299 Charge Entry Jobs - Page 11

In-depth understanding of ICD-10, CPT, HCPCS codes, and how they apply to claim rejections. SME status in medical billing processes particularly in rejection experience in medical billing with a focus on claim rejection medical billing rejections

Roles and Responsibilities Role : Medical billing executive Shift : 6pm to 3am Location : Tidel park, cbe Responsibilities: * At least one year of medical billing experience is required. * Experience with AR follow up is required. * Candidates must have proven track record and hands-on working experience with CPT and ICD-10 codes, as well as modifiers. * Ability to constructively communicate and problem solve with Medicare and commercial insurance companies. * This includes the use of the respective insurance portals, as well as verbal and written communication. Medical billing certification is a plus. * Biller will have full responsibility for all billing aspects (posting charges, posting payments, insurance billing, appeals, insurance follow up, patient and practice communication, etc.) of several practices and specialties. * Candidates must demonstrate the ability to multitask and independently work well within a group environment. * Competitive Salary * Only Male candidates Preferred

Preferred candidate profile Minimum experience of 6+ years in medical billing and charge entry People management on papers experience is required Should have experience in Excel. Excellent Communication Hyderabad Walkin Package upto 9.2 LPA US Night shifts For more details, call on below Chhavi Bhatt 8955611211 Chhavi.bhatt@manningconsulting.in

Skill: Candidates with excellent communication and 6+ years of work experience in US healthcare domain RCM background (Medical billing & Charge entry) are only eligible for the interview Candidate must be strong in Microsoft Excel. Mandate - TL on papers and Team handling experience Education: Must have regular bachelor's degree Mode of work: Work from Office only Work timings: Night shift - US timings Notice period: Immediate to Max 30 days Interested, Please Walkin with the following documents 1 Updated Resume - 2 Copies 2 Any Original ID proof - Aadhar/ PAN / Driving license 3 Recent Passport Size photograph - 2 copies Interested candidates kindly walk-In to the below venue. ADDRESS: Building 12A, Raheja Mindspace, Hitech city, Hyderabad. Contact Person: Vamsi Krishna

Hiring for TL Min exp-6 years in us healthcare - medical billing and charge entry Good exposure on Excel Team leader on papers CTC-max-9.2 lpa Location-Hyderabad WALKIN US Shifts Work from office share resume on -archi.g@manningconsulting.in Contact-8302372009

Greetings from Infinx!! We have openings Quality Analyst- Payment Posting(Demo/Charge Entry). Interested candidates can share resume to lakshmi.kavarthapu@infinx.com Specialty: Demo/Charge Entry Designation: Quality Analyst Exp-4 to 8yrs Work from Office Madurai location Thanks & Regards, HR Team

Role Objective: Payers either send an EOB (explanation of benefits) or ERA (electronic remittance advice) towards the payment of a claim. The cash/payment posting staff posts these payments immediately into the respective patient accounts, against that claim to reconcile them. Essential Duties and Responsibilities: Need to work on payment posting and denial batches. Must work on ERA discrepancies. Need to do bank reconciliation. Good analytical skills and proficiency with MS Word, Excel, and PowerPoint Qualifications: Graduate in any discipline from a recognized educational institute. Good analytical skills and proficiency with MS Word, Excel, and PowerPoint. Good communication Skills (both written & verbal) Skill Set: Candidate should have good healthcare knowledge. Candidate should have knowledge of Medicare and Medicaid. Ability to interact positively with team members, peer group and seniors.

We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare simpler and enable efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 14,000 strong in India with offices in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities. Role Objective:To bill out medical accounts with accuracy within defined timelines and reduce rejections for payers.Essential Duties and Responsibilities: Process Accounts accurately basis US medical billing within defined TAT Able to process payer rejection with accuracy within defined TAT. 24*7 Environment, Open for night shifts Good analytical skills and proficiency with MS Word, Excel, and PowerPoint Qualifications: Graduate in any discipline from a recognized educational institute. Good analytical skills and proficiency with MS Word, Excel, and PowerPoint. Good communication Skills (both written & verbal)Skill Set: Candidate should have good healthcare knowledge. Candidate should have knowledge of Medicare and Medicaid. Ability to interact positively with team members, peer group and seniors.

