209 Eligibility Verification Jobs - Page 3

We are seeking a skilled Accounts Receivable (AR) Caller experienced with Athena billing software to join our team and help drive efficient claims resolution. Key Responsibilitie: Initiate outbound calls to insurance companies to follow up on outstanding claims (unpaid / underpaid) using Athena billing software. Review claims status, identify reasons for non-payment, and take appropriate action to resolve denials or delays. Accurately document call details, action taken, and next steps in Athena and client systems. Coordinate with internal teams to escalate issues as needed for prompt resolution. Meet daily, weekly, and monthly productivity and quality targets. Stay updated on payer-specific guidelines, denial codes, and reimbursement policies. Respond promptly to payer inquiries and provide requested information to expedite payment. Communicate effectively with supervisors and team members to report trends and potential process improvements. Required Skills & Qualifications Minimum 2-5 years of experience as an AR Caller in US healthcare revenue cycle management Strong working knowledge of Athena billing software. Familiarity with medical terminology, CPT/ICD codes, and insurance denial resolution. Excellent verbal communication skills in English. Proficient in MS Office (Excel, Word) and email correspondence. Ability to meet targets under pressure with strong attention to detail. Flexibility to work in US time zones. Preferred: Experience handling multi-specialty practices or large billing volumes. Prior exposure to other practice management systems is a plus.

Hiring: Revenue Cycle Management (XiFin) Executive US Healthcare Location: Pune CTC: Up to 5.5 LPA Shift: US Shift (Night) Work Days: 5 Days Working | 2 Days Rotational Off Notice Period: Immediate to 30 Days About the Role: We are looking for experienced professionals to join our US Healthcare RCM team. The ideal candidate must have hands-on experience with XiFin software (Provider Side) and a solid understanding of end-to-end RCM processes. Eligibility Criteria: Experience: Minimum 1 year in RCM with XiFin expertise Qualification: Any graduate or equivalent Key Responsibilities: Revenue Cycle Management (RCM) Payment Posting Denial Management and Resolution AR Follow-up / Collections Physician / Provider Billing Prior Authorization HIPAA Compliance How to Apply: Contact: Chanchal 9251688424

Immediate hiring for Ar callers|| Hyderabad and Mumbai|| Work from office|| Minimum 1yr+ experience into AR calling Immediate joiners preferred For Hyderabad Reliving from any company is also fine (Reliving if not available also acceptable) Education: Inter and above Transportation Provided Salary : upto 30% hike on current take home (salary slab followed ) For mumbai (Immediate joiners only) Min experience in AR calling, evbv, prior authorisation, credit balance analyst Immediate joiners Reliving not mandate If you are interested Contact Nitya Phone: 8179082307 (Call/Whatsapp) Mail: nityahr.axisservices@gmail.com

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 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. Shift: Night shift (for US-based clients) Transportation: No cab facility provided candidates must arrange their own commute. Benefits: Competitive salary & incentives Career growth opportunities Training & development programs Interested Candidates please contact Saranya devi HR- 7200153996

Must be prepared to work night-shift Must have good knowledge of written and spoken English. Ability to use computer and latest OS systems and Application software. Outstanding communications and interpersonal skills.

1. We Are Hiring -AR Caller ||US Healthcare ||RCM|| Physician Billing ||Hospital Billing|| Eligibility :- Min 1+ years of experience into AR Calling in denial management into physician and hospital billing. Locations :- Hyderabad, Bangalore & Mumbai. Qualification :- Inter & Above Package- UPTO 40K TH Immediate Joiners Preferred . Relieving letter not Mandate. WFO. Perks & Benefits: Cab Facility. Incentives. Allowances If Interested Kindly share your updated resume to HR. Swetha- 9059181703 Mail ID : nsweta.axis@gmail.com 2. We Are Hiring -|| Prior Authorization || US Healthcare ||RCM|| Experience :- Min 1 year in Prior Authorization. Package : Upto 40K Take-home . Shift Timings :- 6:30 PM to 3:30 AM. Location: Chennai, Mumbai Preferred Immediate Joiners. Relieving is not Mandate. Qualification :- Inter & Above. WFO. Virtual Interviews . If Interested Kindly share your updated resume to HR. Swetha- 9059181703 3. Hiring for || EVBV || US Healthcare|| Min 1+ years exp in below Positions in Eligibility Verification (EVBV). Package :- Upto 5.75 LPA Qualification :- Degree Mandate. Location :- Hyderabad Notice Period :- 0 to 60 Days. Relieving is Mandate. Virtual Interviews. Perks & Benefits: 2 way Cab Facility. Incentives. Allowances. 4. Hiring for || Prior Authorization || Payment Posting & Medical Billing & Credit Balance|| Min 1+ years exp in below Positions Payment Posting. Prior Auth. Package :- Prior Auth- 5.75 LPA Payment Posting - 4.34 LPA Qualification :- Degree Mandate. Location :- Mumbai . Notice Period :- 0 to 60 Days. Relieving is Mandate. Virtual Interviews. Perks & Benefits: 2 Way Cab Facility. Incentives. Allowances If Interested Kindly share your updated resume to HR. Swetha- 9059181703 Mail ID : nsweta.axis@gmail.com References are welcome

