149 Eligibility Verification Jobs - Page 6

Role Objective The job will be to evaluate the web and voice transactions to make sure they are error free and compliant towards the process & sharing feedback to Onshore with transcribes typed by listening 100% of the patient's feedback surveys. Essential Duties and Responsibilities: QA Will do audits as per the weekly-monthly audit plan and do PKTs of the team members. Participate in process & training calls as required. Reports sharing to communicate performance effectively and timely with Ops and QA team Will be actively involved in creating audit & sample plan, feedback sharing & training the team members weekly, based on the themes identified. QA will be involved in weekly or biweekly calibration calls. Will be actively involved in managing escalations received externally and internally. Work closely with the Ops supervisors and quality team to develop agent & team level action plans for Quality improvement. May have to work long shifts whenever needed and to effectively handle challenging situations. Perform all other assigned tasks and responsibilities as assigned. Work in all shifts on a rotational basis if required. Qualifications: Graduate in any discipline from a recognized educational institute Good analytical skills and proficiency with MS Word, Excel, and PowerPoint. Good communication Skills (both written & verbal). At least, 3 to 4 years exp in RCM AR Skill Set: Well versed in transactional and voice audits (up to 100%) Should have working knowledge of sampling methods, PDCA, DPO, DPMO and other Quality Tools and methods Proficient in MS Office Should have Analytical and problem-solving skills. Should be able to capture VOC and document effectively. Should be able to prepare SOP and document process whenever required. Ability to work independently and to carry out assignments to complete within parameters of instructions / SOP. Should be flexible with working in 24/5 environment. Should be good in abiding predefined instructions and processes.

KYC Verification Officer CarePal Money | Mumbai (Marol) Company: CarePal Money Location: Mumbai (Marol) Working Days - 6 Days working ( Alternative Saturday off ) Industry Preference: NBFC, Financial Services, Fintech Job Type: Full-time Experience: 1-3 years in KYC verification, customer service, or collections for loan products Job Description: CarePal Money is hiring a KYC Verification Officer to oversee customer verification, follow up on collections, and ensure compliance with regulatory standards. The ideal candidate should have excellent communication skills, a detail-oriented approach, and a customer-first mindset. Key Responsibilities: KYC Verification (30%) Conduct verification calls for ID customers. Validate KYC details and ensure compliance with regulatory requirements. Gain a strong understanding of the Instant Discharge product. Collection Follow-ups (50%) Follow up on pending patient dues after final insurance approval. Facilitate timely EMI collections for smooth financial transactions. Process Compliance & Quality Assurance (10%) Adhere to call quality standards and follow verification/collection scripts. Ensure full compliance with regulatory and company guidelines . Customer Satisfaction (CSAT) Enhancement (10%) Deliver a professional and seamless customer call experience. Maintain high CSAT scores by addressing queries with empathy and efficiency. Key Skills Required: Strong communication and interpersonal skills Experience in KYC verification or loan collections Ability to follow processes and regulatory guidelines Customer service orientation

Role & Responsibilities: Obtaining referrals and pre-authorizations as required for procedures. Checking eligibility and benefits verification for treatments, hospitalizations, and procedures. Reviewing patient bills for accuracy and completeness, and obtaining any missing information. Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing. Following up on unpaid claims within standard billing cycle timeframe. Checking each insurance payment for accuracy and compliance with contract discount. Calling insurance companies regarding any discrepancy in payments if necessary Identifying and billing secondary or tertiary insurances. Reviewing accounts for insurance of patient follow-up. Researching and appealing denied claims. Answering all patient or insurance telephone inquiries pertaining to assigned accounts. Setting up patient payment plans and work collection accounts. Updating billing software with rate changes. Updating cash spreadsheets, and running collection reports. Preferred candidate profile: Any Bachelors Degree Advanced mathematical and logical deduction skills Experience with customer service and client communication Excellent communication and problem-solving skills Familiarity with accounting software programs Minimum 1 years of experience in US Healthcare calling, Revenue Cycle Management and Medical Billing Willingness to work in night shifts & work from office Should be able to join immediately Perks and benefits: Cab facility Meals Health Insurance & Accident Insurance Provident Fund & Gratuity Benefits