Role Objective Follow up is the most essential part in the RCM cycle. It is usually the last step in the cycle after cash posting. After Denial management (AR Follow up), again the cycle starts till the payment is made by the insurance company. Essential Duties and Responsibilities Establishes and assures compliance with departmental policies and procedures in conformance with corporate policies and procedures. a) Day-to-day operations b) People Management (Work Allocation, On job support, Feedback & Team building) c) Performance Management (Productivity, Quality, One-On-One sessions, KRA, PIP) d) Reports (Internal and Client performance reports) e) Work allocation strategy f) CMS 1500 & UB04 AR experience is mandatory. g) Span of control - 80 to 100 h) Thorough knowledge of all AR scenarios and Denials i) Expertise in both Federal and Commercial payor mix j) Excellent interpersonal skills h) Should be capable to interact with US clients and manage escalations Qualifications Graduate in any discipline from a recognized educational institute Good analytical skills and proficiency with MS Word, Excel and PowerPoint Good communication Skills (both written & verbal) Skill Set Candidate should be good in Denial Management Candidate should have knowledge of Medicare, Medicaid & ICD & CPT codes used on Denials. Ability to interact positively with team members, peer group and seniors. Demonstrated ability to exceed performance targets. Ability to effectively prioritize individual and team responsibilities. Communicates well in front of groups, both large and small.

Authorization & Referral Associate Summary GM Analytics Solutions is looking for a driven, dedicated and experienced Authorization & Referral Associate, who is experienced in the medical billing domain,. Authorization Analyst is articulate professionals who can communicate with insurance companies and other payers in regards to unpaid claims and assist with actions and information needed to properly review, dispute, or appeal denial until a determination is made to conclude the appeal. Who should be proficient in US healthcare, and is comfortable working in Night shift (US time). Job Description Minimum 1-3 years experience is required in Authorization & Referral process for US Healthcare & should have knowledge in Commercial & Workers Compensation Insurance. Who can receive medication referrals and collects insurance information via multiple methods, runs test claims, and Completes administrative duties. Work in teams that process Authorization & Referral transaction which strive to achieve team goal. Can review clinical documents for prior authorization/pre-determination submission purposes. Who can contact referral source, patient, and/or doctors office to obtain additional information that is required to Complete verification of benefits or prior approvals. Can perform outbound calls to patients or doctor offices to notify of any delays due to more information needed to Process or due to prior authorization. Provides exceptional customer service to external and internal customers, resolving any customer requests in A timely and accurate manner. Ensures the appropriate notification of patients in regard to their financial responsibility, benefit coverage, And payer authorization for services to be provided. Maintains prior authorizations and verifies insurance coverage for ongoing services. Completes all required duties, projects, and reports in a timely fashion on a daily, weekly, or monthly basis per The direction of the leadership. Collect, analyze, and record all required demographic, insurance/financial, and clinical data necessary to verify Patient information. Refer patients to Financial Counselors as needed to finalize payment for services. Document financial and pre-certification information according to a defined process on time. Request and coordinate financial verification and pre-certification as required to proceed with patient care; Document financial and pre-certification information according to defined process. Good Knowledge and understanding of Human Anatomy. Proficiency in Microsoft office tools Willingness to work the night shift Education/ Experience Requirements: Should be a Graduate from any stream. Should possess excellent communication & written skills. Quick and eager to learn and mold accordingly to the process needs. Should have knowledge in Medical Terminology, knowledge of the different types of health insurance plans; i.e. HMO s, PPOs, etc. Ability to effectively handle multiple priorities within a changing environment. Experience in diagnosing, Isolating, and resolving complex issues and recommending and implementing Strategies to resolve problems. Ability to coordinate with US counterpart either by phone or by email. Ability to multi-task and organizational timely follow up. Ability to follow established work schedule. Excellent Analytical Skills. Should have advanced computer knowledge in MS Office Suite, pMD soft, Acumen, Athena Health, and other applications/systems preferred. Salary BOE GM Analytics Solutions is an equal opportunity employer and considers qualified applicants for employment without regard to race, color, creed, religion, national origin, sex, sexual orientation, gender identity and expression, age, disability, veteran status, or any other protected factor. Competency Requirements: Must possess the following knowledge, skills & abilities to perform this job successfully: Broad understanding of clinical operations, front office, insurance and authorizations Ability to communicate effectively and clearly with all internal and external customers Detail-oriented with excellent follow-up. Solutions-minded, compliance-minded and results-oriented. Excellent planning skills with the ability to define, analyze and resolve issues quickly and accurately Ability to juggle multiple priorities successfully. Extremely strong organizational and communication skills. High-energy, a hands-on employee who thrives in a fast-paced work environment. Familiar with standard concepts, practices, and procedures within the field. Ability to work in a fast-paced, result-driven, and complex healthcare setting. Ability to meet strict deadlines and communicate timelines Takes a sense of ownership Capable of embracing unexpected change in direction or priority. Highly motivated to solve problems; proven troubleshooting skills and ability to analyze problems by type and severity Work Environment: Extensive telephone and computer usage. Use of computer mouse requires repetitive hand and wrist motion. Time off restricted during peak periods. Regular reaching, grasping and carrying of objects This position may be modified to reasonably accommodate an incumbent with a disability. This job requires the ability to work with others in a team environment, the ability to accept direction from superiors and the ability to follow Company policies and procedures. Regular, predictable and dependable attendance is essential to satisfactory performance of this job.

