Key Responsibilities
- Verify patient insurance eligibility and benefits prior to appointments
- Confirm plan participation, PCP assignment, EPO/HMO/PPO status
- Identify deductibles, copays, coinsurance, and authorization requirements
- Validate coverage for primary care, diagnostics, labs, and procedures
- Update eligibility details accurately in eClinicalWorks (eCW)
- Flag self-pay, inactive coverage, or plan exclusions proactively
- Coordinate with front desk, billing, and clinical teams to prevent denials
- Maintain documentation and audit-ready eligibility notes
- Meet daily verification and accuracy targets
Required Qualifications
- 2+ years of Eligibility Verification experience
- Hands-on experience with eClinicalWorks (eCW) – REQUIRED
- Strong understanding of primary care insurance workflows
- Experience with Commercial, Medicare, Medicare Advantage, and Medicaid
- Familiarity with BCBS, Aetna, UnitedHealthcare, Cigna, Humana, etc.
- Excellent attention to detail and documentation accuracy
- Strong communication skills (phone + written)
Preferred Qualifications
- Primary Care or Family Medicine background
- Prior experience working with multi-location clinics
- Denial prevention or front-end revenue cycle experience
- Experience with Texas payer plans (strong plus)
What We Offer
- Stable, long-term role with a growing healthcare organization
- Clear workflows and expectations
- Performance-driven environment
- Opportunity to grow into front-end RCM leadership roles
How to Apply
Apply with your resume clearly highlighting:
- Eligibility verification experience
- eClinicalWorks (eCW) usage
- Primary care or family medicine background
Applications without eCW experience will not be considered.
Job Types: Full-time, Permanent
Pay: ₹25,000.00 per month
Work Location: In person
