Eligibility Verification Process (Medical billing)

Shanti Educational Initiatives; Ahmedabad District; On-site; INR 201,000 - 279,000; Full time

Job summary

Shanti Educational Initiatives in Ahmedabad is hiring a Patient & Insurance Calling Executive – Medical Billing to verify insurance information, contact patients, and ensure clean claims for US night shift operations.

The role requires 0–2 years of experience, willingness to work night shifts, and basic knowledge of CPT/ICD, benefits verification, and EMR systems. Salary ranges from ₹18,000 to ₹25,000 per month depending on experience and interview performance.

Qualifications

• 1+ year experience in Eligibility Verification / Patient Calling / Insurance Calling.
• Good knowledge of CPT, ICD, Copay, Deductible and Prior Authorization.
• Strong English communication skills.
• Knowledge of EMR systems: Athena / eCW / Kareo.
• Comfortable working in a US Night Shift.

Responsibilities

• Verify Eligibility, Benefits, Copay and Deductible through payer portals, IVR and calls.
• Check CPT coverage and Prior Authorization requirements.
• Call patients to confirm demographics and insurance details.
• Inform patients regarding applicable costs.
• Maintain accurate documentation in EMR.
• Identify and flag issues such as Inactive Insurance / Out-of-Network (OON).

Skills

Eligibility Verification

Patient Calling

Insurance Calling

English Communication

Tools

Athena

eCW

Kareo

Job description

WE ARE HIRING | Patient & Insurance Calling Executive Medical Billing

Location: Ahmedabad –

Work Mode: WFO Office

Shift: US Night Shift

Experience: 0–2 Years

Salary: 18,000 – 25,000 per month (depending on experience & interview)

Designation

Patient & Insurance Calling Executive – Medical Billing

Role Overview

We are looking for a Patient & Insurance Calling Executive to verify insurance information and communicate with patients to ensure smooth medical billing processes and clean claims.

Key Responsibilities

• Verify Eligibility, Benefits, Copay and Deductible through payer portals, IVR and calls
• Check CPT coverage and Prior Authorization requirements
• Call patients to confirm demographics and insurance details
• Inform patients regarding applicable costs
• Maintain accurate documentation in EMR
• Identify and flag issues such as Inactive Insurance / Out-of-Network (OON)

Skills & Requirements

• 1+ year experience in Eligibility Verification / Patient Calling / Insurance Calling (Freshers with good English can also apply)
• Good knowledge of CPT, ICD, Copay, Deductible and Prior Authorization
• Strong English communication skills
• Knowledge of EMR systems: Athena / eCW / Kareo
• Comfortable working in a US Night Shift
• Candidates from Medical Billing / Healthcare RCM / Insurance Verification backgrounds will be preferred