Company: Med Globe Healthcare Services. ****WE NEED EXCELLENT VERBAL AND WRITTEN SKILLS IN ENGLISH**** 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: WORK FROM HOME - NEWTOWN, KOLKATA, W.B. Account Receivable: Analyst | US - Healthcare | AR - Calling | AR - Follow-Up | Denial Management | Multispecialty 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. ****CANDIDATE SHOULD HAVE A FLUENT AND EXCELLENT COMMUNICATION SKILLS IN ENGLISH. **** Shift timings: 06:30 PM to 03:30 AM. WORK FROM HOME. **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

Location- Ahmedabad Shift Timing: US Shift (Night Shift) Facilities - Cab Facilities 5-day work week Saturday and Sunday are fixed as a week off Experienced required in Eligibility Verification

Job Roles & Responsibilities: At least 10 years of Healthcare RCM Experience. Demonstrated leadership capabilities, including ability to organize and manage human resources to attain goals. Willingness to work US shifts. Expertise with MS Office tools like PowerPoint, Excel, etc. Preferred Qualification Any Graduate or above. Desired Skills: Develop the Operations strategy for the organization, keeping in mind the business requirements. Execute these innovative strategies to improve and secure business delivery. Drive and lead all the RCM and collection operations functions effectively with process improvements of existing processes. Performing operational due diligence for new prospective clients ? Manage onshore centers for Patient collections and Insurance billing. Experience in project transition will be a value add. Strong understanding of revenue cycle management and KPIs standards set to optimize insurance collection. Strong understanding of all downstream revenue cycle offices and experience of handling entire functions of Healthcare RCM - Payment posting, AR Follow-up, Denial Management & Patient Billing (Voice & Non voice) Should have experience in expanding operations and work on prospect clients, RFPs, SOPs and DOUs etc. Ensure that the portfolio/s meets client and internal company performance benchmarks. Actively develop the management capabilities and business acumen of direct reportees, and drives the development of team members, ensuring full and well- rounded team competency. Knowledge of company policies and procedures to be able to provide the right answers to inquiries from all customers (both internal and external) Excellent analytical, verbal and written - communication and presentation skills. Proficient in Excel and PowerPoint to create/read/analyze weekly reports, dashboards for both internal management and clients. Strong interpersonal skills to be able to effectively relate with the public, patients, organizations and employees. Staff development including training, coaching and competency assessment.

Job Roles & Responsibilities: Develop and execute innovative strategies to improve and secure business delivery. Able to establish pilot A/R process and devise strategy to improve collections. Strong understanding of revenue cycle management and KPIs standards set to optimize insurance collection. Strong understanding of all downstream revenue cycle offices i.e. Payment Posting, AR Followup/Denial Management, & Patient Billing. Understands the eccentricities of various provider specialties. Ensure that the portfolio meets client and internal company performance benchmarks. Actively develop the management capabilities and business acumen of direct reporters, and drives the development of team members, ensuring full and well- rounded team competency. Ability to execute policies, processes and procedures of the organization. Demonstrate leadership skills with experience managing 5-10 Teams. Excellent verbal and written communication and presentation skills. Experience of performing annual performance review/appraisals Proficient in Excel and PowerPoint to create weekly reports, dashboards for both internal management and client. Strong people management skills with fair understanding of required techniques to create winwin situation. Strong focus on Customer Service. Strong Employee Retention capabilities. Candidate Requirements: Minimum 14+ years of experience into End to End RCM Process and in depth knowledge of metrics and calculations. Either presently working as Associate Director or minimum 2 years as Senior Manager. Handled a team of 150+. Demonstrated leadership capabilities, including ability to organize and manage human resources to attain goals. Willingness to work night shifts. Expertise with MS Office tools like PowerPoint, Excel, etc. Preferred Qualification Any Graduate.

