knowledge/Skills: Knowledge of medical terminology; anatomy and ; English grammar and usage. Ability to research and analyze data, draw conclusions, and resolve issues; read, interpret, and apply policies, procedures, laws, and regulations. Ability to read and interpret medical billing clinical notes Ability to develop training materials, make group presentations, and to train staff Ability to exercise independent judgment; Excellent written and verbal communication skills to prepare reports and related documents and to maintain working relationships with physicians and other staff. Ability to competently use Microsoft Office Suite, particularly Word, Excel and Outlook. Ability to maintain confidentiality. Perks and Benefits As per market standards

We are seeking a dedicated and experienced US Medical Billing specialist to join our team at Sage Healthy Global Pvt Ltd. located in Chennai, India. As a Charges and Payment Posting employee you would have specific duties related to handling charges and payments. Requirements: Bachelors degree in accounting & finance, or a related field. Proven experience in finance accounting and preferably worked in Charted Accounting firm. Strong communication, organization, and problem-solving skills. Ability to work collaboratively with cross-functional teams and manage multiple client accounts simultaneously. Proficiency in using relevant software and tools for documentation, reporting, and project management. Qualifications: Familiarity with various insurance plans, including private, Medicare, and Medicaid. Excellent attention to detail and accuracy in data entry and documentation. Strong analytical and problem-solving skills. Effective communication skills, both verbal and written. Ability to work independently and collaboratively within a team.

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 those customer inquiries 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, interpret explanation of benefits received, etc prior to making the call Preferred candidate profile Ability to work night shifts, Ability to speak to insurance rep and Analytical thinking Perks and benefits Regular Annual performance appraisals, be a part of growing organisation and get recognised for your hard work

HIRING US Healthcare Openings for experienced in Prior Authorization at Advantum Health, Hitech City, Hyderabad. Should have experience of at least 5 years in Prior Authorization Seasoned prior authorization with insurance calling is mandatory Location : Hyderabad Work from office Shift: Night Shift (5.30pm to 2.30am) Salary upto 52k Per Month and Net Take Home excluding transportation is upto 50k per month. One way cab + Rs. 2000 Transportation allowance is provided. For 2 way, Rs. 4000 is the Transport allowance HR Dept, Advantum Health Pvt Ltd Cybergateway, Block C, Hitech City, Hyderabad Ph: 9100337774, 7382307530, 8247410763, 9059683624

Min 3-4 years in Dental Verification - Voice process Work from office - AHMEDABAD, Gujarat 5:30 PM to 2:30 AM - Mon to Fri Should have handled a team for atleast 1-2 years Share updated CV at 75670 60888 / glory.m@crystalvoxx.com

Greetings from Isource ITES Pvt Ltd !!! We are hiring for Authorization Caller, Immediate joiners prefered... 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. * Strong understanding of US healthcare revenue cycle management. * Excellent communication and analytical skills. * Ability to work night shifts and meet performance targets. Benefits: * 5 Days of working * 2 Way cab provided * Dinner provided Further details Call or whatsapp Reshma 9363256851/Nisha - 7904600955

We have an opportunity for the role of Team Manager in RCM, the details of which are mentioned below: Designation: Team Manager (Auth/EVBV) No. of Openings: Pre-Auth Team Manager - 4 EVBV Team Manager - 4 Experience: 4+ years Location: Navi Mumbai (Airoli) Skills Required: Work experience of 4+ years in the RCM (in functions like Prior Authorization/EVBV) of a US Healthcare Setup Experience in managing teams of 20+ executives Experienced in setting & measuring team targets, basic people management & leadership skills Graduate in any stream Responsibilities: Drive high levels of employee engagement (include Daily, weekly, monthly team connects) to enable high retention and satisfaction rates Help manage team work life balance through efforts on leave planning and rostering Communicate effectively within & with team members & escalate issues to the management for timely resolution Continuously manage performance through timely and effective feedback and coaching Partner with Recruiting and Training functions to help improve the quality of incoming talent. If interested, please share your updated CV on shivani.tripathi@ikshealth.com

U.S Health Insurance for Medical Billing, Demo & Charge Entry Process. Review and audit claims, Rebilling. The candidate will be responsible for reviewing and auditing medical claims, handling charge entries. Required Candidate profile Seeking experts in U.S. medical billing, charge entry with ECW software experience. Knowledge of ICD-10, CPT, claims processing a must. Immediate joiners preferred.Send CV: recruitment1.hipl@gmail.com

Candidates with experience in US Healthcare (Medical Billing) are encouraged to share their resumes at avni.g@crystalvoxx.com or send a WhatsApp message to +91 75670 40888.

Candidate will be responsible for handling dental insurance claims, verifying patient dental eligibility, processing claims from various insurance providers, and ensuring smooth communication between patients, providers. dental insurance software

Looking For Immediate Joiner's Interview Mode-Direct Experience in end-to-end RCM would be preferred. Should be flexible towards jobs and the requirements. Should be a good team player. Interested candidates can call directly. 9025832788.

