Medical EV

Job Title: Medical Eligibility Verification (EV) Specialist – Mental Health Department

Location: Vejalpur, Ahmedabad
Employment Type: Full-Time (Work from Office)
Shift Timing: Night Shift (6:30 PM – 3:30 AM)
Working Days: 5 Days a Week

Job Summary:

We are looking for a highly organized Medical Eligibility Verification (EV) Specialist to join our Mental Health Department. In this role, you will ensure accurate verification of insurance coverage for mental health services, facilitating smooth claims processing and minimizing delays. Your role will support both patients and healthcare providers by confirming eligibility for mental health treatments, ensuring compliance with insurance requirements, and maintaining up-to-date records.

Key Responsibilities:

• Verify Mental Health Insurance Eligibility: Confirm insurance coverage for mental health services, including therapy, counseling, and psychiatric care, prior to treatment.
• Liaise with Insurance Providers: Communicate with insurance companies through calls and online portals to verify coverage, benefits, co-pays, deductibles, and prior authorization requirements for mental health services.
• Document Verification Details: Accurately record all eligibility details into internal systems, ensuring precise and up-to-date information for claim submissions.
• Coordinate with Internal Teams: Work closely with mental health providers, billing teams, and other internal departments to address and resolve eligibility-related issues or discrepancies.
• Ensure HIPAA Compliance: Maintain confidentiality and handle sensitive patient data in full compliance with HIPAA guidelines.
• Meet Key Metrics: Consistently meet productivity, accuracy, and quality targets related to insurance verification in a timely manner.

Requirements:

• Experience: 6 months to 3 years of experience in Medical Eligibility Verification, preferably within the mental health or behavioral health field (mandatory).
• Communication Skills: Excellent verbal and written communication skills in English.
• Knowledge of US Healthcare and Mental Health Terminology: Understanding of mental health billing codes, insurance procedures, and mental health services.
• Attention to Detail: High level of accuracy in documenting verification details and handling sensitive patient information.
• Basic Computer Proficiency: Comfortable using basic computer applications, insurance portals, and billing systems.
• Ability to Work Independently & in Teams: Must be self-driven, with the ability to work independently, as well as collaborate effectively with cross-functional teams.

Why Join Us?

• Specialized Role in Mental Health: Play a critical role in ensuring that mental health services are covered and reimbursed accurately, helping patients access the care they need.
• Flexible Work Environment: Enjoy a structured office setup while working in the night shift for those who prefer evening hours.
• Professional Growth: Be part of a growing mental health team, with opportunities to develop expertise in mental health billing and eligibility verification.
• 5-Day Workweek: Work-life balance with weekends off and a consistent schedule.

Let me know if you need any more adjustments or if you'd like to add anything else!

Job Types: Full-time, Permanent

Pay: ₹25,000.00 - ₹30,000.00 per month

Work Location: In person