
Eligibility Verification
5 days ago
Job Summary: 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: ₹23, ₹35,000.00 per month
Benefits:
- Commuter assistance
- Food provided
Experience:
- elegibility verification & authorization: 1 year (Preferred)
Work Location: In person
-
Eligibility Verification
2 weeks ago
Mohali, Punjab, India PAMM INFOTECH PVT LTD Full time ₹ 3,00,000 - ₹ 4,20,000 per yearThe 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...
-
Assistant Manager – Eligibility
1 week 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
1 day 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...
-
Team Manager- RCM
2 weeks ago
Mohali, Punjab, India Indihire Consultants Full time ₹ 12,00,000 - ₹ 36,00,000 per yearRole & responsibilitiesKey Responsibilities:Lead and manage a team of specialists handling Eligibility & Benefits Verification and Prior Authorization.Oversee day-to-day operations, ensuring SLAs, quality standards, and productivity targets are met.Review and analyze authorization and eligibility data to identify trends, gaps, and opportunities for process...
-
Billing Specialist
2 weeks ago
Mohali, Punjab, India Globe Centrix Full time ₹ 2,50,000 - ₹ 7,50,000 per yearRoles and Responsibilities:We are looking for experienced professionals to join our team as Billing Specialists in the US Healthcare industry. This role covers end-to-end billing functions, including Accounts Receivable, Charge Entry, Prior Authorization, Payment Posting, Eligible Benefits & Verification, and Customer Service.Roles and...
-
Senior Process Associate
2 weeks 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...
-
Process Associate
2 weeks ago
Mohali, Punjab, India i3synergist Full time ₹ 2,80,000 - ₹ 4,20,000 per yearProcess Associate - Patient Calling / Customer ServicePreferred Experience: 1-3 yearsKey job accountabilities:Responsible for attending patient calls and answering patient queries.Developing and maintaining a detailed call database.Responsible for making outbound calls as required.Responsible for daily/weekly/monthly MIS reporting via...
-
Compliance Engineer
3 days ago
Mohali, Punjab, India ORBIT & SKYLINE Full time ₹ 9,00,000 - ₹ 12,00,000 per yearOrbit & Skyline is looking forward to onboarding a highly skilled "Compliance Engineer" who will contribute to making the products compatible and compliant with global regulatory requirements throughout their life cycle. This will be accomplished by providing support and guidance related to compliant engineering concepts, techniques and documentation.Roles &...
-
Compliance Engineer
5 days ago
Mohali, Punjab, India Orbit & Skyline Full time ₹ 5,00,000 - ₹ 12,00,000 per yearWho are we?Orbit & Skyline India Pvt. Ltd. is a leading semiconductor service provider with a robust and experienced team of professionals proficient in providing our customers with unique, feature-rich solutions that help them build environmentally friendly semiconductor manufacturing. At Orbit & Skyline, our synergistic cross functional team of Mechanical,...
-
Eligibility Verification
2 weeks ago
Mohali, Punjab, India PAMM INFOTECH PVT LTD Full timeThe 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...
-
Assistant Manager – Eligibility
1 week ago
Mohali, India Nath Outsourcing Solutions Pvt. Ltd. Full timeAbout 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...
-
Assistant Manager – Eligibility
7 days ago
Mohali, India Nath Outsourcing Solutions Pvt. Ltd. Full timeAbout 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...
-
Assistant Manager – Eligibility
1 week ago
Mohali, India Nath Outsourcing Solutions Pvt. Ltd. Full timeAbout 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...
-
Assistant Manager – Eligibility
1 week ago
Mohali district, India Nath Outsourcing Solutions Pvt. Ltd. Full timeAbout 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...
-
Assistant Manager – Eligibility
1 week ago
Mohali district, India Nath Outsourcing Solutions Pvt. Ltd. Full timeAbout 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...
-
Assistant Manager – Eligibility
1 week ago
mohali district, India Nath Outsourcing Solutions Pvt. Ltd. Full timeAbout 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...
-
Executive Background Verification
3 weeks ago
Mohali, India TP Full time✨ Teleperformance is hiring– Executive – Background Verification ✨ Location: Mohali Eligibility: MBA Freshers Welcome! What You’ll Do: ✅ Handle end-to-end background checks ✅ Coordinate with candidates & verification agencies ✅ Maintain accurate records & reports ✅ Ensure compliance and timely processing What We’re Looking...
-
Verification and Prior Authorization
1 week ago
Mohali, Punjab, India PAMM INFOTECH PVT LTD Full time**Job Summary**: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...
-
Executive Background Verification
3 weeks ago
Mohali, India TP Full time✨ Teleperformance is hiring– Executive – Background Verification ✨Location: MohaliEligibility: MBA Freshers Welcome!What You’ll Do:✅ Handle end-to-end background checks✅ Coordinate with candidates & verification agencies✅ Maintain accurate records & reports✅ Ensure compliance and timely processingWhat We’re Looking For:⭐ Excellent...