10 Nov
|
VOCIS
|
New Delhi
WE’RE HIRING Eligibility & Benefits Verification – Executive / Senior Executive
? Location: New Delhi
? Experience: Executive / Senior Executive
? Shift: US/Night Shift
? Industry: US Healthcare RCM
Are you experienced in US Healthcare Insurance Verification and looking for an opportunity to grow your career in the RCM industry? We’re looking for talented professionals to join our team!
Key Responsibilities
- Verify patient insurance eligibility and benefits through payer portals, websites, and insurance calls.
- Review and validate coverage, effective dates, deductibles, co-insurance, co-pay, and out-of-pocket (OOP) details.
- Verify PCP, referral, and authorization requirements as applicable.
- Validate primary and secondary insurance information.
- Identify coverage limitations, exclusions, non-covered services, and authorization requirements.
- Accurately update insurance verification details in the relevant systems.
- Follow client-specific workflows, quality standards, and productivity benchmarks.
- Coordinate with internal teams to resolve eligibility and benefits-related issues.
- Maintain a high level of accuracy, productivity, and attention to detail.
Candidate Profile
- Solid understanding of US Healthcare RCM and Insurance Verification.
- Good knowledge of Medicare, Medicaid, Commercial, HMO, PPO, and other US insurance plans.
- Familiarity with payer portals, insurance terminology, and benefits verification processes.
- Excellent communication and analytical skills.
- Strong attention to detail with the ability to meet daily productivity and quality targets.
- Ability to work independently as well as collaborate effectively with the team.
- Willingness to work in US/night shifts.
📌 Eligibility & Benefits Verification (New Delhi)
🏢 VOCIS
📍 New Delhi