HUGE OPENINGS FOR AR CALLER/CALLING WORK FROM OFFICE MODE OF INTERVIEW - VIRTUAL JOB LOCATION - HYDERABAD & CHENNAI EXPERIENCE - 3 TO 10 YRS. SALARY (AR) - NEGOTIABLE (SHOULD HAVE GOOD EXPERIENCE IN HOSPITAL BILLING - UB04) (EASY SELECTION, RELIEVING LETTER NOT MANDATORY) (NEED IMMEDIATE JOINERS) Interested Candidates, Please call/watsapp me @ 9962492242 or send your Updated resume to info@mmcsjobs.com Please share this information, also with your friends. Thank you very much for the support

Job Description We are Hiring Candidates who are experienced in AR Calling specialized in Denial Management, Eligibility Verification, Authorization, Dental Billing (International Voice only) for Medical Billing in US Healthcare Industry. Role & responsibilities Reviews the work order. Follow-up with insurance carriers for claim status. Follow-up with insurance carriers to check status of outstanding claims. Receive payment information if the claims has been processed. Analyze claims in-case of rejections. Ensure deliverables adhere to quality standards. Preferred candidate profile Candidates with excellent communication and strong knowledge in Denial Management/Eligibility Verification/Authorization can apply. Perks and benefits Only Immediate Joiners Hospital billing / Physician billing preferred Ability to work in night shift - US shift Cab provided (both pick up and drop) 5 days work (Weekend fixed OFF) Job location : Chennai Candidates from Anywhere in Tamilnadu can apply. Contact : Vimal HR - 9791911321 ( Call / Whatsapp)

Responsibilities: 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 completeness in billing documentation and submissions. 6. Research and Resolution: Research complex billing issues and provide timely resolutions to ensure prompt reimbursement and customer satisfaction. 7. Documentation and Reporting: Maintain detailed documentation of billing processes, audits, and resolutions. Prepare reports for management on key metrics and performance indicators. 8. Customer Support: Provide support to internal teams and external clients regarding billing inquiries, discrepancies, and issues. 9. Stay Updated: Stay informed about changes in medical billing regulations, coding guidelines, and industry trends to ensure compliance and best practices. 10. Collaboration: Collaborate with cross-functional teams including healthcare providers, IT professionals, and legal experts to address billing challenges and implement solutions.

Greetings from Global Healthcare Billing Partners Pvt. Ltd.! We are currently hiring for AR Analyst with minimum 1Year of experience into Medical Billing Domain. Basic Requirements: Experience: 1 Year to 5 Years Specialties :AR Analyst Salary: Best in Industry Work Mode: WFO Notice Period: Immediate Joiners Shift: Day Location: Vepery\Velachery Key Responsibilities: Review and appeal denied invoices and claims Investigate and address reasons for rejected payments Track overdue accounts and manage collections Review AR reports to identify trends and issues Keep detailed records of all transactions and resolutions Interested candidate contact or share your updated resume to 9952075752 - POOJA PATHAK Thanks & Regards, Pooja Pathak 99520 75752

Greetings from Legacy Med Pvt Ltd We are the leading Revenue Cycle Management Company We are hiring for AR Callers & SR. 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 Experience: 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 to Poovarasan - 6381975345 / poovarasan.sampath@legacyhealthllc.com

We are looking for vendors to perform Charge and Demo Entry in US medical billing. This role involves accurate data entry of patient details, charges, and demographic information. Prior medical billing experience required. Team of 2-5 members

JD for Senior AR Caller - ELIGIBILITY VERIFICATION AND PRIOR AUTHORIZATION: OPENINGS FOR Senior AR Callers (Eligibility Verification and Prior Authorization) Immediate Joining !!! Notice Period (15 Days) Maximum Mode of Interview: In-person/ virtual Availability: Work from office Eligibility: Candidates holding 1 to 3 Years of Experience into Medical Billing Domain as EVPA AR Callers can only apply for this position. Industry - Medical Billing Domain - US healthcare Shift Timing - 6:30 PM - 3:30 AM Working Days - 5 days (Fixed weekend Off) Process - AR Calling (Eligibility Verification and Prior Authorization) Benefits: Salary & Appraisal - Best in Industry Monthly Performance Incentives up to Rs. 8000/- Excellent learning platform with great opportunity to build career in Medical Billing Quarterly Rewards & Recognition Program Dinner for Night Shift Medical Insurance Coverage Referral Bonus Upfront Leave Credit Only 5 days working (Monday - Friday) Two way drop cab facility for female employees Contact Details: HARINI P Email id: harinip@prochant.com Contact No : 8870459635

