6 Claim Resolution Jobs

As the primary contact for warranty, insurance, and disposal-related matters, you will play a crucial role in supporting claim resolution, conducting cost analysis, and implementing process improvements to enhance operational efficiency. Your responsibilities will include managing warranty claims for components and systems to ensure compliance, handling aviation insurance claims by collaborating with brokers and adjusters, tracking, analyzing, and resolving claim data to enhance risk mitigation, coordinating the disposal of obsolete or unserviceable parts in adherence to regulations and environmental standards, and maintaining accurate records and reporting for warranty, insurance, and disposal activities. To excel in this role, you should possess a Bachelor's degree in Engineering, Business, or Aircraft Technical Operations, along with a minimum of 12 years of experience in warranty, insurance, procurement, or supply chain management, with at least 3 years of specific experience preferred. Additionally, you must have a sound understanding of aviation warranty processes, insurance policies, and disposal procedures to effectively fulfill the requirements of this position.,

As a Senior AR Caller, you will be responsible for managing the Accounts Receivable (AR) process for U.S. healthcare providers. Your primary role will involve following up with insurance companies to resolve outstanding claims, ensuring timely reimbursements, and contributing to the overall efficiency of the revenue cycle process. Your key responsibilities will include following up with U.S. insurance companies on outstanding accounts receivable, asking appropriate questions to address specific claim issues, and accurately documenting responses. You will be required to record all actions taken and update notes in the client's revenue cycle management platform. Ensuring that quality and productivity standards are consistently met will be essential. Additionally, you will need to understand various denial codes and reasons and collaborate with insurance carriers for timely claim resolutions. Handling claim submissions through electronic systems, paper forms, or Direct Data Entry (DDE) will be part of your routine tasks. Using client-specific documentation standards for recording call notes and providing support to team members in improving performance, resolving queries, and enhancing productivity will also be expected. Moreover, assisting in the training of junior team members on client-specific processes as necessary will be vital. To excel in this role, you must possess a strong understanding of U.S. healthcare Revenue Cycle Management (RCM) processes. Previous experience in AR calling with a solid grasp of denial management and claim resolution is essential. Familiarity with different methods of claim submission such as EDI, paper, and DDE is required. Excellent communication and interpersonal skills are crucial, along with attention to detail, strong analytical abilities, and effective problem-solving skills. The ability to work both independently and collaboratively within a team environment will be key to your success in this position.,

The Accounts Receivable Caller, also known as AR Caller, is a crucial team member in the healthcare revenue cycle. Your primary responsibility will involve communicating with insurance companies and patients to effectively follow up on unresolved medical claims. You will need to navigate through intricate billing and coding procedures to guarantee accurate reimbursement for the healthcare services provided. As an AR Caller, you will be expected to initiate calls to insurance companies to resolve claims and conduct necessary follow-ups. You must also address any inquiries from patients regarding billing matters, ensuring that you provide them with clear and concise explanations. Collaborating with internal departments to resolve any discrepancies and expedite the processing of claims will be a key aspect of your role. Maintaining meticulous records of all interactions and the status of claims is essential to ensure accurate reporting. It is imperative that you adhere to industry regulations and compliance standards in all your communications and documentation. This is a full-time, permanent position with benefits that include health insurance and Provident Fund. The work schedule is set for Monday to Friday with night shifts. Additionally, there are performance bonuses and yearly bonuses available. Proficiency in English is required, and knowledge of Hindi is preferred. The work location for this role is in person. If you are interested in this opportunity, please reach out to the employer at +91 8722036492 for further discussions.,

Job Description: As a member of our team in Noida, India, you will be responsible for performing calls to insurance companies to resolve outstanding balances on patient accounts from aging reports. Your duties will also include managing Accounts Receivable (AR) accounts, establishing and maintaining excellent working relationships with internal and external clients, and escalating difficult collection situations to management in a timely manner. Additionally, you will be required to make calls to clearing houses and EDI departments of insurance companies for any claim transmit disputes, ensuring accurate and timely follow-up on AR accounts, reviewing provider claims unpaid by insurance companies, and handling patient billing queries while updating their account information. Job Requirements: To be considered for this position, you must have 2 to 5 years of experience in AR Calling or Follow up with US Healthcare (provider side). You should be flexible to work night shifts according to US office timings and holiday calendars, be a fast learner with excellent communication skills, and adaptive to meet operational goals. Knowledge of patient insurance eligibility verification and basic working knowledge of MS Office is also required.,

The job requires you to be responsible for various key areas such as maintaining relationships with partners and retailers, demonstrating the product effectively, conducting market and partner visits, analyzing sales reports to identify corrective actions, proposing programs for retailers and partners, optimizing productivity, managing internal and external stakeholders, acquiring new retailers in the assigned territory, reporting to Regional Managers, conducting regular training sessions, and maintaining good relationships with retailers. The ideal candidate should possess a minimum of 3 to 10 years of experience in Sales, Distribution, Telecom, Channel Management, or Retail. A graduate degree is required, but candidates with an MBA degree will be preferred. The preferred age range is between 25 to 35 years. Relevant experience in executing sales and market initiatives with proven results is essential. Additionally, the candidate must have fieldwork experience and be capable of accomplishing tasks from the assigned location. If you meet the above qualifications and are interested in the position, please mention the position you are applying for in the subject line of the email and send your application to hr@techguard.in.,

Description We are seeking an experienced AR Caller with expertise in Hospital Billing/Physician Billing to join our team. The ideal candidate will play a crucial role in managing our accounts receivable, ensuring timely follow-ups on outstanding payments, and maintaining accurate billing records. Responsibilities Contact healthcare providers, patients, and insurance companies to follow up on outstanding accounts receivable. Review and analyze billing statements and payment trends to identify discrepancies. Resolve billing issues and provide solutions to ensure timely payment. Maintain accurate records of communications and payments received in the billing system. Collaborate with the billing team to streamline processes and improve collection rates. Assist in preparing reports related to accounts receivable status and collection performance. Skills and Qualifications Bachelor's degree in Finance, Accounting, or a related field is preferred. 1-6 years of experience in hospital billing or physician billing is required. Strong understanding of medical billing processes, insurance claims, and payment posting. Excellent communication and interpersonal skills to effectively interact with patients and providers. Proficiency in billing software and Microsoft Office Suite, especially Excel. Attention to detail and strong analytical skills to identify issues in billing and payments. Ability to work independently and manage multiple tasks in a fast-paced environment.