Dear Aspirants, Warm Greetings!! We are hiring for the following details, Position: (Experience) - AR Analyst - Charge Entry & Charge QC - Payment Posting Salary: Based on Performance & Experienced Exp : Min 1 year Required Joining: Immediate Joiner / Maximum 10 days NB: Freshers do not apply Work from office only (Direct Walkins Only) Monday to Saturday ( 11 am to 5 Pm ) Everyday Contact person Nausheen HR( 9043004655) Interview time (11Am to 5 Pm) Bring 2 updated resumes Refer( HR Name Nausheen Begum HR) Mail Id : nausheen@novigoservices.com Call / Whatsapp (9043004655) Refer HR Nausheen Location : Chennai , Ekkattuthangal Warm Regards, HR Recruiter Nausheen Begum H - HR Novigo Integrated Services Pvt Ltd,Sai Sadhan, 1st Floor, TS # 125, North Phase,SIDCOIndustrial Estate, Ekkattuthangal, Chennai 32 Contact details:- HR Nausheen nausheen@novigoservices.com Call / Whatsapp ( 9043004655)

Job description Dear Job Aspirants, Greetings from Global Healthcare Billing Partners Pvt. Ltd.!!!Hiring for Experienced Payment Posting @ Vadodara Location. JOB DETAILS : Experience : 1+ year of experience in Payment Posting. Work Mode : Office Salary : Best in Market RESPONSIBILITIES : Work in teams that process medical billing transactions and strive to achieve team goals Process Payment Posting transactions with an accuracy rate of 99% or more Absorb all business rules provided by the customer and process transactions with a high standard of accuracy and within the stipulated turnaround time Actively participate in company s learning and compliance initiatives Apply your knowledge of medical billing to report performance on customer KPIs COMPETENCIES / SKILL SET : * 1-4 Years of experience in Payment Posting * Excellent interpersonal and analytical skills .* Adaptability and Flexibility. * Good Knowledge of MS Office Word, Excel, and PowerPoint. * Constantly strive to meet the productivity, quality, and attendance SLA .* Willingness to be a team player and show initiative where needed. QUALIFICATIONS & WORK EXPERIENCE : * Any Graduate or Post Graduate with minimum 1 year of experience in Payment Posting Venue: Global Healthcare Billing Partners Pvt Ltd., Imperia Building, Nizampura, Vadodara, Gujarat Only Experience in Medical Billing Payment Posting Interested can whatsapp resume to 9157918101 Also can reach out to the mentioned number for interview. Required only experienced Candidate in Medical Billing for Vellore Location. Regards, Sujan HR 9157918101