Exciting Career Opportunity at Prochant India Pvt Ltd! We are Hiring: FEB - Front End Billing DAY (NON-VOICE) Immediate Joiners Preferred! (Max 15 Days Notice Period) Are you an experienced FEB - Front End Biling with a passion for Medical Billing ? This is your chance to join a leading organization in the US healthcare domain and take your career to the next level! Job Details: Position : FEB - Front End Billing Day (Non Voice) Industry : Medical Billing Domain : US Healthcare Shift Timing : 7:30 AM - 5:30 PM (Monday - Friday) Work Mode : Office-Based (5 Days a Week - Fixed Weekends Off) Key Responsibilities: Receive payment information if the claims has been processed. Analyze claims in case of rejections. Ensure deliverable adhere to quality standards Leverage expertise in claims rejections, eligibility, medical records, and AR analysis for efficient claim resolution. Who We Are Looking For: Experience : 1-3 years in Medical Billing domain as an FEB - Front End Billing DAY (NON-VOICE) (Experience in claims rejections, eligibility, medical records). Skills : Strong knowledge of FEB - Front End Billing and Claim Management . Eligibility : ONLY candidates with experience in US healthcare and FEB processes should apply. What We Offer: Competitive Salary & Appraisals (Best in Industry!) Monthly Performance Incentives of up to 9,000 . Fantastic Learning Platform : Great opportunity to grow and build your career in Medical Billing . Quarterly Rewards & Recognition Programs. Medical Insurance Coverage for you and your family. Referral Bonuses for successful referrals. Upfront Leave Credits . Why Prochant? Work in an inclusive and vibrant environment . Comprehensive growth opportunities and support to build a successful career. Work-life balance with weekends off. Interested? Apply Today! For more details or to schedule your interview, contact: HR: Albert James Phone: 8807264814 (Available 11 AM - 8 PM) Email: albertjames@prochant.com Take the next step in your career and join us at Prochant India Pvt Ltd!

Greetings from Global Healthcare Billing Partners Pvt. Ltd.! We are currently hiring for AR Callers with minimum 6 months of experience into Medical Billing Domain. Basic Requirements: Experience:0.6 Years to 4 Years Salary:Best in Industry Work Mode:WFO Location: Vepery\Velachery Notice Period: Immediate Joiners Shift: Night Key Responsibilities: Follow up on unpaid or denied claims with insurance companies. Resolve billing discrepancies and ensure accurate payment processing. Maintain up-to-date records of communications and account statuses. Verify insurance details and submit claims per payer guidelines. Address patient and provider inquiries in a professional manner Interested candidate contact or share your updated resume to 8925808594 [Whatsapp] Regards Selvi S 8925808594

Greetings from Global Healthcare Billing Partners Pvt. Ltd.! We are currently hiring for AR Analyst with minimum 1Year of experience into Medical Billing Domain. Basic Requirements: Experience: 1 Year to 5 Years Specialties :AR Analyst Salary: Best in Industry Work Mode: WFO Notice Period: Immediate Joiners Shift: Day Location: Vepery\Velachery Key Responsibilities: Review and appeal denied invoices and claims Investigate and address reasons for rejected payments Track overdue accounts and manage collections Review AR reports to identify trends and issues Keep detailed records of all transactions and resolutions Interested candidate contact or share your updated resume to 8925808594 [Whatsapp] Regards, Selvi S 8925808594

