Eligibility Verification Specialist
5 days ago
Job Title: Eligibility Verification Specialist
Job Type: Full-time, Onsite
Company: Nexus Healthcare Management LLC
Location: DHA, Phase 6, Lahore
About Us
Nexus Healthcare Management LLC is a provider of comprehensive healthcare solutions, led by experienced physicians and industry experts. We are committed to delivering high-quality care coordination and revenue cycle services to our partner practices across the United States. We are now looking for a motivated Eligibility Verification Specialist to join our growing team and support accurate and timely insurance verification for our clients.
Job Summary
The Eligibility Verification Specialist will be responsible for verifying patients' insurance coverage, benefits, and policy details to ensure smooth billing and care coordination processes. This role requires attention to detail, strong communication skills, and a solid understanding of US healthcare insurance workflows. The ideal candidate will have at least 1 year of US Healthcare experience, preferably within eligibility verification or revenue cycle management.
Key Responsibilities
- Verify patients' insurance eligibility, benefits, deductibles, co-pays, co-insurance, and coverage limitations through payer portals, and phone calls.
- Review and confirm policy effective dates, plan types, authorization requirements, and any service-related restrictions.
- Accurately update and maintain insurance details in the system to avoid claim denials and billing delays.
- Communicate with insurance companies, providers, and internal teams to resolve discrepancies or missing information.
- Notify the billing and scheduling teams promptly about any coverage issues or authorization needs.
- Document all verification details clearly and accurately in the patient management system.
- Ensure compliance with HIPAA guidelines and company privacy policies.
Experience
A minimum of 1 year of experience in US Healthcare, preferably in eligibility verification, benefits checking, or Revenue Cycle Management.
Education
Minimum Bachelor's degree (Healthcare, Business, or related field preferred).
Skills & Competencies
- Strong understanding of US insurance plans (HMO, PPO, Medicare, Medicaid, Commercial Plans).
- Excellent attention to detail and strong analytical skills.
- Professional communication and active listening.
- Ability to work in a fast-paced environment with tight deadlines.
- Team collaboration and adaptability.
- Proficiency in MS Office and familiarity with EMR/EHR systems.
Compensation & Benefits
Salary: Based on skill set and experience.
Working Days: Monday – Friday
Job Timings: 6 PM – 3 AM PKT
If you meet the above criteria and are excited to contribute to our mission, please apply at and become a valued member of our team
Job Type: Full-time
Pay: Rs60, Rs70,000.00 per month
Work Location: In person
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