Analyst

Finthrive; Gurugram District; On-site; INR 300,000 - 420,000; Full time

Job summary

Finthrive is hiring for an Insurance Verification role in Gurugram, India. You will learn to navigate insurance requirements, resolve eligibility issues, and pursue secondary coverages to optimize reimbursement.

The role requires attention to detail and strong communication with payers, patients, and internal teams to ensure timely and compliant billing cycles. The candidate should have basic understanding of Medicare/Medicaid/Commercial insurance and be willing to learn COB rules and

Qualifications

• Freshers or 1+ year in healthcare, insurance verification, or related field.
• Basic understanding of health insurance types (Medicare, Medicaid, Commercial).
• Willingness to learn eligibility requirements and COB rules.

Responsibilities

• Build foundational knowledge of insurance requirements and assist in resolving eligibility issues.
• Pursue missed or secondary insurance coverages for payment to optimize reimbursement.
• Collaborate with payers, patients, and internal teams to resolve discrepancies and complete billing cycle.

Skills

Attention to detail

Time management

Communication skills

MS Office

Tools

Payer portals

EMR/Billing platforms

Job description

About the Role

The impact you will make

You will build a foundational knowledge of insurance requirements and assist in resolving eligibility issues that impact claims reimbursement. This role ensures that missed or secondary insurance coverages are pursued for payment to optimize reimbursement and reduce patient liability. The representative collaborates closely with payers, patients, and internal teams to resolve account discrepancies and complete the billing cycle efficiently and compliantly.

What you will do

• Learn and navigate the Insurance Discover platform and Hospital Patient Account Systems
• Work assigned insurance eligibility accounts and assist in resolving issues related to coverage, coordination of benefits, and patient information
• Contact insurance companies to verify active coverage, eligibility dates, and policy details
• Identify and document reasons for eligibility denials (e.g., inactive coverage, COB, incorrect payer)
• Load or Correct insurance information in client systems and resubmit claims when applicable
• Collaborate with team members to ensure accurate and timely resolution
• Use appropriate status codes and follow-up indicators in the system
• Escalate complex or recurring issues to senior staff
• Prepare basic payer correspondence or appeals when needed
• Maintain compliance with HIPAA and internal policies
• Obtain and maintain offsite access to patient accounting systems (PAS)
• Complete all mandatory PAS training
• Upkeep process documentation, as assigned.
• Meet productivity and quality standards as established by the department.

What you will bring

• Fresher or 1+ Year of experience in healthcare, insurance verification, or related field
• Basic understanding of health insurance types (Medicare, Medicaid, Commercial)
• Willingness to learn eligibility requirements and COB rules
• Excellent attention to detail, time management, organizational and communication skills.
• Comfort using payer portals and EMR/billing platforms
• Proficiency with MS Office tools (Excel, Word)
• Ability to meet productivity and quality benchmarks within training period

What we would like to see

Familiarity with billing forms (UB-04, 1500) and payer correspondence preferred

Experience in insurance verification, patient registration, or patient access roles

Understanding of Medicaid eligibility processes or tools

Proficiency with billing systems (e.g., Epic, Cerner, Meditech)

Ability to work independently and in a team environment.

Requirements

• Strong written and spoken proficiency with English, with ability to communicate easily with US-based customer and company individuals.
• Able to work in Flexible shifts to collaborate with US customers and internal departments.