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

Location: Mohali (Onsite)

Shift: Night Shift (US Process)

Candidate - Local candidates only (Mohali)

Experience: 1-2 years

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 perks through:

- Insurance portals
- Phone calls to insurance companies
- Clearinghouse tools
- Validate coverage for:
- 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, ECW, Athena, 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 [[email protected]] OR reach out on (phone hidden)

or apply directly.

📌 Eligibility & Verification Associate (US Healthcare) (India)
🏢 5-Tek Medical
📍 India