Eligibility & Verification Associate (US Healthcare)

3 days ago


Mohali, Punjab, India 5-Tek Medical Full time ₹ 30,00,000 - ₹ 60,00,000 per year

We're Hiring – Eligibility & Verification Associate (US Healthcare)

Location: Mohali (Onsite)

Shift: Night Shift (US Process)

Experience: 6 months – 3 years (Freshers with strong communication may apply)

About the Role

We are looking for Eligibility & Verification Associates to join our US Healthcare (RCM) team. The ideal candidate should have experience in verifying patient insurance details, checking coverage, understanding benefits, and coordinating with payers through calls and online portals.

Key Responsibilities

  • Verify patient eligibility and benefits through:
  • Insurance portals
  • Phone calls to insurance companies
  • Clearinghouse tools
  • Validate coverage for:
  • DME
  • Outpatient/Inpatient services
  • Therapies
  • Specialist visits
  • Document accurate benefit information in the system (copay, coinsurance, deductible, plan type, etc.)
  • Identify insurance-related issues (inactive policy, wrong payer, COB, demographic mismatch)
  • Coordinate with internal teams for missing/incorrect information
  • Maintain accuracy, productivity, and turnaround time as per client requirements
  • Ensure HIPAA compliance and patient data confidentiality

Required Skills

  • Good communication skills (English – verbal & written)
  • Experience with insurance portals (Availity, Navinet, OneSource, etc.)
  • Understanding of:
  • Insurance types (PPO, HMO, Medicare, Medicaid)
  • Eligibility terms (deductible, OOP, copay, coinsurance)
  • EOB/ERA basics
  • Attention to detail and good analytical ability
  • Ability to work in a fast-paced US healthcare environment

Education

Graduate (Any stream)

Healthcare experience preferred

Perks & Benefits

Competitive salary

Growth opportunities within RCM

Training & skill development

Performance-based incentives

How to Apply

Send your CV to [

]

or apply directly on LinkedIn.



  • Mohali, Punjab, India PAMM INFOTECH PVT LTD Full time ₹ 3,00,000 - ₹ 4,20,000 per year

    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...


  • Mohali, Punjab, India Nath Outsourcing Solutions Pvt. Ltd. Full time ₹ 9,00,000 - ₹ 12,00,000 per year

    About 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...


  • Mohali, Punjab, India Med Consultants Full time ₹ 5,00,000 - ₹ 15,00,000 per year

    Job 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...


  • Mohali, Punjab, India Unify Healthcare Services Full time ₹ 9,00,000 - ₹ 12,00,000 per year

    Company 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...


  • Mohali, Punjab, India Aarambh Global Full time ₹ 4,00,000 - ₹ 55,00,000 per year

    US HEALTHCARE RECRUITMENT EXPERIENCE MUSTLocum Tenens/Physician Recruiter Responsibilities:Primary focus will be on the recruitment of healthcare providers including Physicians, Nurses, Advanced Practice, and other clinical roles.Generate a high volume of outbound calls daily.Recruit qualified healthcare professionals utilizing the internet, job boards, cold...


  • Mohali, Punjab, India Baba Shri Chand Ji Enterprises Full time ₹ 2,70,960 - ₹ 5,40,000 per year

    Kickstart your career in the US Healthcare Process – Join our Mohali team and grow with usWe're Hiring – Medical Billing AssociateSalary : 22,800 CTC + IncentivesLocation: MohaliShift: Night Shift (US Process)Working Days: 5 Days a WeekFacilities: Cab Pick & Drop AvailableEligibility: Graduate / 12th Pass with 6 Months Experience in Any Customer...


  • Mohali, Punjab, India MedClap Private Limited Full time ₹ 2,50,000 - ₹ 5,00,000 per year

    Location: Mohali 8b (Onsite )Job Type: Full-TimeNight Shift (US Time Zone)Experience: 1–3 Years | Healthcare/Pharma/Health-tech Industry PreferredAbout the RoleWe are looking for a proactive and persuasive Business Development Executive to join our growing team. In this role, you will reach out to US-based medical professionals to introduce them to our...


  • Mohali, Punjab, India i3synergist Full time ₹ 30,000 - ₹ 35,000 per year

    Responsible 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...


  • Mohali, Punjab, India Epic Global Healthcare Solutions Pvt. Ltd. Full time ₹ 3,60,000 - ₹ 6,00,000 per year

    WE ARE HIRING: AR Callers - US Healthcare ProcessPosition: AR Caller (Accounts Receivable Caller) - US Healthcare ProcessLocation: MohaliJob Type: Full-time, PermanentShift: Night shift (5:30 PM to 2:30 AM), Monday to FridayKey Requirements:Minimum 6 months to 2 years of experience in AR calling for US healthcare clients is preferred.Excellent verbal and...


  • Mohali, Punjab, India Jubilee Billing Services Full time ₹ 1,80,000 - ₹ 3,60,000 per year

    Job DescriptionJubilee Billing Services is hiring a Patient Calling Executive to handle US healthcare process calls.Responsibilities:Make patient calls for healthcare processAssist with patient queries in a polite and professional mannerMaintain accurate call records and documentationSupport billing team with patient-related updatesRequirements:Minimum 6...