Job: Eligibility & Benefits Verification Executive and Senior Executive
Location: Janak Puri, New Delhi, India
Job Description:
- Verify patient insurance eligibility and benefits through payer portals, websites, and calls
- Check coverage, effective dates, deductibles, co-insurance, co-pay, and out-of-pocket details along with PCP/Referral
- Validate primary and secondary insurance information.
- Identify coverage limitations, exclusions, and authorization requirements.
- Accurately update insurance and verification details in the relevant system.
- Follow client-specific processes, quality standards, and productivity targets. Coordinate with internal teams to resolve eligibility-related issues.
Eligibility & Requirement:
- Good understanding of US Healthcare RCM and Insurance Verification.
- Knowledge of US insurance plans such as Medicare, Medicaid, Commercial, HMO, and PPO.
- Familiar with payer portals and insurance terminology.
- Good communication and analytical skills.
- Strong attention to detail and ability to meet daily productivity/quality targets.
- Willingness to work in US/night shifts
Perks and benefits
- Attractive Salary