Greetings from Saisystems Health Tech Pvt. Ltd !!! We are looking for Demo & Charge Entry position in our esteemed organizations. Open Positions : 5 Exp: 1 to 6yrs Required: Should be from US Healthcare background ( Physician Billing ) Should have 1+years experience in Demo & Charge Entry Good communication skills If you are interested, Kindly send your Resume through WhatsApp Contact Person: Nainar Mohamed Contact Number: 7358703376

Authorization & Referral Associate Summary GM Analytics Solutions is looking for a driven, dedicated and experienced Authorization & Referral Associate, who is experienced in the medical billing domain,. Authorization Analyst is articulate professionals who can communicate with insurance companies and other payers in regards to unpaid claims and assist with actions and information needed to properly review, dispute, or appeal denial until a determination is made to conclude the appeal. Who should be proficient in US healthcare, and is comfortable working in Night shift (US time). Job Description Minimum 1-3 years experience is required in Authorization & Referral process for US Healthcare & should have knowledge in Commercial & Workers Compensation Insurance. Who can receive medication referrals and collects insurance information via multiple methods, runs test claims, and Completes administrative duties. Work in teams that process Authorization & Referral transaction which strive to achieve team goal. Can review clinical documents for prior authorization/pre-determination submission purposes. Who can contact referral source, patient, and/or doctors office to obtain additional information that is required to Complete verification of benefits or prior approvals. Can perform outbound calls to patients or doctor offices to notify of any delays due to more information needed to Process or due to prior authorization. Provides exceptional customer service to external and internal customers, resolving any customer requests in A timely and accurate manner. Ensures the appropriate notification of patients in regard to their financial responsibility, benefit coverage, And payer authorization for services to be provided. Maintains prior authorizations and verifies insurance coverage for ongoing services. Completes all required duties, projects, and reports in a timely fashion on a daily, weekly, or monthly basis per The direction of the leadership. Collect, analyze, and record all required demographic, insurance/financial, and clinical data necessary to verify Patient information. Refer patients to Financial Counselors as needed to finalize payment for services. Document financial and pre-certification information according to a defined process on time. Request and coordinate financial verification and pre-certification as required to proceed with patient care; Document financial and pre-certification information according to defined process. Good Knowledge and understanding of Human Anatomy. Proficiency in Microsoft office tools Willingness to work the night shift Education/ Experience Requirements: Should be a Graduate from any stream. Should possess excellent communication & written skills. Quick and eager to learn and mold accordingly to the process needs. Should have knowledge in Medical Terminology, knowledge of the different types of health insurance plans; i.e. HMO s, PPOs, etc. Ability to effectively handle multiple priorities within a changing environment. Experience in diagnosing, Isolating, and resolving complex issues and recommending and implementing Strategies to resolve problems. Ability to coordinate with US counterpart either by phone or by email. Ability to multi-task and organizational timely follow up. Ability to follow established work schedule. Excellent Analytical Skills. Should have advanced computer knowledge in MS Office Suite, pMD soft, Acumen, Athena Health, and other applications/systems preferred. Salary BOE GM Analytics Solutions is an equal opportunity employer and considers qualified applicants for employment without regard to race, color, creed, religion, national origin, sex, sexual orientation, gender identity and expression, age, disability, veteran status, or any other protected factor. Competency Requirements: Must possess the following knowledge, skills & abilities to perform this job successfully: Broad understanding of clinical operations, front office, insurance and authorizations Ability to communicate effectively and clearly with all internal and external customers Detail-oriented with excellent follow-up. Solutions-minded, compliance-minded and results-oriented. Excellent planning skills with the ability to define, analyze and resolve issues quickly and accurately Ability to juggle multiple priorities successfully. Extremely strong organizational and communication skills. High-energy, a hands-on employee who thrives in a fast-paced work environment. Familiar with standard concepts, practices, and procedures within the field. Ability to work in a fast-paced, result-driven, and complex healthcare setting. Ability to meet strict deadlines and communicate timelines Takes a sense of ownership Capable of embracing unexpected change in direction or priority. Highly motivated to solve problems; proven troubleshooting skills and ability to analyze problems by type and severity Work Environment: Extensive telephone and computer usage. Use of computer mouse requires repetitive hand and wrist motion. Time off restricted during peak periods. Regular reaching, grasping and carrying of objects This position may be modified to reasonably accommodate an incumbent with a disability. This job requires the ability to work with others in a team environment, the ability to accept direction from superiors and the ability to follow Company policies and procedures. Regular, predictable and dependable attendance is essential to satisfactory performance of this job.

