Walk-in | Pre-Registration (Eligibility Verification / EV)

EL Revgen Healthcare Solutions; Chennai; On-site; INR 180,000 - 350,000; Full time

Job summary

EL Revgen Healthcare Solutions in Chennai seeks an experienced Medical Billing professional with 0.6–1 year of US healthcare billing expertise. The role focuses on eligibility checks, benefit verification, and ensuring accurate COB and authorization requirements are met.

You will input verified data into patient files and collaborate with other departments to minimize denials, reporting issues to your supervisor as needed. This is an on-site position based in Chennai, Tamil Nadu.

Qualifications

• 0.6–1 year of US healthcare medical billing experience.
• Hands-on experience with Pre-Registration/Eligibility Verification.
• Familiarity with payer portals for eligibility checks.

Responsibilities

• Verify insurance eligibility for upcoming patients using payer portals.
• Confirm benefits including co-pays, deductibles, and OOP maximums.
• Validate Coordination of Benefits to ensure correct billing.
• Determine if referrals or prior authorizations are required.
• Coordinate with referral and auth departments to secure necessary approvals.
• Update patient records with verified information.
• Notify supervisor of coverage gaps or potential billing issues.

Skills

Medical Billing

Eligibility Verification

Pre-Registration

Tools

Payer Portals

Job description

Job Description Medical Billing

We are looking for experienced candidates with 0.6-1 years of experience in US Healthcare Medical Billing. Candidates with hands-on experience in Pre-Registration(Eligibility Verification) will be preferred.

Key Requirements:

• Verify Eligibility: Check insurance eligibility for upcoming patients using payer portals or verification tools.
• Confirm Benefits: Determine coverage levels, including co-pays, deductibles, coinsurance, and Out-of-Pocket (OOP) maximums.
• Validate COB: Verify Coordination of Benefits to identify primary and secondary insurance coverage, ensuring claims are billed correctly.
• Determine Authorization Requirements: Validate whether referrals or prior authorizations are required for the scheduled services.
• Secure Authorizations or Referrals: Obtain necessary referrals or prior authorizations only if they are required based on the validation by coordinating with referral and Auth departments.
• Update Records: Accurately input all verified information into patient files.
• Coordinate with Relevant Parties: Work with the other relevant departments to develop strategies aimed at preventing future denials.
• Notify Supervisor: Inform the supervisor of any coverage gaps, potential billing issues, or challenges encountered during verification.