We're Hiring for Medical Billing Prior Auth Experience: 1 to 5 Years Loc: chennai AR Callers Physician Billing Exp: 1 to 3 years Loc: Chennai , Trichy , Bangalore Intrested 9659451176 / starworth09@gmail.com

Hiring: Revenue Cycle Management (XiFin) Executive US Healthcare Location: Pune CTC: Up to 5.5 LPA Shift: US Shift (Night) Work Days: 5 Days Working | 2 Days Rotational Off Notice Period: Immediate to 30 Days About the Role: We are looking for experienced professionals to join our US Healthcare RCM team. The ideal candidate must have hands-on experience with XiFin software (Provider Side) and a solid understanding of end-to-end RCM processes. Eligibility Criteria: Experience: Minimum 1 year in RCM with XiFin expertise Qualification: Any graduate or equivalent Key Responsibilities: Revenue Cycle Management (RCM) Payment Posting Denial Management and Resolution AR Follow-up / Collections Physician / Provider Billing Prior Authorization HIPAA Compliance How to Apply: Contact: Sanjana 9251688426

Greetings!! Designation: AR Caller/Eligibility & Benefits Verification(RCM) Openings: 100 Exp:1-5 Yrs Job Loc: Mum/Hyd CTC :Upto 5 Lpa Call: Saloni :9783779123 Priyal : 9772840956 or Apply to: priyalconverse@gmail.com Rgrds, Team Converse

Hiring For International Voice In US Healthcare #Shift: US Shift #Salary: Up to 30K CTC #Location: Ahmedabad, Gujarat >>Fluent English Required<<

AR Caller Minimum of 6 months experience required Excellent English communication Fixed night shift Cab provided for night shifts Salary up to 35K CTC (Depends on Interview)

Ascent is looking for EVBV / Auth profile Experience: 1 year + Salary: Industry norms Location: Hyderabad (Uppal) Looking for only voice process Notice Period: Immediate Joiners

Huge Prior Authorization Openings – Chennai We’re hiring Prior Auth professionals with 1–4 years of experience! Salary : 40k max Call/WhatsApp: Anushya – 8122771407

Location- Ahmedabad Shift Timing: US Shift (Night Shift) Facilities - Cab Facilities 5 days’ Work-Week Saturday, Sunday fixed off Experienced required

WE ARE HIRING FOR "AR - CALLER -PRIOR AUTHORISATION" Requirement:- Minimum 1 year experience as AR caller// Prior Authorization- US Healthcare (RCM). If interested share your CV on 6383196883 HR- DEEPIKA C

We Are Hiring || AR Callers ( RCM US Healthcare ) || PB & HB || Experience :- Min 1 year of experience in AR Calling (US Health Care) into Denial Handling Package :- Up to 41K Take home Locations :- Hyderabad , Mumbai , Chennai & Bangalore . Bangalore : Hiring for Hospital Billing - 40k take home Qualification :- Inter & Above. Perks and Benefits: 1. 2 way cab 2. Incentives and Allowances Notice Period :- Preferred Immediate Joiners WFO ======================================================== Hiring || Pre Auth Voice Process ( RCM US Healthcare ) || Experience Min 1 year in Pre Auth Voice Process Max :- Up to 40K Take-home, Qualification :- Inter & Above Location :- Chennai , Mumbai Perks and Benefits: 1. 2 way cab 2. Incentives and Allowances Notice Period :- Preferred Immediate Joiners WFO Interested candidates can share your updated resume to shivani.axisservices@gmail.com HR Shivani - 9030323106 (share resume via WhatsApp ) Refer your friend's / Colleagues

