Insurance Benefit Verification & Authorization Specialist

About Us

We are a U.S.-based healthcare technology company with development and operations in Vastrapur, Ahmedabad, specializing in advanced Physical Therapy EMR & Healthcare Software solutions. We work with USA therapy clinics and focus heavily on insurance benefit verification, eligibility checks, and authorization workflows to help clinics improve operational efficiency and revenue cycle accuracy.

Position Overview

We are expanding our Ahmedabad team and hiring Insurance Benefit Verification & Authorization Specialists who understand how to call insurance companies and verify patient coverage and authorization requirements. This role involves working directly with payers such as Medicare, Blue Cross Blue Shield, UnitedHealthcare, Aetna, and other major U.S. insurance companies.

Key Responsibilities

• Call insurance companies for benefit verification & eligibility checks.
• Understand insurance authorization rules – visit-based, unit-based, or time-based.
• Verify co-pay, deductible, co-insurance, and therapy coverage limitations.
• Initiate and follow-up on authorization requests (fax, phone, portal).
• Document verified benefits in our EMR / RCM software accurately.
• Work closely with front desk & billing teams in U.S. physical therapy clinics.
• Maintain daily trackers & productivity reports.

Preferred Experience

• Previous experience in insurance calling / RCM process / benefit verification.
• Knowledge of Medicare, Medicaid, Blue Cross Blue Shield, Aetna, UHC insurance rules.
• Experience with EMR or practice management software (preferred).
• Strong English verbal communication (phone-based conversations).
• Ability to work in night shift (US time zone).

Added Advantage (Not Mandatory)

• Knowledge of Data Lake, Snowflake, or Data Warehousing concepts.
• Experience with healthcare automation or workflow tools.
• Familiarity with physical or occupational therapy billing guidelines.

Qualifications

• Graduate or undergraduate with good English communication skills.
• Experience in benefit verification / authorization / RCM is a strong plus.
• Ready to work onsite in Ahmedabad (No Work-from-Home option).

Why Join Us?

✔ Work directly on real USA healthcare projects
✔ Be part of a fast-growing EMR & RCM software team
✔ Opportunity to learn AI-driven automation & smart workflows
✔ Career growth in the U.S. healthcare industry

Work Location: Vastrapur, Ahmedabad
Shift: USA Night Shift
Work Mode: 100% Onsite – No Remote Option

Job Type: Full-time

Benefits:

• Leave encashment
• Paid time off

Work Location: In person