The Authorization Associate is responsible for all aspects of the authorization process for patients. Responsible for inputting, maintaining, and bringing authorizations to resolution in a timely manner. Ensures that the system is up-to-date by inputting approved authorizations and scanned paper notes. Works under supervision of the insurance verification supervisor. This position maintains a high level of communication skills, confidentiality, attention to detail, & professionalism. Working Hours-Night shift(8pm-5:30am)-(Mon-Fri) ESSENTIAL FUNCTIONS: To perform this job successfully, an individual must be able to perform each essential function satisfactorily 1. Inputs authorization requests per guidelines and according to defined time and accuracy standards. 2. Process request that are approved, denied or deferred and bring them to resolution. 3. Responsible for Authorization maintenance, tracking and follow up. 4. Responsible for Deferred authorization maintenance, tracking and follow up. 5. Responsible for entering approved authorizations in the system. 6. Responsible for scanning paper notes into the system. 7. Maintains effective communication with management, co-workers, and physicians. 8. Inputs authorization requests per guidelines and according to defined time and accuracy standards. 9. Process request that are approved, denied or deferred and bring them to resolution. 10. Responsible for Authorization maintenance, tracking and follow up. 11. Responsible for Deferred authorization maintenance, tracking and follow up. 12. Responsible for entering approved authorizations in the system. 13. Responsible for scanning paper notes into the system. 14. Maintains effective communication with management, co-workers, and physicians. 15. Performs other related duties as needed. QUALIFICATION GUIDELINES: REQUIRED: High school diploma, GED or equivalent. Experience working with insurance companies. DESIRABLE: Experience in the Ophthalmic or Optometric Industry. Knowledge about HMO insurances and authorization submission. CERTIFICATES/LICENSES/REGISTRATIONS: None KNOWLEDGE/SKILLS/ABILITIES/TALENTS: Must have thorough working knowledge of different types of coverage and policies. Must be a fast learner with excellent multitasking skills. Must be detail-oriented and organized to maintain accurate patient insurance records. Ability to focus and work quickly since verification process needs to be done in a timely manner. Team player and contributor coupled with excellent communication and interpersonal skills (oral and written) to maintain communication with management, co-workers, and physicians. Ability to draw valid conclusions, apply sound judgment in making decisions, and to make decisions under pressure. Ability to interpret and apply policies and procedures. Must address others professionally and respectfully by actions, words and deeds. Displays independent judgment by willingness to make timely and accurate decisions based on available information that is sometimes vague or limited in nature. Ability to prioritize tasks and projects with limited direction, while understanding and contributing to the success of the clinic.

Hiring for Patient Caller / Sr.AR Caller Exp - 0.7 to 6 yrs (Denial Management Exp Must) Work location: Chennai (Perungudi) Shift Timing: Night shift (US Shift) Immediate joiner only Note : No Virtual Interview / No WFH Contact : 8939703901 -Janani

JD for Senior AR Caller - ELIGIBILITY VERIFICATION AND PRIOR AUTHORIZATION: OPENINGS FOR Senior AR Callers (Eligibility Verification and Prior Authorization) Immediate Joining !!! Notice Period (15 Days) Maximum Mode of Interview: In-person/ virtual Availability: Work from office Eligibility: Candidates holding 1 to 3 Years of Experience into Medical Billing Domain as EVPA AR Callers can only apply for this position. Industry - Medical Billing Domain - US healthcare Shift Timing - 6:30 PM - 3:30 AM Working Days - 5 days (Fixed weekend Off) Process - AR Calling (Eligibility Verification and Prior Authorization) Benefits: Salary & Appraisal - Best in Industry Monthly Performance Incentives up to Rs. 8000/- Excellent learning platform with great opportunity to build career in Medical Billing Quarterly Rewards & Recognition Program Dinner for Night Shift Medical Insurance Coverage Referral Bonus Upfront Leave Credit Only 5 days working (Monday - Friday) Two way drop cab facility for female employees Contact Details: HARINI P Email id: harinip@prochant.com Contact No : 8870459635

We are looking for vendors to perform Charge and Demo Entry in US medical billing. This role involves accurate data entry of patient details, charges, and demographic information. Prior medical billing experience required. Team of 2-5 members

Key Responsibilities Responsible for New Hire Training for all levels hired (Agents to Supervisors) Conduct training in preprocess, process and systems to help employees perform their job effectively and efficiently Is required to be upto date will all changes in the eco system (US Healthcare, Compliance, Payor guidelines, Specialty guidelines) Will be responsible for the new employee performance till the end of OJT (On the job training) Accountable for meeting the training metrics like yield, Speed to proficiency etc. Identification of ongoing training needs and conduct the required training to Support Ops team meet the client SLAs Is required to create / modify / update the content for all training needs (New hire, ongoing, supervisor) Should be able to identify upskilling requirement and initiate content creation either for ILT (Instructor Led Training) or E Learning Being the custodian of all knowledge requirements, will be actively participating in all transition activities Will be the client interface for all knowledge related discussions and should be able to gain a consultant position Should be well versed in SOP creation, documentation, preparing process flows Desired Candidate Profile Required Qualifications Graduate/Post-Graduation in any discipline Should have minimum 5 years of experience in Revenue Cycle management especially Prior Authorization and EVBV Should understand the entire life cycle of a claim from Provider, Payor and Patient side to be able to identify gaps and set up training sessions Excellent written and oral communication skills TTT ( Train The Trainer ) certification is preferred Understand the concepts for creating E Leaning modules Must have working knowledge of MS office / similar tools Should be willing to work in shifts and travel within India for short/extended periods If interested, please share your updated resume on shivani.tripathi@ikshealth.com

