Eligibility & Verification- Senior Executive

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

Job summary

ESP Engineered in Ahmedabad District is seeking a Senior Executive to review and verify client information for eligibility concerning specific benefits and programs.

The ideal candidate will have strong communication and interpersonal skills, with a focus on accuracy and customer service. Previous experience in eligibility verification or related roles is preferred, alongside a graduate degree.

Qualifications

• Graduate or equivalent with preferred certifications in healthcare administration.
• Experience in eligibility verification or benefit analysis.
• Knowledge of insurance policies and financial programs.

Responsibilities

• Review and verify client information for eligibility.
• Communicate with clients to gather necessary information.
• Analyze insurance coverage details and benefits.

Skills

Attention to detail

Communication skills

Interpersonal skills

Education

Any graduate or equivalent

Additional certifications in healthcare administration

Job description

Eligibility & Verification- Senior Executive

1-4

Full-Time

About Job Role

• Review and verify client information to determine eligibility for specific benefits or programs.
• 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.