Eligibility Analyst

Key Responsibilities

As an Eligibility Verification Specialist, your primary responsibility will be to verify patient insurance coverage and eligibility to ensure smooth medical billing and claims processing. Your day-to-day tasks will include:

• Contacting US insurance companies via phone or online portals to verify patient insurance eligibility.
• Gathering and documenting insurance details, coverage limits, co-pays, and deductibles.
• Ensuring accuracy of patient data before claim submission.
• Identifying policy changes or discrepancies and updating records accordingly.
• Coordinating with the billing team to resolve insurance-related queries.
• Communicating professionally with clients, insurance representatives, and internal teams.
• Learning and following HIPAA compliance guidelines to protect patient data.
• Staying updated on US healthcare policies, insurance plans, and RCM workflows.

Required Skills & Qualifications

No prior experience is needed, but the ideal candidate should have:

• Good English communication skills (spoken & written) to interact with US-based insurance companies.
• Eagerness to learn and develop skills in Revenue Cycle Management (RCM).
• Basic computer skills (MS Office, internet research, data entry).
• Strong attention to detail and ability to work with accuracy.
• Ability to work in a fast-paced, deadline-driven environment.
• A positive attitude and willingness to take feedback and improve.
• Any degree (Graduate/Undergraduate) Healthcare or Business background is a plus.

What We Offer

We believe in nurturing fresh talent and providing the right platform for career growth. When you join us, youll benefit from:

• Comprehensive training in US Healthcare RCM processes.
• Opportunities for career advancement in medical billing and coding.
• Competitive salary and performance-based incentives.
• A dynamic and supportive work environment.