Core Role Overview

- Role Title: EVBV & AR Calling Specialist / RCM Executive
- Industry: US Healthcare Medical Billing
- Shift: Typically US Night Shift

Key Responsibilities

- Eligibility & Benefits Verification (EVBV): Review and verify patient insurance coverage, co-pays, deductibles, and active status through payer websites, IVR systems, or direct phone calls prior to appointments.
- Prior Authorization: Obtain required approvals from insurance payers for specific medical procedures or treatments.
- AR Calling (Accounts Receivable): Make outbound calls to insurance companies to follow up on unresolved, pending, or delayed claims.
- Denial Management: Identify root causes for claim rejections or denials, appeal decisions, and re-submit corrected claims.
- Documentation: Update patient account details, billing software, and EMR/EHR systems accurately with call notes and adjudication statuses.

Pay: ₹25,000.00 - ₹30,000.00 per hour

Benefits:

- Adaptable schedule
- Provident Fund

Work Location: In person

📌 US Insurance Calling BD (India)
🏢 Allied HANR
📍 India