Job Title: Team Lead Charge Entry Location: Bangalore (Work from Office) Shift Timing: Day Shift Experience Required: 4 to 8 years (Must have Team Lead experience on paper ) Industry: Healthcare Revenue Cycle Management (RCM) Department: Physician Billing Job Summary: Omega Healthcare is looking for a dynamic and experienced Team Lead Charge Entry to manage and oversee the charge entry operations within our Physician Billing team. The ideal candidate will be responsible for ensuring accurate data entry of charges, leading a team of charge entry specialists, and collaborating with cross-functional teams to maintain a high level of quality and productivity. Key Responsibilities: • Supervise and lead a team of charge entry professionals in the RCM domain. • Ensure timely and accurate entry of medical charges into billing systems based on clinical documentation. • Monitor daily workload distribution and performance metrics to meet productivity and quality targets. • Provide training, guidance, and support to team members for continuous improvement. • Collaborate with internal QA and audit teams to maintain compliance and accuracy in charge entry. • Identify process gaps and implement improvement initiatives. • Generate reports and provide regular updates to senior management. • Address escalations and ensure resolutions are communicated effectively. • Maintain thorough documentation and ensure adherence to HIPAA and data privacy policies. Required Skills and Qualifications: • Bachelors degree in any discipline (preferably in Healthcare or Life Sciences). • 4 to 8 years of total experience in healthcare RCM, with a minimum of 2 years in a Team Lead role for Charge Entry . • Strong understanding of physician billing, medical coding, and charge entry processes. • Excellent leadership, communication, and interpersonal skills. • Proficient in MS Office tools and medical billing software. • Ability to work in a fast-paced environment and handle multiple priorities. • Eye for detail with strong analytical and problem-solving skills. Additional Information: • Relieving Letter: Not mandatory • Transport: 2-way cab facility provided • Salary: Best in the market, based on experience and skill set • Joiners: Immediate joiners preferred Interested candidates can apply by: Emailing resume to: venkatesh.ramesh@omegahms.com/8762650131 References are welcome!

Basic Section No. Of Openings 2 Grade 1A Designation Process Associate Closing Date 16 May 2025 Organisational Country IN State TAMIL NADU City COIMBATORE Location Coimbatore-II Skills Skill MIS BPO Vendor Management Business Analysis Financial Analysis CRM Outsourcing Process Improvement Project Management Business Development Education Qualification No data available CERTIFICATION No data available About The Role Role Description Overview: The Process Associate is accountable to manage day to day activities of Payment Posting or Demo & Charge or Correspondence or Charge Entry etc Responsibility Areas: To review emails for any updates Processing of Medical Data Entering charges and posting payments in the software Prepare and Maintain status reports. Understand the client requirements and specifications of the project Meet the productivity targets of clients within the stipulated time. Ensure that the deliverables to the client adhere to the quality standards.

Create and deliver powerful presentations and arrange demos that clearly communicate the uniqueness of the value proposition. Identifies the current and future customer project requirements by establishing personal rapport with each of them. Required Candidate profile Provides product, service, or equipment while analysing the technical requirements in detail. Prepares cost estimates by studying Product, service and Equipments required in it. In support

We are currently seeking talented individuals for multiple openings in Payment Posting, Denial Specialist, and Demo & Charge Entry roles. Payment Posting Specialist (End-to-End Process) - 10 positions available Denial Specialist (End-to-End Process) - 10 positions available Demo & Charge Entry Specialist - 10 positions available We are looking for candidates who can join immediately.

