Eligibility & Benefits Specialist (RCM / Medical Billing)
2 days ago
Job Profile – Eligibility & Benefits Specialist (RCM / Medical Billing)
We are hiring Eligibility & Benefits (E&B) Executives who will verify patient insurance coverage, benefits, and policy details for US healthcare providers.
Key Responsibilities
- Verify insurance eligibility & benefits through portals, IVR, or payer calls.
- Check coverage details for:
- Deductibles
- Co-pays / Co-insurance
- Out-of-pocket
- Plan limitations
- Pre-authorization requirements
- Confirm patient demographics and policy status.
- Identify inactive/terminated insurance and update the billing system.
- Communicate with AR / Charge Entry teams if any issues found.
- Maintain accuracy, productivity, and meet daily targets.
- Add proper notes in EMR/PM systems.
- Ensure HIPAA compliance & data security.
Eligibility Criteria
- Minimum 1 year experience in Eligibility & Benefits (E&B) in RCM.
- Strong knowledge of US Payer portals (Availity, Navinet, Aetna, UHC, Medicare, Medicaid, etc.)
- Understanding of insurance plans (HMO, PPO, EPO, POS).
- Good English communication & interpretation skills.
- Ability to read and analyze insurance coverage details.
- Comfortable with Night Shift (US Shift).
- Attention to detail & strong analytical ability.
Benefits
- Salary up to ₹35,000 per month (based on experience).
- Performance-based incentives.
- Saturday–Sunday fixed off (depending on process).
- On-job training & long-term career growth in RCM.
- Supportive management & stable US client process.
Contact to Apply
(Call or WhatsApp your resume)
Job Type: Full-time
Pay: ₹20, ₹35,000.00 per month
Experience:
- Eligblity & Benifits (RCM): 2 years (Required)
Language:
- Fluent English (Required)
Location:
- Ahmadabad, Gujarat (Required)
Work Location: In person
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