Eligibility Verification and Benefits

2 weeks ago

Chandigarh Chandigarh, India Mad Brains Technologies llp Full time

**Job Title**: Eligibility Specialist

**Location**: Chandigarh IT Park (On-site)

**Shift**: Rotational night shifts

**Benefits**:

- Cab facility available
- Meals provided

**Experience Required**: 1-3 years in eligibility and benefits verification within the US healthcare system

**Key Responsibilities**:

- **Insurance Verification**: Confirm patient insurance details through direct communication with insurance companies, utilizing online portals, and patient interactions.
- **Eligibility Assessment**: Evaluate patient information to determine qualification for various healthcare services and programs.
- **Referral and Authorization Coordination**: Obtain necessary referrals and pre-authorizations from insurance providers to ensure seamless service delivery.
- **Patient Communication**: Engage with patients to gather required information, explain insurance benefits, and address any inquiries related to coverage.
- **Documentation**: Maintain accurate and confidential records of all eligibility verifications, authorizations, and patient interactions.
- **Compliance**: Stay informed about current regulations and policies related to insurance verification and patient eligibility to ensure adherence to all applicable guidelines.

**Qualifications**:

- **Education**: Bachelor's degree in healthcare administration, business administration, or a related field.
- **Experience**: 1-3 years of experience in eligibility and benefits verification within the US healthcare system, with a focus on commercial and workers' compensation insurance.
- **Skills**:

- Proficient in using insurance portals and healthcare management software.
- Excellent verbal and written communication skills, with a focus on patient interaction.
- Strong organizational abilities and attention to detail.
- Ability to manage sensitive information with discretion and maintain patient confidentiality.
- Experience in obtaining referrals and authorizations is advantageous.

**Working Conditions**:

- This position requires on-site presence at our Chandigarh IT Park facility.
- Employees will work rotational night shifts to accommodate our international operations.
- We provide a reliable cab service for safe transportation during night hours.
- Complimentary meals are offered during shifts.

If you are a dedicated professional with a passion for ensuring patients receive the care they need through meticulous eligibility verification, we encourage you to apply.

**Benefits**:

- Food provided
- Provident Fund

Schedule:

- US shift

Ability to commute/relocate:

- Chandigarh, Chandigarh: Reliably commute or planning to relocate before starting work (required)

**Experience**:

- Eligibility Verification and Benefits: 2 years (required)
- Physician Billing: 2 years (required)

**Location**:

- Chandigarh, Chandigarh (required)

Shift availability:

- Night Shift (required)

Pay: ₹600,000.00 per year

**Benefits**:

- Food provided
- Leave encashment
- Paid sick time
- Paid time off
- Provident Fund

Schedule:

- Day shift
- Fixed shift
- US shift

Ability to commute/relocate:

- Chandigarh, Chandigarh: Reliably commute or planning to relocate before starting work (required)

**Experience**:

- Eligibility Verification and Benefits: 2 years (required)
- Patient Calling: 2 years (required)

**Language**:

- English (required)

**Location**:

- Chandigarh, Chandigarh (required)

Shift availability:

- Night Shift (required)

Work Location: In person

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