Positions: Quality Analyst - Charge Entry-2 Job Responsibilities: Meet daily with Team leaders/Supervisor and/or teammates to review previous day quality results. • Highlight potential issues in the operations to management • Work closely with new hires, anyone new to a process, or having difficulty with errors to ensure quality work is produced in future. • Trending errors to determine training opportunities • May provide small group or on-on-one training/cross-training • Develop recommendations for corrective action based on quality issues • Maintain current knowledge of billing requirements and system practices. This also includes making recommendations for new procedures. • Maintain and update Business Rule and Standard Operating Procedures as needed • Must be able to meet established production and quality standards. • May be working processes in times of backlog to help team maintain production requirements. • Maintain and track accuracy rates for all customers. Requirements: • 3+ years Medical Healthcare billing or Healthcare billing customer service experience • Proficiency in Microsoft Word and Excel as well as Internet/Web applications • Strong knowledge of Medical Billing System processes and the Revenue Cycle Management with a demonstrated understanding of how system impacts patient, client and insurance billing. • Must possess excellent interpersonal skills and the ability to work with others in a positive manner in both written and verbal communication. • High degree of accuracy, attention to detail, and organizational skills. • Excellent problem solving and decision-making skills. • Ability to work in a fast paced environment and meet deadlines

Skill required: Retirement Solutions - Claims Case Mgmt - Claims Processing Designation: Claims Management Associate Qualifications: Any Graduation Years of Experience: 1 to 3 years About Accenture Accenture is a global professional services company with leading capabilities in digital, cloud and security.Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song all powered by the worlds largest network of Advanced Technology and Intelligent Operations centers. Our 699,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120 countries. We embrace the power of change to create value and shared success for our clients, people, shareholders, partners and communities.Visit us at www.accenture.com What would you do? Tower:UK Life and Pensions-Claims Processing What are we looking for? Skillset:Graduate in any stream.Open to flexible shifts based on business requirements.Good verbal & written communication skillsGood typing skill and attention to detail.Good time management skills. Ability work independentlyMust have/ minimum requirementMinimum of 2 years experience in the UK Life, Pensions and Investment domain, specifically Claims processing with equivalent experience in U.S. retirement services will also be considered.Strong analytical and comprehension skills with the ability to interpret information accurately and draw meaningful insights.Proficient in Microsoft Office tools, including Excel, Word, and Outlook, for reporting, documentation, and daily operations. Roles and Responsibilities: Roles & Responsibilities:Assess claims to determine coverage eligibility and benefit entitlements in line with policy terms and regulatory guidelines.Conduct thorough research to validate policy details, support documentation, and calculate the correct benefit amount.Identify and confirm the appropriate payee or beneficiary before initiating claims payment.Ensure accurate eligibility verification and payment processing in compliance with organizational policies and regulatory requirements (including UK-specific and applicable local laws).Review the proof of employment, salary history and other information needed to calculate benefits for Pensions claims.Verify the information and eligibility for the benefits of Pensions claims.Complies with all regulatory requirements, procedures, and State/Local regulations.Researching on any queries/ requests sent by the Business Partners/Client Support Teams and replying the same with minimum response time.Taking active participation in process improvements and automation.Ensure Quality Control standards that have been set are adhered to.Excellent organizational skills with ability identify and prioritize high value transactions.Completing assigned responsibilities and projects within timelines apart from managing daily BAU. Qualification Any Graduation

