Verify patient insurance eligibility and perks prior to scheduled appointments or procedures using payer portals, IVR systems, and direct payer calls
Confirm coverage details including deductibles, co-pays, co-insurance, out-of-pocket maximums, network status, and plan limitations
Identify primary, secondary, and tertiary insurance coverage and coordinate advantages accordingly
Update patient demographic and insurance information accurately in the Practice Management / EHR system
Flag coverage issues, inactive policies, or coordination of benefits (COB) discrepancies and communicate findings to the billing team in a timely manner
Initiate and follow up on prior authorization requests for procedures, surgeries, specialist referrals, and diagnostic tests with commercial and government payers
Compile and submit clinical documentation required by payers to support authorization requests (medical necessity, physician notes, test results)
Track authorization status and communicate approvals, denials, and pending requests to the clinical and billing teams
Manage authorization renewals, extensions,



and retro-authorizations where applicable
Maintain accurate and complete authorization logs; ensure all approvals are documented in the system before claim submission
Ensure full compliance with HIPAA regulations and maintain confidentiality of all patient health information (PHI)

Eligibility & Requirements
Education: Graduate in any discipline (B.Sc. / B.Com / BBA or equivalent preferred)
1–2 years of experience in US healthcare EVA processes within an RCM / BPO workplace
Working knowledge of commercial payers (Aetna, Cigna, UHC, BCBS) and government payers (Medicare, Medicaid)
Proficiency in payer portals, IVR systems, and EHR / Practice Management software (e.g., AdvancedMD, Kareo, Athena, or similar)
Solid verbal and written English communication skills; ability to interact effectively with US-based payers and clinical staff

Pay: ₹22,000.00 - ₹30,000.00 per month

Benefits:
Food provided
Provident Fund

Work Location: In person

📌 Eligibility & Verification Sahibzada Ajit Singh Nagar
🏢 3D Solutions
📍 Sahibzada Ajit Singh Nagar