Eligibility Verification
2 days ago
The Eligibility Verification & Authorization Specialist is responsible for verifying patient insurance coverage, determining eligibility for services, and securing prior authorizations and referrals as required by insurance carriers. This role plays a vital part in ensuring patients receive timely care and that services are reimbursed accurately by payers.
Key Responsibilities:
- Verify patient insurance coverage and eligibility via online payer portals or by contacting insurance carriers directly.
- Obtain prior authorizations for procedures, and specialist visits as required.
- Proactively follow up with insurance companies on pending authorizations and denials.
- Maintain knowledge of payer-specific guidelines, medical necessity requirements, and authorization procedures.
- Work closely with the billing team to ensure accurate claim submission and reduce denials.
- Ensure compliance with HIPAA and other applicable regulations in all communications.
Job Types: Full-time, Permanent
Pay: ₹25, ₹35,000.00 per month
Benefits:
- Commuter assistance
- Food provided
Work Location: In person
-
Assistant Manager – Eligibility
6 hours ago
Mohali, Punjab, India Nath Outsourcing Solutions Pvt. Ltd. Full time ₹ 9,00,000 - ₹ 12,00,000 per yearAbout the Role:We're looking for a dynamic Assistant Manager to lead our Eligibility & Benefits Verification and Prior Authorization team. The ideal candidate will have strong expertise in U.S. healthcare RCM processes, payer policies, and operational management. This role involves leading a team, driving performance, ensuring accuracy, and maintaining...
-
Elibility and Verification specialist
2 weeks ago
Mohali, Punjab, India Unify Healthcare Services Full time ₹ 4,00,000 - ₹ 8,00,000 per yearCompany DescriptionUnify Healthcare Services is a modern medical billing company that specializes in managing revenue cycles for healthcare facilities. Our expertise lies in preventing claim denials, streamlining billing processes, and providing customized solutions such as staff augmentation and full-service billing. We help clients reduce operational...
-
Hiring For RCM Roles
2 weeks ago
Mohali, Punjab, India IKS HEALTH Full time ₹ 40,00,000 - ₹ 1,20,00,000 per yearHiring Event for Multiple roles for Frontline Associates with following skills:Eligibility Verification & Benefits Verification (EVBV)Prior AuthorizationEligibility Criteria:Minimum 1+ year of experience in RCM from the provider side.Good understanding of medical terminology and progress notesImmediate joiners preferredContact Person:Sushmita Mabian Gurpreet...
-
Voice Process Associate
2 weeks ago
Mohali, Punjab, India Aarkbiz Solution Full time ₹ 3,00,000 - ₹ 4,00,000 per yearPosition Title: Dental Insurance Verification SpecialistDepartment: Revenue CycleReports To: Billing SupervisorEmployment Type: Full-TimeJob SummaryThe Dental Insurance Verification Specialist is responsible for verifying patients' dental insurance benefits prior to their appointments to ensure accurate billing and reduce claim denials. This role involves...
-
Mohali, Punjab, India Med Consultants Full time ₹ 5,00,000 - ₹ 15,00,000 per yearJob Title: Prior Authorisation Specialist – US HealthcareLocation: Mohali (Onsite)Shift: Night Shift (US Hours)Experience: 1 year – 3 years (Prior Authorisation / Insurance Verification / RCM)Employment Type: Full-timeJob OverviewWe are looking for an experienced Prior Authorisation Specialist to join our growing U.S. Healthcare RCM team.The role...
-
Charge Entry
3 hours ago
Mohali, Punjab, India 3DS Global Private Limited Full time ₹ 27,000 - ₹ 33,000 per yearResponsible for Data Entry, Patients Collections, Charges, Denials, Rejections, Eligibility verification, Insurance Processing, Payment Posting, Customer Service duties.Must have insurance verification experience including HMOs, PPOs, and POS.Maximize insurance reimbursement for healthcare practice owners. Must have work experience of Physician...
-
Senior Process Associate
2 days ago
Mohali, Punjab, India Unify Healthcare Services Full time ₹ 9,00,000 - ₹ 12,00,000 per yearCompany DescriptionUnify Healthcare Services is a modern-age medical billing company that excels in comprehensive technologies, business processes, and workflows to help healthcare facilities manage their revenue cycle. Our team of experienced medical billing professionals and AAPC-certified coders work effectively to prevent claim denials and streamline...
-
Sr. Process Associate- Charge Entry
1 week ago
Mohali, Punjab, India i3synergist Full time ₹ 30,000 - ₹ 35,000 per yearResponsible for Data Entry, Patients Collections, Charges, Denials, Rejections, Eligibility verification, Insurance Processing, Payment Posting, Customer Service duties.Must have insurance verification experience including HMOs, PPOs, and POS.Maximize insurance reimbursement for healthcare practice owners. Must have work experience of Physician...
-
International Voice Process/Mohali
6 days ago
Mohali, Punjab, India Apex 1 team Full time ₹ 2,88,000 - ₹ 3,60,000 per yearSubject: Walk-in Interview | Customer Support Representative - Teleperformance Thank you for applying for the Customer Support Representative – BPO role with Teleperformance. Locations: Malad Salary:Freshers: ₹16,000 + Incentives + BonusExperienced: ₹24,000 + Incentives + BonusBoth ways Cab facility for Night Shift/UK Shift candidates.(International...
-
Senior Process Associate
5 hours ago
Mohali, Punjab, India 3DS Global Private Limited Full time ₹ 4,20,000 per yearResponsible for attending patient calls and answering patient queries.Communicate respectfully and politely with all patients.Developing and maintaining a detailed call database.Professionally handle all inbound calls and resolve queries as per TAT guidelines.Responsible for making outbound calls as required.Perform script (with necessary adjustments as...