Eligibility and Benefits Verification

1 week ago

Ahmedabad, India iPatientCare Private Limited Full time

**What we do at iPatientCare?**

iPatientCare is a global leader in health information technology, committed to improving millions of lives worldwide and striving to make the world healthier and more sustainable through innovation. Driven by the vision of a better tomorrow, we focus on providing products/solutions that empower healthcare providers (hospitals, clinics, physician offices, individual physicians, clinicians, pharmacists, lab/diagnostic professionals, surgeons and their team members, supply chain managers, revenue cycle leaders, C suite executives) to improve patient health and experience of care.

But it’s not just what we do, it’s who we are. We are wonderfully unique individuals, with two things in common. An unwavering sense of purpose and a relentless determination to deliver on our customers’ needs. It’s what inspires us to create meaningful solutions - the kind that make a real difference - when it matters most.

The world and our customers’ needs are changing faster than ever before and while we are proud of what we do already, we know we can do more. That’s why we need you, to help us tackle increasingly complex challenges posed by ever evolving healthcare and well-being needs.

We are looking for **an **Executive (RCM) for Eligibility and Benefits Verification **for US Medical Billing process**. **We need someonewho ishaving professional experience of 1+ years and willing to work atAhmedabad, Gujarat.

**You will be responsible for**:
Ensure accuracy of patient demographics and insurance information

Communicate with healthcare providers for any clarity/questions

Verify requirement of PCP referral and Authorization

Ensure necessary HIPAA compliance and security of documents

Adhere to provided turnaround time requirements.

Adhere to the company’s information security guidelines.

Prompt identification and resolution of missing or invalid data

Consistent follow-ups on submitted prior-authorization requests

Communicating with patients.

**What are we looking for?**

Strong knowledge of medical billing concepts

Knowledge of Co-pay, Co-insurance, Deductible, and Out of Pocket terminologies.

Knowledge of Provider information, Insurances, and associated plans, checking eligibility, prior authorizations, and Referrals.

Good communication and analytical skills.

Willingness to work during the night shifts

Able to interface directly with cross-functional teams

**Salary**: From ₹10,000.00 per month

Schedule:

- Night shift

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