Eligibility & Verification Associate (US Healthcare)

3 days ago


mohali district, India 5-Tek Medical Full time

📌 We’re Hiring – Eligibility & Verification Associate (US Healthcare)📍 Location: Mohali (Onsite)🕒 Shift: Night Shift (US Process)💼 Experience: 6 months – 3 years (Freshers with strong communication may apply)🔹 About the RoleWe are looking for Eligibility & Verification Associates to join our US Healthcare (RCM) team. The ideal candidate should have experience in verifying patient insurance details, checking coverage, understanding benefits, and coordinating with payers through calls and online portals.🔹 Key ResponsibilitiesVerify patient eligibility and benefits through:Insurance portalsPhone calls to insurance companiesClearinghouse toolsValidate coverage for:DMEOutpatient/Inpatient servicesTherapiesSpecialist visitsDocument accurate benefit information in the system (copay, coinsurance, deductible, plan type, etc.)Identify insurance-related issues (inactive policy, wrong payer, COB, demographic mismatch)Coordinate with internal teams for missing/incorrect informationMaintain accuracy, productivity, and turnaround time as per client requirementsEnsure HIPAA compliance and patient data confidentiality🔹 Required SkillsGood communication skills (English – verbal & written)Experience with insurance portals (Availity, Navinet, OneSource, etc.)Understanding of:Insurance types (PPO, HMO, Medicare, Medicaid)Eligibility terms (deductible, OOP, copay, coinsurance)EOB/ERA basicsAttention to detail and good analytical abilityAbility to work in a fast-paced US healthcare environment🔹 EducationGraduate (Any stream)Healthcare experience preferred✨ Perks & BenefitsCompetitive salaryGrowth opportunities within RCMTraining & skill developmentPerformance-based incentives📩 How to ApplySend your CV to [hr@5tekmedical.com]or apply directly on LinkedIn.



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