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Requirements

• Experience

  • 0–3 years of experience in US Healthcare RCM
  • Experience in Eligibility Verification preferred

Description

Key Responsibilities

Eligibility & Benefits Verification

• Verify patient insurance eligibility and coverage through payer portals and practice management systems

• Check active coverage, plan details, co-pay, co-insurance, deductibles, and out-of-pocket limits

• Identify coverage limitations, prior authorization requirements, and referral needs

  • Confirm primary, secondary, and tertiary insurance details

Process & Quality

• • Follow SOPs and payer-specific guidelines
  • Meet daily productivity and accuracy targets
  • Participate in quality audits and process improvement initiatives

Experience

• 0–3 years of experience in US Healthcare RCM

  Experience in Eligibility Verification preferred