47 Claim Processing Jobs - Page 2

Samved e-Care Pvt Ltd is a prominent healthcare claim and TPA service provider in India, offering hospitals advanced claim processing solutions. We are currently seeking a diligent and detail-oriented TPA Assistant to become part of our team in Ahmedabad. The ideal candidate will have the opportunity to thrive in the healthcare administration sector and contribute to optimizing cashless claim procedures for our affiliated hospitals. As a TPA Assistant, your primary responsibilities will include supporting cashless claim processing and documentation, ensuring timely submission and approval of claims by collaborating with hospitals, patients, and insurance TPAs. You will be responsible for dat...

Role & responsibilities Tariff Negotiations and cost management Conducting surprise audits and checks of the claims and case to case negotiations Manage workload of both field and office effectively Experience in dealing with providers (Hospitals/Diagnostics & OPD Clinics) Understanding of Health Claims and claim related processes Good understanding of Health Insurance and related products Managing relationship with the providers Flexible to travel across locations based on the organizational requirements Managing internal (Claims Team, Sales and Central Teams and external stakeholders (Brokers, Channel partners & Corporates) Managing and controlling of cost for the portfolio assigned Timely...

Job Summary: We are looking for a skilled and detail-oriented AR Caller to join our healthcare RCM team. The AR Caller will be responsible for following up with insurance companies and patients on outstanding medical claims, ensuring accurate and timely reimbursement for healthcare services rendered. Key Responsibilities: Review unpaid or denied medical claims from insurance companies. Follow up with insurance companies via phone calls to understand claim status and resolve denials or delays. Initiate appeals or re-submissions as required to ensure maximum claim reimbursement. Document all call details and actions taken accurately in the billing system. Analyze and understand Explanation of ...

As a Claim Processing professional, you will be responsible for handling all aspects of claim processing efficiently and accurately. This includes ensuring compliance with established guidelines and documentation requirements. Your role will involve providing exceptional customer and internal support to address inquiries and resolve issues in a timely manner. In addition to claim processing responsibilities, you will also be tasked with various administrative duties to support the smooth operation of the department. This may include tracking warranty parts and deliveries to ensure timely fulfillment of orders. You will be expected to adapt to changing priorities and perform any other adminis...

Role & responsibilities Warranty failure investigation Warranty/GW Claim processing in System AMC Claim processing in System Warranty parts sending to plant as per the desired list shared by Plant team. Coordinating with plant warranty team & CSM for settlement of claims BDMS claim processing and approval

Urgent Opening for Back Office Executive Good English Communication required (Verbal and Written) Min 6 months to maximum 2 years experience in back office Ready to work in early morning shift 4.30AM to 1.30PM 2 Rotational week offs Salary based on last drawn (Max 25000) Pick up provided. Location : Thane, Kalwa, Airoli, Mulund, Bhandup Immediate joiners required Interested candidates can share the updated CV on whatsapp 7900117773 Email to: [HIDDEN TEXT]

Role & responsibilities A key member of Customer Service Operations team, responsible for providing an efficient, effective and compliant service to policyholders. Key accountabilities include handling of simple and complex cases, quality in service delivery, accuracy in providing and capturing information while adhering to compliance guidelines and support to team managers. Preferred candidate profile Good verbal and written communication skills Freshers eligible ; Preference would be given to individuals from an insurance background with approximately 1 years experience (Insurance Associate) with experience in handling written communication Perks and benefits Hybrid working mode - 3 days i...

Role & responsibilities 1. Making the inpatients billing without errors. 2. Maintaining the transparency in billing. 3. Proper updation of chargeable items in the patients bills. 4. Before finalizing the bills to be confirmed with few departments like OT Blood bank regarding any costly item to be used to the patients. 5. If it is company Patients to be confirmed with approval letters and supporting documents before finalizing the bills & collection of non-medical charges, co-payments etc. 6. Giving proper explanation to the patient's attender regarding the final bill. 7. Proper collection of cash and deposit e to the Bank. 8. Day to day transactions, cash handling details, and petty cash det...

1) Receiving of claims courier sent by employees 2) Segregation of claims according to department, 3) Validation of employee claims as per the Travel policy, GST requirements and Eligibility by following internal processes and SOPs in CRM 4) Communication of status of claim process and related queries and updates by e-mail and CRM 5) Co-ordinate by calling the employees on disputed balance confirmations and clarifying the doubts and get the confirmations 6) Preparing of weekly exception and pending claims report and GST sheets 7) Follow up mails in case of no revert 8) Accounting of Claims into weekly batch, 9) Writing file numbers on the accounted claims and filing of the hard copies of the...

Key Responsibilities: Process insurance claims efficiently and accurately. Ensure compliance with company policies and industry regulations. Coordinate with internal teams and external stakeholders to resolve claim-related issues. Maintain detailed records and documentation of all claims. Key Skills: Mandatory:Claim Processing Preferred:Experience in insurance domain, familiarity with healthcare processes, and prior experience in a startup environment. Additional Criteria: Candidates with experience in startups will be given preference. Strong attention to detail and ability to work in a fast-paced environment.