Policy Possess a thorough understanding of all the policies applicable under the act (SRA/MHADA) Support in conducting thorough research on the existing and upcoming policies for the application of the same in the interest of the organization Tenant Survey & Eligibility Carry out timely Tenant surveys to identify eligible and non eligible tenants Carry out surveys related to existing structures and amenities. Support in collection and submission of appropriate documents confirming the eligibility of the tenants and verifying the same Identify non eligible tenants and support in the alternative procedure for them Support in coordinating with Annexure II team and Archival Documentation team Stakeholder Management Develop and maintain networking and relation with the key people and influential groups in the interest of the organisation Engage with the tenants on a regular basis to develop and manage trustworthy relationships with tenants and local authorities Negotiate with and influence with all groups of people, bodies and agencies for participation support and smooth implementation of scheme Support in Managing and tackling morchas & demonstration through effective oratory skills and public relations skills. Support in commencement of various project phases as per evacuation plan Coordinate with Front office and Back office Liasion team for various activities like General body Resolution Regularly hold General Body meetings for tenants Coordinate with Finance team for monthly disbursal of rent to the tenants. Maintain and manage Public Relations through various sources of media (Printed, non printed, verbal) Rehabilitation Coordinate for legal procedures and documentations with society. Like GBR, Development agreement, power of attorney, common and individual consent etc. & sharing drawings or required data Smoothly manage the process of vacating the residents Manage challenges of non-cooperating tenant, religious structures and amenity areas by means of influencing, negotiation or legal procedure. Support in implementation of various CSR activities to engage the tenants on a regular basis (Like schooling, education, skill development programs, celebrations, health surveys and health camps etc.) Coordinate and support in implementation of communication/Grievance cell for the benefit of the tenants Co-ordination and liaison with SRA/MHADA offices related to the projects for approval and clearances related to tenants affair Implement the process for allotment of rehab units, training to make tenants aware of new changes in their life style and how to maintain new rehab building, and aspects of managing society from legal point of view. Develop leadership and influencing abilities in aspects of facing the members of the opposition, local goons etc. Implement the process of rehabilitation of the tenants in their newly developed projects Post Project Completion Support in phase wise allotment of completed flats for the tenants Coordinate the formation of the society & Committee Manage the process of possession handover, society operations, maintenance, legal society formation till moving out of the project Look after the maintenance of project buildings for at least 10 years post shifting and handover to residents Documentation Collect and submit all the documents under the project like rent documents, ownership documents and various other eligibility documents to the document archival team Coordinate with various departments to ensure smooth resolution of issues till project is completed Collect and submit the documents under annexure II

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 Required Skills: Good communication and interpersonal skills Knowledge of US healthcare insurance terms and processes Attention to detail and data accuracy

HIRING US Healthcare Openings for experienced in Prior Authorization at Advantum Health, Hitech City, Hyderabad. Should have experience of atleast 2 years in Prior Authorization Experience in Ortho is preferred Seasoned prior authorization with insurance calling is mandatory Location : Hyderabad Work from office Shift: Night Shift (5.30pm to 2.30am) WALK -IN with your resume from 6pm to 11pm on any day from Monday to Friday. Interviews would be completed on same day. Ph: 9100337774, 7382307530, 8247410763, 9059683624 Salary upto 52k Per Month. One way cab + Rs. 2000 Transportation allowance is provided. For 2 way, Rs. 4000 is the Transport allowance Address for WALK-IN: Advantum Health Private Limited, Cyber gateway, Block C, 4th floor Hitech City, Hyderabad. Location: https://www.google.com/maps/place/Advantum+Health+India/@17.4469674,78.3747158,289m/data=!3m2!1e3!5s0x3bcb93e01f1bbe71:0x694a7f60f2062a1!4m6!3m5!1s0x3bcb930059ea66d1:0x5f2dcd85862cf8be!8m2!3d17.4467126!4d78.3767566!16s%2Fg%2F11whflplxg?entry=ttu&g_ep=EgoyMDI1MDMxNi4wIKXMDSoASAFQAw%3D%3D Follow us on LinkedIn, Facebook, Instagram, Youtube and Threads for all updates: Advantum Health Linkedin Page: https://www.linkedin.com/showcase/advantum-health-india/ Advantum Health Facebook Page: https://www.facebook.com/profile.php?id=61564435551477 Advantum Health Instagram Page: https://www.instagram.com/reel/DCXISlIO2os/?igsh=dHd3czVtc3Fyb2hk Advantum Health India Youtube link: https://youtube.com/@advantumhealthindia-rcmandcodi?si=265M1T2IF0gF-oF1 Advantum Health Threads link: https://www.threads.net/@advantum.health.india HR Dept, Advantum Health Pvt Ltd Cybergateway, Block C, Hitech City, Hyderabad Ph: 9100337774, 7382307530, 8247410763, 9059683624