EVBV Executive - Insurance Verification

Acme Services

1 - 5 years

5 - 9 Lacs

Navi Mumbai Maharashtra India

Posted:1 day ago| Platform: Foundit logo

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Skills Required

eClinicalWorks epic IVR systems Documentation

Work Mode

On-site

Job Type

Full Time

Job Description

Key Responsibilities

Verify patient insurance eligibility and benefits via payer portals, IVR, and live calls.
Confirm policy details: coverage status, co-pays, deductibles, co-insurance, out-of-pocket limits, and prior authorization requirements.
Document verification results accurately in client systems or EMRs.
Coordinate with internal billing and coding teams to ensure clean claims submission.
Update payer and patient details based on verification findings.
Follow HIPAA and data security guidelines at all times.
Meet daily productivity and accuracy targets.
Escalate discrepancies or issues to the supervisor promptly.

Qualifications & Skills

Graduate in any stream (preferred: commerce, life sciences, or healthcare).
12 years of experience in U.S. healthcare insurance verification (preferred).
Familiarity with payer portals (e.g., Availity, Navinet) and IVR systems.
Knowledge of major U.S. insurance companies (Medicare, Medicaid, BCBS, UHC, Aetna, etc.).
Good English communication and comprehension skills.
Proficiency in MS Office and basic medical terminology.
Ability to work in night shifts or U.S. time zones (if applicable).

Preferred Attributes

Prior experience in EV, BV, or prior authorization process.
Team player with strong attention to detail and time management.
Experience with EMR systems like eClinicalWorks, Epic, or Kareo is a plus.

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