189 Claim Payment Jobs

Job Title: TPA Manager Location: Miri Piri Institute of Medical Science & Research, Shahabad Markanda, Kurukshetra (Haryana) Hospital Strength: 420+ bedded upcoming super-specialty hospital & upcoming medical college (100 MBBS seats) Position Overview We are seeking an experienced and detail-oriented TPA Manager to lead and manage all Third-Party Administrator (TPA), insurance, CGHS, ECHS, and Ayushman cases. The role involves overseeing pre-authorization, billing, claims settlement, and ensuring smooth coordination between patients, TPAs, and hospital departments while maintaining compliance and accuracy. Key Responsibilities Handle end-to-end TPA, Insurance, Ayushman, CGHS, and ECHS cases. Coordinate with patients, TPA representatives, and consultants for pre-authorization approvals. Monitor real-time admission intimation, approval status, and treatment cost estimates. Ensure accurate preparation and timely submission of claims to TPAs/Insurance companies. Follow up on pending claims, resolve queries, and minimize claim rejections. Maintain updated records of approvals, discharges, and settlement status. Collaborate with billing, finance, and medical teams for seamless case management. Train and guide TPA executives in documentation and claim processing. Ensure compliance with NABH requirements, audit standards, and hospital policies. Generate MIS reports on approvals, rejections, pending claims, and revenue flow. Eligibility Qualification: Graduate/Postgraduate in Healthcare Administration, Finance, or related field. Experience: Minimum 5 years of experience in TPA/Insurance management in a multi-specialty hospital. Skills: Strong knowledge of insurance/TPA processes, claim settlement, negotiation, MIS reporting, patient handling, and excellent communication. Why Join Us? Be part of an upcoming medical college with 100 MBBS seats backed by the credibility of SGPC . Opportunity to work in a 420+ bedded super-specialty hospital with advanced facilities. Supportive work culture, timely salary , and ethical governance. Significant scope to grow in hospital operations and insurance management. Contact for Queries: +91 9650779097 Email: miripirihr@gmail.com

TATA AIG General Insurance Company Limited is looking for Deputy Manager - Health Claims to join our dynamic team and embark on a rewarding career journey Assist the Manager in the day-to-day operations of the business, including setting goals, developing strategies, and overseeing the work of team members Take on leadership responsibilities as needed, including managing team members and making decisions in the absence of the Manager Identify and address problems or challenges within the business, and develop and implement solutions Collaborate with other departments and teams to ensure smooth and efficient operations Maintain accurate records and documentation Contribute to the development and implementation of business plans and goals Disclaimer: This job description has been sourced from a public domain and may have been modified by Naukri.com to improve clarity for our users. We encourage job seekers to verify all details directly with the employer via their official channels before applying.

Managing Deduction claims and Invoice claims processing in SAP TPM Assist with promotional event enrolments / claim approvals. Ensure all customer contract legends are current to provide Trade Promotion Analyst guidance. Maintain a strong control environment with accurate trade accruals, contract approvals and verification. Manage exception through verbal and written interactions with Sales and Sales Finance. Responsibilities Managing Deduction claims and Invoice claims processing in SAP TPM Assist with promotional event enrolments / claim approvals. Ensure all customer contract legends are current to provide Trade Promotion Analyst guidance. Maintain a strong control environment with accurate trade accruals, contract approvals and verification. Manage exception through verbal and written interactions with Sales and Sales Finance. Qualifications 1-4 Years of Financial work experience Excellent analytical skills and the ability to translate analytical findings into actionable solutions and processes. Strong communication skills to manage information gathering requests. Results oriented with the ability to complete assignments in a timely manner. Proficient in Microsoft Excel with the ability to quickly learn SAP CRM/BW software applications. 1-4 Years of Financial work experience Excellent analytical skills and the ability to translate analytical findings into actionable solutions and processes. Strong communication skills to manage information gathering requests. Results oriented with the ability to complete assignments in a timely manner. Proficient in Microsoft Excel with the ability to quickly learn SAP CRM/BW software applications. Managing Deduction claims and Invoice claims processing in SAP TPM Assist with promotional event enrolments / claim approvals. Ensure all customer contract legends are current to provide Trade Promotion Analyst guidance. Maintain a strong control environment with accurate trade accruals, contract approvals and verification. Manage exception through verbal and written interactions with Sales and Sales Finance.

Overview The Provider Enrollment Specialist works in conjunction with the Provider Enrollment Manager to identify Provider Payer Enrollment issues or denials. This position is responsible for researching, resolving, and enrolling any payer issues, utilizing a variety of proprietary and external tools. This will require contacting clients, operations personnel, and Centers for Medicare & Medicaid Services (CMS) via phone, email, or website Responsibilities Performs follow-up with market locations to research and resolve payer enrollment issues Performs follow-up with Centers for Medicare & Medicaid Services (CMS), and other payer via phone, email or website to resolve any Payer Enrollment issues Manages the completion and submission of CMS Medicare, State Medicaid and any other third-party payer applications Performs tracking and follow-up to ensure provider numbers are established and linked to the appropriate client group entity and proper software systems Maintains documentation and reporting regarding payer enrollments in process. Retains records related to completed CMS applications Establishes close working relationships with Clients, Operations, and Revenue Cycle Management team Proactively obtains, tracks, and manages all payer revalidation dates for all assigned groups/providers as well as complete, submit, and track the required applications to maintain active enrollment and prevent deactivation Maintains provider demographics in all applicable enrollment systems Adds providers to all applicable systems and maintains information to ensure claims are held/released based on status of enrollment Performs special projects and other duties as assigned Qualifications Associate's degree (2 years), required and Bachelor's degree in any related field, preferred. At least one (1) year of provider enrollment experience preferred.

