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