We have openings for the Team Manager position, the details of which are given below: Position : Team Manager (EVBV) Experience : 5+ years Location : Airoli, Navi Mumbai No. of Openings : 5 Job Responsibilities: Team Management: Help manage team work life balance through efforts on leave planning and rostering. cts) 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. Operations & Delivery: Manage team production and conduct process Quality monitoring. Manage work assignment allocation & review of work list. Encourage & engage team members for continuous improvement / process optimization / automation ideas. Manage Business Intelligence through reports & MIS for internal / client use. Determine validity of move to client, either send back instruction to Rep or approve & move to client. Review coding review requests & quantify preventable issues. Communicate to Billing, PP or Coding as applicable. Scenario findings to all staff for examples that were not valid coding review needs. Work with Coding on responses that can be used in appeals when coded correctly Review denial adjustments for validity - quantify preventable issues. Communicate to applicable departments to minimize and use accounts as examples in training for more effective actions. Review high risk/aged/ excessive incomplete action account balances. Manage up review AR findings and feedback. Create QA & Tip for week from client, payer, and account assessment scenarios. Manage Global Issues Review process / function managed for Global Issues, high risk / aged items, Payer Trends, training needs for team members. Create case studies on identified issues impacting team performance / client business and share inputs with Quality & Training Teams. Compliance: Ensure highest levels of Organization and Healthcare related compliance requirements are adhered to. Ensure adherence to maintaining all necessary process documentation as per the QMS. Mandatory Requirements : Graduation in any stream Work experience of 5+ years in RCM with relevant experience in the Eligibility Verification functions of a US Healthcare Setup 3+ years of experience in managing teams of 20+ executives Experience in setting & measuring team targets, basic people management & leadership skills If interested, kindly email your updated resume to shivani.tripathi@ikshealth.com

Role & responsibilities : Role & Responsibilities for EVBV: 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 IKS, or clients assistance is required to resolve them. Preferred candidate profile : Any Graduate Can Apply , Should have Good English Communication Skills Perks and benefits : Pick & Drop Facility Available 5 Days Working 2 days Week off + Incentives for Achieving Targets

Huge openings for AR Callers at Chennai, Hyderabad and Bangalore. WORK FROM OFFICE Only. 50+ openings for AR Callers Min 1 year experience in AR Calling or Denial management is must. (Physician or Hospital billing) Rounds of Interview: 1. HR Round 2. Operational/Technical Round 3. Offer discussion Shift Timing: Night Shift Pick up and drop facility at door step. Location: Chennai, Hyderabad and Bangalore (AR Caller). Interview Mode: Virtual only (Online video call) Salary: Best in the Market + Incentive. Immediate joiners are preferred. Kindly reach out to Rajesh @ 8667472289 (WhatsApp) or rajesh.sairam@globalconnectsolution.in Note: Kindly message on WhatsApp if i am not answered. Please share it to your friends, colleague and groups, it may help some one.

Dear Job Aspirants, Greetings from Global Healthcare Billing Partners Pvt. Ltd.! We are currently hiring for AR Callers with minimum 6 months of experience into Medical Billing Domain. Basic Requirements: Experience: 0.6 Years to 6 Years Salary: Best in Industry Work Mode:WFO Location: Vepery\Velachery Notice Period: Immediate Joiners Shift: Night Preferably candidates with experience in Denials Management- PROVIDER BILLING & HOSPITAL BILLING Mode of interview: Video call Interview . Interested candidate contact or share your updated resume to KAYAL HR 8925808597[Whatsapp] Regards, KAYAL HR 8925808597

Calling insurance company on behalf of doctors/ provider office. Processing the patient benefits and eligibility details in prospective Dental software Ensure that patient's history which will affecting the frequency.

Eligibility and Benefit Verification Specialist with 2-3 years of eCW experience. Responsibilities include insurance verification, pre-authorizations.Strong knowledge of medical insurance in healthcare .excellent communication skills are essential.