774 Eligibility Verification Jobs - Page 8

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 Joining: Immediate/ or a max of within 5 days Work Mode: Work from Office Night shifts Location - Bengaluru & Chennai Salary - 2.5 to 4.5LPA. 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 performan...

Role Overview We are hiring AR Callers / Sr. AR Callers with proven experience in Provider-side US Healthcare Revenue Cycle Management (RCM) . The role involves managing outbound and inbound calls with insurance payers, resolving aged claims, and ensuring accurate and timely reimbursements for provider services. Key Responsibilities Perform AR follow-up with US insurance companies for provider billing accounts. Handle outbound and inbound calls to resolve claim denials and secure payments. Work on old AR and reduce outstanding balances through effective follow-up. Interpret and apply LCD/NCD guidelines and payer-specific policies. Analyze EOBs , denial codes, and take corrective action inclu...

About the Role We are looking for experienced professionals in US Healthcare Voice Process to join our Benefit Verification team. This is not application processing the role is strictly focused on outbound calls to insurance providers to verify patient eligibility, benefits, co-pays, co-insurance, and pre-authorizations. Key Responsibilities Make outbound calls to insurance companies for benefit verification and prior authorization. Verify insurance coverage, co-pay, co-insurance, pre-auth requirements for patient procedures/therapies. Ensure accurate and clear documentation with zero assumptions, as this directly impacts patient care. Maintain compliance with HIPAA guidelines and protect pa...

Hiring Now: US Healthcare Process (Provider Side) | Pune Exciting Opportunity for Experienced US Healthcare Professionals! Join a leading organization and grow your career in the US Healthcare Provider Side domain. Designation: AR Caller / Payment Posting Associate Experience: Minimum 1 Year (US Healthcare – Provider Side is mandatory) Location: Pune (Work from Office) CTC: Up to 5.5 LPA Working Days: 5 Days a Week Shift: Night Shift (US Shift) Joiners: Immediate Only Key Skills: AR Calling Payment Posting Denial Management Revenue Cycle Management (RCM) US Healthcare (Provider Side) Why Join Us? Excellent growth opportunities in the US Healthcare domain Professional work culture and support...

Role Overview: As a Pre Authorization Specialist, your primary responsibility will be to obtain prior-authorizations and referrals from insurance companies before procedures or surgeries, using online platforms or phone calls. You will also be in charge of monitoring and updating current orders and tasks to ensure accurate and up-to-date information is maintained. Additionally, you will provide insurance companies with the necessary clinical information for securing prior-authorizations or referrals. A good understanding of medical terminology and progress notes will be essential in this role. Key Responsibilities: - Obtain prior-authorizations and referrals from insurance companies for inje...

Greetings from Intellisight India Pvt.Ltd. Job opening at Intellisight India Pvt. Ltd in the field of Authorizations & Referrals (US Healthcare)-Day shift 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. To gather required documentation and codes for authorizations and referrals. Preferred Candidate Profile : Experience: Minimum 1 to 5years in Authorizations & Referrals in US Healthcare. Education: Any Graduate. Perks and Benefits : Monthly incentives,...

US healthcare - Authcreate profile Voice Process Grad with 1 yr medical summarization/scribe/transcription exp required Salary upto 5.50 LPA Fixed night shifts Fixed sat-sun off 5 days working Gurgaon Both side cabs One time meal

ECLAT Health Solutions Inc is hiring for Team Lead Operations (EVBV and Pre-auth) Were expanding our Revenue Cycle Management (RCM) team and looking for passionate leaders ready to make an impact. Experience:6+ Location: Lucknow, Uttar Pradesh Work Mode: Work From Office Immediate joiners preferred Key Skills & Requirements: Minimum 2 years of on-paper Team Lead experience in RCM Managed a team of at least 20 members Strong hands-on experience in EVBV (Eligibility, Verification, Benefits Verification and Pre-Authorization processes Excellent client coordination and meeting management skills Strong analytical and problem-solving abilities Ability to drive performance, ensure process complianc...

Position - Charge Entry & Payment Posting Experience - 1 to 3 Years Must have previous experience in same domain Fixable to work in night shift Contact - Janani HR (8939703901) & Subathra HR (9384000327) Preferred Immediate Joiner Only / No WFH

Dear Job Aspirants, Greetings from AGSHealth.. We are currently hiring for IV Callers with a minimum of 1 year of experience in the Medical Billing DomainInsurance verification & Prior Auth . Basic Requirements: Experience: 1 Year to 2 Years Salary: Best in Industry Work Mode: WFO Location: Chennai (Ambattur) Notice Period: Immediate Joiners Shift: Night Shift Timing: 05:30 PM to 2:30 AM or 7:00 PM to 4:00 AM Night Shift (US Shift). Should be flexible for both shifts. Transport: Two-way transport is available based on boundary limits.or 7:00 PM to 4:00 AM Night Shift (US Shift). Should be flexible for both shifts Mode of interview: Direct walk-in interview Prince Infocity II, 1st Floor, R.S....

Role & responsibilities -AR follow -up with insurance companies & patients. -To follow up on claims assigned. -To Complete EDI rejections. - End to End RCM Knowledge. Preferred candidate profile Strong knowledge of medical billing and insurance procedures, including CPT and ICD-10 codes. At least 1+ year of experience in AR Calling in an Accounts Receivable process in US Healthcare (End to End RCM Process)

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

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

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

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

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

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

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

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

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

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

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

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

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

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