Description We are looking for enthusiastic AR Callers to join our team in India. This role is ideal for freshers or entry-level candidates who are eager to start their career in accounts receivable and finance. The successful candidates will be responsible for managing calls related to outstanding payments, ensuring timely collection, and maintaining accurate records. Responsibilities Handle inbound and outbound calls related to accounts receivable. Follow up with clients to collect outstanding payments and resolve discrepancies. Maintain accurate records of calls and payments received. Communicate effectively with clients and internal teams to resolve issues. Prepare and send invoices to c...

R1 RCM India is proud to be recognized amongst India's Top 50 Best Companies to Work Fo2023 by Great Place To Work Institute. 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. Responsibilities: Follow up with the payer to check ...

Handle incoming calls &emails related to insurance claims with professionalism, empathy Provide accurate information and support to policyholders regarding claim status, documentation, procedures Proficient in CRM software and Microsoft Office tools Required Candidate profile Assist in claim intake, verification, and documentation in accordance with company and regulatory standards. Collaborate with internal claims Excellent verbal and written communication skills. Perks and benefits Perks and Benefits

I. Primary Responsibilities Prepare placement slips, generate UMR, calculate premiums, issue debit and credit notes for Cedants and Re-insurers Perform sanction checks on booked accounts, verify policies booked after inception, and organize debit notes, credit notes, and tax invoices for future reference Suggest and implement improvements to accounting processes for enhanced efficiency and accuracy Collaborate with internal teams, communicate with clients and liaise with regulatory bodies to ensure smooth operations and compliance II. Additional Responsibilities Understanding of best practices in business processes and quality assurance Ability to work independently and as part of a team to ...

* Updating records and files in portal * Knowledge in computers like MS office. * Usage of company platform for patients data updation. * Database management. * Good interpersonal skill. * Coordination with other team members and internal department of the hospital * Share daily activity report to the reporting manager Note: Apply only if fine to work at hospital and location

Manages the processing of health insurance claims incld. coordinating with hospitals, patients, and insurance companies to ensure efficient and accurate claim processing, pre-authorization, document verification, and report generation & compliances.

Post: Bodyshop Advisor Location: Bhilai. & Raipur Duties: Handle customer accident inquiries, prepare repair estimates, coordinate with insurers, maintain service standards and support workshop team for smooth operations and satisfaction. Required Candidate profile Qualification: Diploma/BE/B.Tech Mechanical Experience: Minimum 6 month Bodyshop or Service Advisor Experience in any Automobile Dealer Contact: Siya: 9111028805 From Cafyo Private Limited

- As a claim processing executive you will be responsible for handling all claim related activities on day today basis. - Checking all documents submitted by customers. - Verification of all documents with doctors, hospitals to cross check them for further process. - Coordination with customer if any document is missing or fake. Mentioning remark on every documents. - Coordination with head office to submit claim reports. - Coordination with branch head and other managers for smooth work process. - Maintaining MIS report on daily basis Qualification : MBBS, BAMS, BHMS Experience : 2 to 10 years in health insurance claim processing

- As a claim processing executive you will be responsible for handling all claim related activities on day today basis. - Checking all documents submitted by customers. - Verification of all documents with doctors, hospitals to cross check them for further process. - Coordination with customer if any document is missing or fake. Mentioning remark on every documents. - Coordination with head office to submit claim reports. - Coordination with branch head and other managers for smooth work process. - Maintaining MIS report on daily basis Qualification : MBBS, BAMS, BHMS Experience : 2 to 10 years in health insurance claim processing

- As a claim processing executive you will be responsible for handling all claim related activities on day today basis. - Checking all documents submitted by customers. - Verification of all documents with doctors, hospitals to cross check them for further process. - Coordination with customer if any document is missing or fake. Mentioning remark on every documents. - Coordination with head office to submit claim reports. - Coordination with branch head and other managers for smooth work process. - Maintaining MIS report on daily basis Qualification : MBBS, BAMS, BHMS Experience : 2 to 10 years in health insurance claim processing

- As a claim processing executive you will be responsible for handling all claim related activities on day today basis. - Checking all documents submitted by customers. - Verification of all documents with doctors, hospitals to cross check them for further process. - Coordination with customer if any document is missing or fake. Mentioning remark on every documents. - Coordination with head office to submit claim reports. - Coordination with branch head and other managers for smooth work process. - Maintaining MIS report on daily basis Qualification : MBBS, BAMS, BHMS Experience : 2 to 10 years in health insurance claim processing

- As a claim processing executive you will be responsible for handling all claim related activities on day today basis. - Checking all documents submitted by customers. - Verification of all documents with doctors, hospitals to cross check them for further process. - Coordination with customer if any document is missing or fake. Mentioning remark on every documents. - Coordination with head office to submit claim reports. - Coordination with branch head and other managers for smooth work process. - Maintaining MIS report on daily basis Qualification : MBBS, BAMS, BHMS Experience : 2 to 10 years in health insurance claim processing