Skill required: Retirement Solutions - Claims Case Mgmt - Claims Processing Designation: Claims Management Associate Qualifications: Any Graduation Years of Experience: 1 to 3 years About Accenture Accenture is a global professional services company with leading capabilities in digital, cloud and security.Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song all powered by the worlds largest network of Advanced Technology and Intelligent Operations centers. Our 699,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120 countries. We embrace the power of change to create value and shared success for our clients, people, shareholders, partners and communities.Visit us at www.accenture.com What would you do? Tower:UK Life and Pensions-Claims Processing What are we looking for? Skillset:Graduate in any stream.Open to flexible shifts based on business requirements.Good verbal & written communication skillsGood typing skill and attention to detail.Good time management skills. Ability work independentlyMust have/ minimum requirementMinimum of 2 years experience in the UK Life, Pensions and Investment domain, specifically Claims processing with equivalent experience in U.S. retirement services will also be considered.Strong analytical and comprehension skills with the ability to interpret information accurately and draw meaningful insights.Proficient in Microsoft Office tools, including Excel, Word, and Outlook, for reporting, documentation, and daily operations. Roles and Responsibilities: Roles & Responsibilities:Assess claims to determine coverage eligibility and benefit entitlements in line with policy terms and regulatory guidelines.Conduct thorough research to validate policy details, support documentation, and calculate the correct benefit amount.Identify and confirm the appropriate payee or beneficiary before initiating claims payment.Ensure accurate eligibility verification and payment processing in compliance with organizational policies and regulatory requirements (including UK-specific and applicable local laws).Review the proof of employment, salary history and other information needed to calculate benefits for Pensions claims.Verify the information and eligibility for the benefits of Pensions claims.Complies with all regulatory requirements, procedures, and State/Local regulations.Researching on any queries/ requests sent by the Business Partners/Client Support Teams and replying the same with minimum response time.Taking active participation in process improvements and automation.Ensure Quality Control standards that have been set are adhered to.Excellent organizational skills with ability identify and prioritize high value transactions.Completing assigned responsibilities and projects within timelines apart from managing daily BAU. Qualification Any Graduation

Job Description : Obtains prior-authorizations and referrals from insurance companies prior to procedures or Surgeries utilizing online websites or via telephone. Monitors and updates current Orders and Tasks to provide up-to-date and accurate information. Provides insurance companies with clinical information necessary to secure prior-authorization or referral. Good understanding of the medical terminology and progress notes. Obtains and/or reviews patient insurance information and eligibility verification to obtain prior-authorizations for injections, DME, Procedures, and surgeries. Request retro-authorizations when needed.

Skill required: Retirement Solutions - Claims Case Mgmt - Claims Processing Designation: Claims Management Associate Qualifications: Any Graduation Years of Experience: 1 to 3 years About Accenture Accenture is a global professional services company with leading capabilities in digital, cloud and security.Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song all powered by the worlds largest network of Advanced Technology and Intelligent Operations centers. Our 699,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120 countries. We embrace the power of change to create value and shared success for our clients, people, shareholders, partners and communities.Visit us at www.accenture.com What would you do? Tower:UK Life and Pensions-Claims Processing What are we looking for? Skillset:Graduate in any stream.Open to flexible shifts based on business requirements.Good verbal & written communication skillsGood typing skill and attention to detail.Good time management skills. Ability work independentlyMust have/ minimum requirementMinimum of 2 years experience in the UK Life, Pensions and Investment domain, specifically Claims processing with equivalent experience in U.S. retirement services will also be considered.Strong analytical and comprehension skills with the ability to interpret information accurately and draw meaningful insights.Proficient in Microsoft Office tools, including Excel, Word, and Outlook, for reporting, documentation, and daily operations. Roles and Responsibilities: Roles & Responsibilities:Assess claims to determine coverage eligibility and benefit entitlements in line with policy terms and regulatory guidelines.Conduct thorough research to validate policy details, support documentation, and calculate the correct benefit amount.Identify and confirm the appropriate payee or beneficiary before initiating claims payment.Ensure accurate eligibility verification and payment processing in compliance with organizational policies and regulatory requirements (including UK-specific and applicable local laws).Review the proof of employment, salary history and other information needed to calculate benefits for Pensions claims.Verify the information and eligibility for the benefits of Pensions claims.Complies with all regulatory requirements, procedures, and State/Local regulations.Researching on any queries/ requests sent by the Business Partners/Client Support Teams and replying the same with minimum response time.Taking active participation in process improvements and automation.Ensure Quality Control standards that have been set are adhered to.Excellent organizational skills with ability identify and prioritize high value transactions.Completing assigned responsibilities and projects within timelines apart from managing daily BAU. Qualification Any Graduation

