EVBV Executive - Insurance Verification

Key Responsibilities

• Verify patient insurance eligibility and benefits via payer portals, IVR, and live calls.
• Confirm policy details: coverage status, co-pays, deductibles, co-insurance, out-of-pocket limits, and prior authorization requirements.
• Document verification results accurately in client systems or EMRs.
• Coordinate with internal billing and coding teams to ensure clean claims submission.
• Update payer and patient details based on verification findings.
• Follow HIPAA and data security guidelines at all times.
• Meet daily productivity and accuracy targets.
• Escalate discrepancies or issues to the supervisor promptly.

Qualifications & Skills

• Graduate in any stream (preferred: commerce, life sciences, or healthcare).
• 12 years of experience in U.S. healthcare insurance verification (preferred).
• Familiarity with payer portals (e.g., Availity, Navinet) and IVR systems.
• Knowledge of major U.S. insurance companies (Medicare, Medicaid, BCBS, UHC, Aetna, etc.).
• Good English communication and comprehension skills.
• Proficiency in MS Office and basic medical terminology.
• Ability to work in night shifts or U.S. time zones (if applicable).

Preferred Attributes

• Prior experience in EV, BV, or prior authorization process.
• Team player with strong attention to detail and time management.
• Experience with EMR systems like eClinicalWorks, Epic, or Kareo is a plus.