Offer summary

Qualifications:

Prior experience in US healthcare eligibility verification or related field preferred., Strong knowledge of healthcare insurance plans, benefits, and coverage policies., Excellent verbal and written communication skills., Proficiency in using insurance portals, EMR systems, and Microsoft Office..

Key responsabilities:

Verify patient eligibility, benefits, and coverage details through insurance portals and calls.

Accurately document eligibility information and update records in the system.

Collaborate with internal teams to resolve discrepancies and ensure accurate eligibility checks.

Communicate with insurance companies to clarify benefit details.

Job description

Job Title: Eligibility Associate - US Healthcare

About Sciometrix

At Sciometrix, our goal is to deliver the best-ever personalized care with utmost compassion enabling patients to lead healthier and happier lives. Our commitment to innovation in healthcare technology drives us to lead the way in Care Management, Digital Care Coordination, Value-Based Care, and Population Health. “We envision a world where advanced technology and human compassion intersect seamlessly to deliver superior patient experiences and outcomes.” Our mission is to enhance the lives of patients by leveraging digital solutions that reduce hospital readmissions, improve health outcomes, and optimize the delivery of healthcare services. At the heart of our philosophy lies the belief that every patient deserves access to the highest quality of care, tailored to their individual needs. We strive to make this vision a reality by pioneering innovative solutions that prioritize patient well-being and provider efficiency. With Sciometrix, the future of healthcare is not just about treating illnesses; it's about empowering patients to live their best lives.

What's In It for You?

✅ Competitive Salary & Benefits – Earn ₹500,000 - ₹600,000 per year with additional perks.

✅ Fully Remote Work – Work from the comfort of your home with a flexible setup.

✅ Career Growth Opportunities – Gain valuable experience in the US healthcare sector with potential career advancements.

✅ Work with a Purpose – Contribute to improving healthcare access and patient outcomes.

✅ Supportive Team Culture – Join a collaborative team that values work-life balance.

✅ Exposure to Global Healthcare Systems – Gain expertise in US healthcare processes and insurance verification.

✅ Job Stability – Be part of a growing healthcare technology company with a strong industry presence.

Job Summary:

We are seeking a detail-oriented and analytical Eligibility Associate to join our team in the US healthcare sector. The ideal candidate will be responsible for verifying patient eligibility, benefits, and coverage details with insurance providers. This role requires strong communication skills, attention to detail, and the ability to work efficiently in a fast-paced environment.

Key Responsibilities:

Verify patient eligibility, benefits, and coverage details through insurance portals and calls.
Accurately document eligibility information and update records in the system.
Collaborate with internal teams to resolve discrepancies and ensure accurate eligibility checks.
Communicate with insurance companies to clarify benefit details.
Stay updated on industry regulations and insurance policies related to eligibility verification.
Maintain compliance with HIPAA and other regulatory requirements.
Assist with reporting and data analysis related to eligibility trends and denials.

Qualifications & Skills:

Prior experience in US healthcare eligibility verification or related field preferred.
Strong knowledge of healthcare insurance plans, benefits, and coverage policies.
Excellent verbal and written communication skills.
Proficiency in using insurance portals, EMR systems, and Microsoft Office.
Ability to multitask, prioritize work, and meet deadlines.
High attention to detail and problem-solving skills.
Understanding of HIPAA compliance and healthcare regulations.

Experience: