Eligibility & Benefits Specialist (RCM / Medical Billing)

2 days ago


Ahmedabad, Gujarat, India AFIABLEE Healthcare & IT Solutions LLP Full time

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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