Eligibility & Verification- Executive

ESP Engineered; Ahmedabad District; On-site; INR 300,000 - 500,000; Full time

Job summary

ESP Engineered in Ahmedabad District, Gujarat, seeks a candidate for client eligibility verification. Key responsibilities include verifying client information, analyzing insurance coverage, and maintaining accurate records.

The ideal applicant should have a graduate degree and previous experience in a similar role, possessing excellent communication skills and strong attention to detail.

Qualifications

• Any graduate or equivalent; additional education or certifications in healthcare administration or related fields may be preferred.
• Previous experience in eligibility verification, benefit analysis, or a similar role.
• Strong attention to detail and accuracy.

Responsibilities

• Review and verify client information to determine eligibility for specific benefits.
• Communicate eligibility and benefit information to clients and relevant stakeholders.
• Maintain accurate records of client information and benefit details.

Skills

Attention to detail

Communication skills

Interpersonal skills

Education

Any graduate or equivalent

Certifications in healthcare administration

Job description

Responsibilities

• Review and verify client information to determine eligibility for specific
• Communicate with clients or relevant parties to gather necessary information.
• Verify and analyse insurance coverage details, including co-pays, deductibles, and coverage limits.
• Determine the extent of benefits available to clients based on their eligibility status.
• Maintain accurate and up-to-date records of client information, eligibility status, and benefit details.
• Document verification processes and outcomes for future reference.
• Communicate eligibility and benefit information to clients, colleagues, or relevant stakeholders.
• Provide clear explanations of benefits, coverage details, and any necessary actions required.
• Address and resolve any discrepancies or issues related to eligibility or
• Collaborate with other departments or teams to ensure accurate information flow.
• Stay informed about relevant laws, regulations, and industry standards related to eligibility and benefits.
• Ensure compliance with all applicable guidelines and policies.
• Provide excellent customer service by responding to inquiries, addressing concerns, and assisting clients in understanding their benefits.

Qualifications

• Any graduate or equivalent; additional education or certifications in healthcare administration or related fields may be preferred.
• Previous experience in eligibility verification, benefit analysis, or a similar role.
• Knowledge of insurance policies, financial assistance programs, or relevant
• Strong attention to detail and accuracy.
• Excellent communication and interpersonal skills.