Core Role Overview

- Role Title: EVBV & AR Calling Specialist / RCM Executive

- Industry: US Healthcare Medical Billing

- Shift: Typically US Night Shift

Key Responsibilities

- Eligibility &

Advantages 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

- Flexible schedule

- Provident Fund

Work Location: In person

📌 US Insurance Calling BD (Saki Naka)
🏢 Allied HANR
📍 Saki Naka