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Medical Eligibility & Verification (EV) Specialist

Location : Ahmedabad

Shift : Night Shift (US Process)

Job Type : On-site / Hybrid

Job Summary :

We are looking for a detail-oriented Medical Eligibility & Verification Specialist to handle insurance verification for US-based healthcare clients. The role involves verifying patient eligibility, insurance benefits, and prior authorizations to ensure accurate and timely claim processing.

Key Responsibilities :

• Verify patients' insurance coverage, eligibility, and benefits before appointments or procedures.
• Confirm active policies and coverage details directly with insurance carriers (via calls or portals).
• Obtain prior authorizations or pre-certifications as required.
• Accurately document verification details in the billing system.
• Communicate with providers and patients regarding coverage limitations or missing information.
• Coordinate with billing and coding teams to resolve any coverage-related issues.
• Maintain confidentiality and adhere to HIPAA compliance standards.

Required Skills & Qualifications :

Educational Qualification :

Job Type : Full-time

Pay : ₹10, ₹30,000.00 per month

Work Location : In person