ROLE & RESPONSIBILITIES Preauthorization claim processing Manage the Turnaround time. Quality adjudication with Errorless Rotational basis shift (8 AM to 10:30 PM) WFO only QUALIFICATION & EXPERIENCE: BHMS/BAMS/BUMS/BDS/BPT 1-2 years Experience Knowledge of insurance field Strong medical knowledge Fresher also can apply KEY COMPETENCIES & SKILLS REQUIRED MS office Communication Medical knowledge/disease knowledge Note- Interested candidates can share their resume at vishali.massey@nivabupa.com

Claims Executive Responsibilities: Receiving and answering emails, telephone calls related to claims Advice policyholders on claim procedure Ensure fair settlement of a claim with TAT Manage all administration aspects of the claim

Salary: Up to 23,000 CTC + Incentives (5,000 – 7,000) Qualification: Minimum 12th Pass with Experience / Graduate fresher Shift Timing: 5:30 PM – 2:30 AM (Fixed Shift) Working Days: 5 Days/Week (Saturday & Sunday Fixed Off) Facilities: Cab + meal

Coding profile Indent- 6 Location- Thane Eligibility criteria- HSC/Graduate - minimum 1 year coding experience mandatory Routine - 5 days, 2 rotational week offs 24*7 rotational shifts CTC - 5 LPA In hand - 35k Follow Thane IBU boundaries

WE ARE HIRING AUTHORIZATION Process Indent- 50 Authorization Batch date - Immediate joiner looking Location- Thane Eligibility criteria- HSC/Graduate - Experience minimum 1 year Authorization experience for Authorization profile Required Candidate profile Requirement 50 for Authorization Routine - 5 days, 2 rotational week offs 24*7 rotational shifts CTC - 5 LPA In hand - up to 35k based on last drawn Follow Thane IBU boundaries

Hiring for Ar and medical billing *50% candidates with any experience on paper and 50% candidates from AR - medical billing experience required. AR - Medical Billing experience mandatory for this Thane Location Blended process- voice and chat Required Candidate profile 24*7 shifts 2 offs Hsc/Graduate with minimum 6 months of any experience on paper Minimum 6 months AR - Medical billing experience or above - 25k in hand Graduate freshers - 21k in hand HR-amcat-ops

Our Client is hiring for Claim Handler at Mumbai Location. Role type - Dedicated claims handler Work location - Work from office Mumbai, Vikhroli. Timings - 10 am - 7 pm. Monday to Saturday - Acko, Digit, Care TPA - Medi assist, Vidal Health, FHPL Required Candidate profile Preferred roles - Client Servicing, CRM, Claims handler, Customer support (If they understand claims terminology. Comms expectation - Interaction with Customers and Partners TPA/insurers

Our Client is hiring for Claim Handler at Mumbai Location. Role type - Dedicated claims handler Work location - Work from office Mumbai, Vikhroli. Timings - 10 am - 7 pm. Monday to Saturday - Acko, Digit, Care TPA - Medi assist, Vidal Health, FHPL Required Candidate profile Preferred roles - Client Servicing, CRM, Claims handler, Customer support (If they understand claims terminology. Comms expectation - Interaction with Customers and Partners TPA/insurers

Indent- 5 DOJ - Immediate Requirement- Excellent comms (C2) Hsc/ Grad - Minimum 6 months to 1 year of AR medical billing bpo experience is mandate Comms skill - Excellent Required Candidate profile Rounds of Interview: HR - Amcat - Ops Work from office - Thane Shift: rotational 24/7 Week Off- 2 rotational week offs Follow Thane IBU transport boundaries

Indent- 5 DOJ - Immediate Requirement- Excellent comms (C2) Hsc/ Grad - Minimum 6 months to 1 year of AR medical billing bpo experience is mandate Comms skill - Excellent Required Candidate profile Rounds of Interview: HR - Amcat - Ops Work from office - Thane Shift: rotational 24/7 Week Off- 2 rotational week offs Follow Thane IBU transport boundaries

Hiring for US Healthcare Voice process -Thane Location - Work from office THANE LOCATION Rounds : HR-Amcat- Writex-Ops- Typing Quality: C2 HSC/Graduate with a minimum of 6 months or above of voice based customer service experience mandatory Required Candidate profile Comms skill - Excellent Assessments - Amcat - SVAR score of 69 mandatory Shifts: 24*7 rotational shifts (strictly follow IBU boundaries) Week offs: 5days of working. Any 2 Rotational week offs

