EVBV (Eligibility Verification and Benefits Verification)

Hiring EVBV (Eligibility Verification Benefits Verification) at Advantum Health, Hyderabad (Hitec City)

Should have at 1 to 4 years of experience in Eligibility and Benefits Insurance Verification / Patient access.

One way cab + Rs. 2000 Transport allowance is provided. For 2-way, Rs. 4000 is the Transport allowance.

PH: 7382307530, 8247410763, 9100337774, 9059683624

WALK-IN with resume - Monday to Friday, 6.30pm to 10 pm

Address: Advantum Health Private Limited, Cyber gateway, Block C, 4th floor Hitech City, Hyderabad.

Job Summary

The Eligibility & Benefits Specialist verifies patient insurance coverage and benefits prior to services. This role ensures accurate patient eligibility, benefit determination, network verification, and documentation to reduce claim denials and improve patient financial clarity.

Key Responsibilities

• Verify eligibility and benefits using payer portals/IVR/clearinghouse tools.
• Document deductibles, copays, coinsurance, OOP, limitations, exclusions.
• Confirm network status and referral requirements; route auth-required cases to PA.
• Update COB and insurance details in systems with supporting references.
• Communicate benefit findings to scheduling/clinical/billing and patients where appropriate.
• Maintain compliance, accuracy, and timely completion of verification workqueues.

Qualifications

• 14 years in E&B/insurance verification/patient access preferred.
• Knowledge of insurance basics (HMO/PPO/EPO/POS, Medicare/Medicaid concepts).
• Strong accuracy, communication, and documentation skills.