Company Description

Gulf Coast RCM and Billing Solutions is a fast-growing startup dedicated to becoming a leader in high-performance Revenue Cycle Management (RCM) and clinical solutions. We specialize in building elite remote teams for medical practices across the US, focusing on Scribing, Coding, Billing, and Front-Office operations. Our mission prioritizes Clients, our People, and Operational Excellence to add value to the healthcare ecosystem. By selecting only the top 1% of industry professionals and fostering an setting for peak performance, we ensure a high-security infrastructure with cutting-edge technology and a qualified corporate culture.

Role Description

This is a full-time, on-site role for an Eligibility & Benefits Verification Specialist based in Hyderabad. The role involves verifying patients’ insurance eligibility and benefits, interacting with insurance companies for accurate information, and ensuring compliance with billing procedures.



Additional responsibilities include supporting patient and provider inquiries regarding insurance plans and maintaining precise documentation in alignment with healthcare regulations.

Key Responsibilities
Insurance Verification & Portals: Connect directly with various US commercial and government payers via outbound calling and web portals (e.g., Availity, Navinet, and payer-specific sites) to verify real-time patient eligibility and detailed active perks.
Data Capture & Cost-Sharing: Accurately extract and document granular policy details including plan types (HMO, PPO, HDHP), policy active dates, patient cost-sharing information (deductibles, co-pays, co-insurance), and out-of-pocket maximums.
Prior Authorization Management: Identify specific insurance pre-certification and prior authorization requirements for upcoming medical visits, diagnostics, or procedures, and actively coordinate with payers to obtain necessary approvals.
Workflow Prioritization: Efficiently manage and prioritize dail

📌 Eligibility & Benefits Verification Specialist Us Healthcare Hyderabad (India)
🏢 Gulf Coast RCM and Billing Solutions
📍 India