Requirement- Excellent comms English (C2/C1 only) Hsc/ Grad - Minimum 6 months - 1 year international Bpo experience is mandate . FOR DJO AR - 6 months or above experience in AR - medical billing or BPO based voice customer service experience Required Candidate profile Rounds of Interview: HR - Amcat - Operations round Work from office - Thane location Shift: Any 9hrs btwn 5.30pm-6.30am shift Week Off- 2 Rotational week offs Date of joining - Immediate

About The Role Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management Senior Analyst Qualifications: Any Graduation Years of Experience: 5 to 8 years Language - Ability: English(International) - Intermediate 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? We help insurers redefine their customer experience while accelerating their innovation agenda to drive sustainable growth by transforming to an intelligent operating model. Intelligent Insurance Operations combines our advisory, technology, and operations expertise, global scale, and robust ecosystem with our insurance transformation capabilities. It is structured to address the scope and complexity of the ever-changing insurance environment and offers a flexible operating model that can meet the unique needs of each market segment.Claim processing team collects end-end data dataDevelop and deliver business solutions that support the claims process across its lifecycle, including first notice of loss, claims investigation, payment administration or adjudication, provider reimbursement (health care), subrogation and recovery. What are we looking for? Property and Casualty InsuranceAbility to establish strong client relationshipAbility to manage multiple stakeholdersAbility to perform under pressureProcess-orientationWritten and verbal communicationPayment Processing Operations Roles and Responsibilities: In this role you are required to do analysis and solving of increasingly complex problems Your day to day interactions are with peers within Accenture You are likely to have some interaction with clients and/or Accenture management You will be given minimal instruction on daily work/tasks and a moderate level of instruction on new assignments Decisions that are made by you impact your own work and may impact the work of others In this role you would be an individual contributor and/or oversee a small work effort and/or team Please note that this role may require you to work in rotational shifts Qualification Any Graduation

HEALTHCARE AR PROCESS Thane Location Blended process DOJ - 3rd week of May 24*7 rotational shifts 2 rotational week offs Hsc/Graduate with minimum 6 months experience as AR - Medical billing (mandatory) Required Candidate profile Salary - 25k in hand (based on qualification and/or experience) HR-amcat-ops Follow updated Thane IBU transport boundaries

UK Health Care Process Nature of Work : Claim Processing/ Backend Candidates should have their own system and internet connection Configuration required Windows 10 Processor - i3/i5 RAM - 4 GB Speed - 10mbps rotational shifts, 5 days working Required Candidate profile Rounds of Interviews - HR - Medical Test - Email Test - Amcat - Ops

Coding profile Indent- 6 Location- Thane Eligibility criteria- HSC/Graduate - minimum 1 year coding experience mandatory Routine - 5 days, 2 rotational week offs 24*7 rotational shifts CTC - 5 LPA In hand - 35k Follow Thane IBU boundaries

WE ARE HIRING AUTHORIZATION Process Indent- 50 Authorization Batch date - Immediate joiner looking Location- Thane Eligibility criteria- HSC/Graduate - Experience minimum 1 year Authorization experience for Authorization profile Required Candidate profile Requirement 50 for Authorization Routine - 5 days, 2 rotational week offs 24*7 rotational shifts CTC - 5 LPA In hand - up to 35k based on last drawn Follow Thane IBU boundaries

Hiring for Ar and medical billing *50% candidates with any experience on paper and 50% candidates from AR - medical billing experience required. AR - Medical Billing experience mandatory for this Thane Location Blended process- voice and chat Required Candidate profile 24*7 shifts 2 offs Hsc/Graduate with minimum 6 months of any experience on paper Minimum 6 months AR - Medical billing experience or above - 25k in hand Graduate freshers - 21k in hand HR-amcat-ops

Our Client is hiring for Claim Handler at Mumbai Location. Role type - Dedicated claims handler Work location - Work from office Mumbai, Vikhroli. Timings - 10 am - 7 pm. Monday to Saturday - Acko, Digit, Care TPA - Medi assist, Vidal Health, FHPL Required Candidate profile Preferred roles - Client Servicing, CRM, Claims handler, Customer support (If they understand claims terminology. Comms expectation - Interaction with Customers and Partners TPA/insurers

Our Client is hiring for Claim Handler at Mumbai Location. Role type - Dedicated claims handler Work location - Work from office Mumbai, Vikhroli. Timings - 10 am - 7 pm. Monday to Saturday - Acko, Digit, Care TPA - Medi assist, Vidal Health, FHPL Required Candidate profile Preferred roles - Client Servicing, CRM, Claims handler, Customer support (If they understand claims terminology. Comms expectation - Interaction with Customers and Partners TPA/insurers

Indent- 5 DOJ - Immediate Requirement- Excellent comms (C2) Hsc/ Grad - Minimum 6 months to 1 year of AR medical billing bpo experience is mandate Comms skill - Excellent Required Candidate profile Rounds of Interview: HR - Amcat - Ops Work from office - Thane Shift: rotational 24/7 Week Off- 2 rotational week offs Follow Thane IBU transport boundaries