Medical Billing Follow-up Executive / Eligibility Verification Intern

The Eligibility Verification Executive is responsible for making outbound fresh follow-up calls to insurance companies and patients to verify coverage, benefits, and claim status for medical billing. The role ensures accurate and timely confirmation of eligibility to support clean claim submission and reduce denials.

Key Responsibilities:

Make outbound fresh calls to insurance payers to verify patient eligibility and benefits.

Confirm:

• Active coverage
• Policy effective dates
• Co-pay, co-insurance, and deductible
• Plan limitations and exclusions
• Referral and authorization requirements
• Check claim status for submitted medical bills.
• Update eligibility and verification of details in the billing system.
• Document call reference numbers and payer responses accurately.

Identify and report:

• Inactive policies
• Incorrect member information
• Coverage terminations
• Coordinate with the medical billing and AR team for claim corrections.
• Maintain daily productivity and quality targets.
• Follow HIPAA and data confidentiality guidelines.
• Required Skills
• Good communication and listening skills
• Basic knowledge of medical billing and insurance terminology
• Ability to handle payer portals and call workflows
• Strong attention to detail
• Time management and target-oriented work approach
• Basic computer skills (EHR/Practice Management System, MS Excel)
• Preferred Qualifications
• Bachelor’s degree (or equivalent)

Fresh:

• Medical billing
• Eligibility verification
• AR follow-up
• Knowledge of CPT, ICD-10, and HCPCS codes (preferred but not mandatory for fresh candidates)
• Key Performance Indicators (KPIs)
• Number of calls completed per day
• Accuracy of eligibility verification
• Documentation quality
• Reduction in eligibility-related claim denials

Job Type: Full-time

Pay: From Rs50,000.00 per month

Work Location: In person