Eligibility Verifier (Medical) | Work From Home (POOLING)

Job Description:

- Verify patient insurance eligibility, benefits, co-pays, deductibles, and coverage for Senior/Elder Care services.

- Contact insurance providers and use online portals to confirm eligibility and benefits.

- Collect, review, and maintain accurate patient demographics, insurance information, and required documentation.

- Educate patients on insurance coverage, preventive care services, and estimated out-of-pocket costs.

- Answer patient inquiries and provide guidance on insurance benefits and care options.

- Coordinate with physicians, care coordinators, and nursing home staff to support patient enrollment and timely care.

- Identify patients due for preventive care and assist with appointment scheduling.

- Maintain accurate records in EHR/EMR and insurance verification systems while ensuring HIPAA compliance.

- Generate reports on eligibility verification, patient enrollment, and insurance coverage trends.

- Follow company and client policies, procedures, and perform other duties as assigned.

Minimum Qualifications:

- Graduate of Bachelor's Degree (preferably in Medical, but not required)

- Consultancy basis minimum of 6 months consultancy contract (subject for renewal)

- At least 1–2 years of experience in healthcare insurance verification, eligibility and benefits verification, patient registration, or a related healthcare support role.

- Must have excellent English communication skills, both written and oral

- Ability to prioritize and organize multiple tasks

- Strong communication skills and customer centric

- Willing to work in shifting schedules, mostly night shift

- Able to work from home, must have a reliable internet connection

Others:

- Equipment/ company computer is provided

- Work from Home

Originally posted on Himalayas