Skill required: Retirement Solutions - Claims Case Mgmt - Claims Processing Designation: Claims Management Associate Qualifications: Any Graduation Years of Experience: 1 to 3 years About Accenture Accenture is a global professional services company with leading capabilities in digital, cloud and security.Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song all powered by the worlds largest network of Advanced Technology and Intelligent Operations centers. Our 699,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120 countries. We embrace the power of change to create value and shared success for our clients, people, shareholders, partners and communities.Visit us at www.accenture.com What would you do? Tower:UK Life and Pensions-Claims Processing What are we looking for? Skillset:Graduate in any stream.Open to flexible shifts based on business requirements.Good verbal & written communication skillsGood typing skill and attention to detail.Good time management skills. Ability work independentlyMust have/ minimum requirementMinimum of 2 years experience in the UK Life, Pensions and Investment domain, specifically Claims processing with equivalent experience in U.S. retirement services will also be considered.Strong analytical and comprehension skills with the ability to interpret information accurately and draw meaningful insights.Proficient in Microsoft Office tools, including Excel, Word, and Outlook, for reporting, documentation, and daily operations. Roles and Responsibilities: Roles & Responsibilities:Assess claims to determine coverage eligibility and benefit entitlements in line with policy terms and regulatory guidelines.Conduct thorough research to validate policy details, support documentation, and calculate the correct benefit amount.Identify and confirm the appropriate payee or beneficiary before initiating claims payment.Ensure accurate eligibility verification and payment processing in compliance with organizational policies and regulatory requirements (including UK-specific and applicable local laws).Review the proof of employment, salary history and other information needed to calculate benefits for Pensions claims.Verify the information and eligibility for the benefits of Pensions claims.Complies with all regulatory requirements, procedures, and State/Local regulations.Researching on any queries/ requests sent by the Business Partners/Client Support Teams and replying the same with minimum response time.Taking active participation in process improvements and automation.Ensure Quality Control standards that have been set are adhered to.Excellent organizational skills with ability identify and prioritize high value transactions.Completing assigned responsibilities and projects within timelines apart from managing daily BAU. Qualification Any Graduation

Skill required: Retirement Solutions - Claims Case Mgmt - Claims Processing Designation: Claims Management Associate Qualifications: Any Graduation Years of Experience: 1 to 3 years About Accenture Accenture is a global professional services company with leading capabilities in digital, cloud and security.Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song all powered by the worlds largest network of Advanced Technology and Intelligent Operations centers. Our 699,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120 countries. We embrace the power of change to create value and shared success for our clients, people, shareholders, partners and communities.Visit us at www.accenture.com What would you do? Tower:UK Life and Pensions-Claims Processing What are we looking for? Skillset:Graduate in any stream.Open to flexible shifts based on business requirements.Good verbal & written communication skillsGood typing skill and attention to detail.Good time management skills. Ability work independentlyMust have/ minimum requirementMinimum of 2 years experience in the UK Life, Pensions and Investment domain, specifically Claims processing with equivalent experience in U.S. retirement services will also be considered.Strong analytical and comprehension skills with the ability to interpret information accurately and draw meaningful insights.Proficient in Microsoft Office tools, including Excel, Word, and Outlook, for reporting, documentation, and daily operations. Roles and Responsibilities: Roles & Responsibilities:Assess claims to determine coverage eligibility and benefit entitlements in line with policy terms and regulatory guidelines.Conduct thorough research to validate policy details, support documentation, and calculate the correct benefit amount.Identify and confirm the appropriate payee or beneficiary before initiating claims payment.Ensure accurate eligibility verification and payment processing in compliance with organizational policies and regulatory requirements (including UK-specific and applicable local laws).Review the proof of employment, salary history and other information needed to calculate benefits for Pensions claims.Verify the information and eligibility for the benefits of Pensions claims.Complies with all regulatory requirements, procedures, and State/Local regulations.Researching on any queries/ requests sent by the Business Partners/Client Support Teams and replying the same with minimum response time.Taking active participation in process improvements and automation.Ensure Quality Control standards that have been set are adhered to.Excellent organizational skills with ability identify and prioritize high value transactions.Completing assigned responsibilities and projects within timelines apart from managing daily BAU. Qualification Any Graduation