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Registration / Eligibility Edits Specialist Trainee

Ventra Health
Ventra health
1-2 years
preferred by company
Chennai, India
1 May 13, 2026
Job Description
Job Type: Full Time Education: B.Sc/M.Sc/M.Pharma/B.Pharma/Life Sciences Skills: gmp knowledge, HSE Knowledge , Logistics and Transportation Management, Master Data, Operational Excellence, Sap Erp, supply chain management, Supply Planning, Warehouse Management, ICD-10 CM Codes, CPT-Codes, HCPCS Codes, ICD-10 CM, CPT, HCPCS Coding, ICH guidelines, ICSR Case Processing, Interpersonal Skill, Labelling Assessment, MedDRA Coding

Job Title: Registration / Eligibility Edits Specialist Trainee

Location: Perungudi, Chennai, India
Work Mode: Onsite
Shift: Day Shift
Employment Type: Full-Time
Industry: Healthcare / Revenue Cycle Management / Medical Billing / Healthcare Administration / US Healthcare BPO

About the Role

We are hiring a Registration / Eligibility Edits Specialist Trainee to support healthcare pre-bill operations, patient registration accuracy, insurance eligibility verification, demographic validation, and claims readiness within a healthcare revenue cycle environment.

This role is ideal for candidates with experience in medical billing, patient registration, insurance verification, eligibility checks, healthcare administration, and healthcare data validation.

The ideal candidate will ensure accurate patient demographic information, validate insurance eligibility, correct billing-related discrepancies, and support timely claim processing while maintaining compliance with healthcare regulations.


Key Responsibilities

Patient Demographic Validation

  • Review and validate patient demographic information in billing and healthcare systems, including:
    • Patient name
    • Date of birth
    • Address
    • Contact details
    • Insurance-related registration information
  • Ensure patient data accuracy to prevent billing errors and claim rejections.
  • Correct incomplete, outdated, or inaccurate registration records.

Insurance Eligibility Verification

  • Verify patient insurance coverage and eligibility through:
    • Payer portals
    • Clearinghouse systems
    • Insurance verification platforms
  • Confirm:
    • Active insurance coverage
    • Plan eligibility
    • Coverage validity
    • Billing readiness
  • Update records based on verification outcomes.

Pre-Bill Data Quality Management

  • Ensure all patient registration and eligibility data is accurate before claim submission.
  • Reduce billing delays caused by incorrect demographic or insurance information.
  • Support clean claim generation and reimbursement readiness.

Medical Billing Support

  • Collaborate with billing and revenue cycle teams to ensure accurate claims preparation.
  • Resolve front-end data discrepancies affecting claims processing.
  • Support healthcare billing workflow efficiency.

Documentation & Audit Compliance

  • Maintain documentation of:
    • Corrections made
    • Eligibility verification outcomes
    • Patient record updates
    • Validation activities
  • Ensure audit readiness and operational transparency.

HIPAA & Regulatory Compliance

  • Maintain strict compliance with:
    • HIPAA regulations
    • Data confidentiality requirements
    • Healthcare privacy standards
    • Organizational policies and procedures
  • Protect sensitive patient and insurance information.

Cross-Functional Collaboration

  • Work closely with:
    • Medical billing teams
    • Registration teams
    • Insurance verification teams
    • Revenue cycle operations staff
  • Support issue resolution and workflow continuity.

Productivity & Accuracy Management

  • Maintain high accuracy while meeting operational turnaround expectations.
  • Manage workload efficiently in a fast-paced healthcare environment.
  • Ensure quality and compliance standards are consistently met.

Required Qualifications

  • High School Diploma / Equivalent