About the Role The impact you will make

You will build a foundational knowledge of insurance requirements and assist in resolving eligibility issues that impact claims reimbursement. This role ensures that missed or secondary insurance coverages are pursued for payment to optimize reimbursement and reduce patient liability. The representative collaborates closely with payers, patients, and internal teams to resolve account discrepancies and complete the billing cycle efficiently and compliantly.

What you will do

Major Responsibilities/Activities

Learn and navigate the Insurance Discover platform and Hospital Patient Account Systems

Work assigned insurance eligibility accounts and assist in resolving issues related to coverage, coordination of benefits, and patient information

Contact insurance companies to verify active coverage, eligibility dates, and policy details

Identify and document reasons for eligibility denials (e.g., inactive coverage, COB, incorrect payer)

Load or Correct insurance information in client systems and resubmit claims when applicable

Collaborate with team members to ensure accurate and timely resolution

Use appropriate status codes and follow-up indicators in the system

Escalate complex or recurring issues to senior staff

Prepare basic payer correspondence or appeals when needed

Maintain compliance with HIPAA and internal policies

Obtain and maintain offsite access to patient accounting systems (PAS)





Complete all mandatory PAS training

Upkeep process documentation, as assigned.

Meet productivity and quality standards as established by the department.

What you will bring

Fresher or 1+ Year of experience in healthcare, insurance verification, or related field

Basic understanding of health insurance types (Medicare, Medicaid, Commercial)

Willingness to learn eligibility requirements and COB rules

Excellent attention to detail, time management, organizational and communication skills.

Comfort using payer portals and EMR/billing platforms

Proficiency with MS Office tools (Excel, Word)

Ability to meet productivity and quality benchmarks within training period

What we would like to see

Familiarity with billing forms (UB-04, 1500) and payer correspondence preferred

Coursework or certification in medical billing, healthcare administration, or insurance

Experience in insurance verification, patient registration, or patient access roles

Understanding of Medicaid eligibility processes or tools

Proficiency with billing systems (e.g., Epic, Cerner, Meditech)

Ability to work independently and in a team environment.

Requirements

- Robust written and spoken proficiency with English, with ability to communicate easily with US-based customer and company individuals.
- Able to work in Flexible shifts to collaborate with US customers and internal departments.

📌 Analyst (Gurugram)
🏢 FinThrive
📍 Gurugram