Excellent Opportunity for Associate - (Prior Authorization or Eligibility Verification) with Leading American Healthcare Providers. Please share your resume or call on 9226254897/ 8308816436/ 9356590554 Work Location: Mumbai / Hyderabad Shift Time: 5:30 PM to 2:30 AM OR 6:30 PM to 3:30 AM Benefits: Incentives Night shift allowance Two-way cab facility 1) Role For Prior Authorization: Obtains prior-authorizations and referrals from insurance companies prior to procedures or Surgeries utilizing online websites or via telephone. Monitors and updates current Orders and Tasks to provide up-to-date and accurate information. Provides insurance companies with clinical information necessary to secure prior-authorization or referral. Good understanding of the medical terminology and progress notes. Obtains and/or reviews patient insurance information and eligibility verification to obtain prior authorizations for injections, DME, Procedures, and surgeries. Request retro-authorizations when needed. 2) Role for EVBV (Eligibility Verification): Responsible for reaching out to the payor to check on the insurance eligibility and the benefits of the patient. Addressing the claims to insurance or Self Pay (Patient Attention) based on the eligibility identified. Responsible for achieving the defined TAT on deliverables with the agreed Quality benchmark score. Responsible for analyzing an account and taking the correct action. Ensuring that every action to be taken should be resolution oriented whilst working on the specific task/case assigned. Task claims to appropriate teams where a specific department within clients assistance is required to resolve them.

HIRING US Healthcare Openings for experienced in Prior Authorization QA at Advantum Health, Hitech City, Hyderabad. Candidate should have minimum 5 years experience in Prior Authorization and at least one year experience as a Quality Analyst for Prior Authorization. Seasoned prior authorization with insurance calling is mandatory Location : Hyderabad Work from office Shift: Night Shift (5.30pm to 2.30am) Ph: 9100337774, 7382307530, 8247410763, 9059683624 One way cab + Rs. 2000 Transportation allowance is provided. For 2 way, Rs. 4000 is the Transport allowance Address: 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

EXP :1 TO 5 YERAS ( PRE AUTHORIZATION /PRIOR AUTHORIZATION - VOICE ) SALARY : MAX 47 CTC , YEARLY 4 APPRAISAL , 2 WAY CAB LOCATION : CHENNAI NO NEED RELIEVING LETTER AND 6 MONTHS GAP ACCEPTED INTERESTED CAN SHARE CV TO ARUNA - 9385437168 / 6374451871

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 and Eligibility and Benefits Verification Location : Hyderabad Work from office Shift: Night Shift (5.30pm to 2.30am) WALK -IN with your resume from 6pm to 10pm 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/17%C2%B026'50.0%22N+78%C2%B022'30.9%22E/@17.44721,78.3726691,636m/data=!3m2!1e3!4b1!4m4!3m3!8m2!3d17.44721!4d78.375244?entry=ttu&g_ep=EgoyMDI1MDEwOC4wIKXMDSoASAFQAw%3D%3D Follow us on LinkedIn, Facebook and Instagram 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

We are currently hiring for - Payment Posting - Accounts Receivable Executive - EVBV / Rejections - Prior Authorization Call : 7758938726 Job Description Desired Skills 1+ Years of experience in US Medical RCM {Revenue Cycle Management} Willingness to work in US shifts. Immediate Joiners are preffered. Can perform HIPAA compliant auto and manual posting requirements • Executes daily payment posting batch reconciliation • Understanding of posting offsets, forward balance, and refund processing / posting • Familiar with denial and remarks codes to perform posting and assignment of AR appropriately • Familiar with secondary billing process while perform cash posting • Clear understanding on: • ERA & EOB • ERA codes • Insurance types • Balance billing • Co-ordination of Benefits • Ensure full compliance with all company, departmental, legal and regulatory requirements with regards to Payment Posting procedures and practices • Good verbal and written communication and presentation skills • Ability to execute and accomplish tasks consistently within deadlines • Basic knowledge of MS Office • Experience working on imagine systems and Advanced MD would be an added advantage Job Category: Revenue Cycle Mangement Job Type: Full Time Job Location: Pune Con. 7758938726 Email: Diya.Dhanani@in.credencerm.com