23 Claim Resolution Jobs

We are hiring experienced AR Callers / Senior AR Analysts specializing in Hospital Billing for our US RCM process. The ideal candidate should have hands-on experience working on inpatient, outpatient, swing bed, rural health, and critical access hospital (CAH) claims. Role & responsibilities Conduct detailed pre-call analysis to identify reasons for unpaid and underpaid hospital claims. Mandatory experience into Hospital Billing Contact insurance payers via phone, IVR, and payer portals to obtain claim status, resolve issues, or escalate as needed. Handle complex denials , aged AR, and specialty accounts by identifying trends and recommending corrective actions. Accurately document all payer...

We are hiring experienced AR Callers / Senior AR Analysts specializing in Hospital Billing for our US RCM process. The ideal candidate should have hands-on experience working on inpatient, outpatient, swing bed, rural health, and critical access hospital (CAH) claims. Role & responsibilities Conduct detailed pre-call analysis to identify reasons for unpaid and underpaid hospital claims. Contact insurance payers via phone, IVR, and payer portals to obtain claim status, resolve issues, or escalate as needed. Handle complex denials , aged AR, and specialty accounts by identifying trends and recommending corrective actions. Accurately document all payer interactions and claim updates in client s...

Role Overview: As a Claims Administrative Specialist, you will be crucial in providing exceptional customer experiences by serving as the initial point of contact for customers and assisting them in resolving claims promptly. Your responsibilities will involve ensuring the seamless management of customer claims, fostering customer confidence, and enhancing loyalty through your responsiveness and accuracy. Key Responsibilities: - Lead the creation of claims by receiving and assessing customer claims, utilizing customer portals, analyzing technical information, and making precise claim determinations. - Assist customers by compiling and delivering claim responses via email, phone, or portals, ...

As a Medical Billing Specialist for US-based healthcare clients, your responsibilities will include: - Handling medical billing tasks efficiently. - Following up with insurance companies to resolve claims. - Ensuring timely documentation and claim resolution to meet quality and productivity benchmarks. To be eligible for this role, you should meet the following criteria: - HSC or Graduate freshers are welcome to apply. - Candidates with a minimum of 6 months BPO or domestic work experience are preferred for higher roles. - Basic communication and computer skills are required for effective task execution.,

As an Insurance Operations Manager, you will be responsible for overseeing end-to-end insurance operations, including claims submission, follow-ups, denials management, and reimbursements. Your key responsibilities will include: - Leading and managing the Accounts Receivable (AR) team to ensure timely collection and reconciliation of dues. - Monitoring KPIs such as DSO (Days Sales Outstanding), denial rates, claim rejection ratios, etc. - Travelling regularly to insurers and TPAs to reconcile outstanding claims and bring about closure of long-pending cases. - Thoroughly analyzing disallowances, providing reasoned justifications, and apprising the Group Head of the recoverable and non-recover...

Role Overview: As a member of the team in Noida, India, your primary responsibility will be to perform calls to insurance companies to resolve outstanding balances on patient accounts from aging reports. You will also manage Accounts Receivable (AR) accounts, establish and maintain strong working relationships with both internal and external clients, and escalate difficult collection situations to management when necessary. Additionally, you will be responsible for making 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 that have not been paid by insurance comp...

As a Sales Manager, your role will involve the following responsibilities: - Relationship management with Partners and Retailers - Ability to demonstrate the product - Market and Partner visits - Preparing and Analyzing Sales reports to propose corrective action & ability to propose Programs for Retailers and Partners - Optimizing Productivity/attachment from Retailer, SA & Partners team - Managing Internal and External Stakeholders - Acquire new retailers in given territory - Prepare and submit reports to the Regional Managers - Conducting training at regular intervals and on Job training on product & compliance - Maintain good relationship with retailers, solve their product inquiries & cl...

As a medical billing specialist at Revenant Healthcare Services, your role will involve handling insurance follow-up, claim resolution, and ensuring knowledge of healthcare reimbursement processes. You will be responsible for maintaining proficiency in Medical Billing, Accounts Receivable, and understanding of CPT/ICD codes. Your strong communication, negotiation, and interpersonal skills will be essential for effective interactions with insurance representatives and team members. Attention to detail, analytical skills, and the ability to review and interpret claim data accurately are key aspects of this role. Familiarity with HIPAA compliance standards and confidentiality practices is requi...

As a Medical Billing Specialist at Revenant Healthcare Services, you will play a crucial role in streamlining administrative functions for healthcare providers. Your primary responsibility will be to ensure accuracy, efficiency, and compliance in medical billing processes, allowing providers to focus on delivering high-quality patient care. Key Responsibilities: - Experience in insurance follow-up, claim resolution, and knowledge of healthcare reimbursement processes. - Proficiency in Medical Billing, Accounts Receivable, and understanding of CPT/ICD codes. - Strong communication, negotiation, and interpersonal skills for effective interactions with insurance representatives and team members...

Job Description: You will be the primary contact for warranty, insurance, and disposal-related matters at the company's location in Gurugram. Your role will involve supporting claim resolution, conducting cost analysis, and identifying process improvements to enhance operational efficiency. Key Responsibilities: - Manage warranty claims for components and systems, ensuring compliance with relevant regulations. - Handle aviation insurance claims, including hull, liability, and damage claims, by liaising with brokers and adjusters. - Track, analyze, and resolve claim data to enhance risk mitigation strategies. - Coordinate the disposal of obsolete or unserviceable parts according to regulation...

As an AR Caller in Dental Billing at QODORO, your role involves ensuring timely follow-up and resolution of insurance claims, reducing accounts receivable aging, and maintaining strong relationships with insurance providers. Your responsibilities will include: - Making outbound calls to insurance companies (US) to follow up on outstanding dental claims. - Reviewing and following up on pending or denied claims within the standard billing cycle. - Verifying patient insurance eligibility and coverage details to ensure accurate billing. - Maintaining detailed and up-to-date documentation of all communications and actions taken. - Generating and analyzing reports related to accounts receivable an...

As a Medical Billing Specialist at Revenant Healthcare Services, you will play a crucial role in streamlining administrative functions for healthcare providers. Your primary responsibilities will include: - Experience in insurance follow-up, claim resolution, and knowledge of healthcare reimbursement processes. - Proficiency in Medical Billing, Accounts Receivable, and understanding of CPT/ICD codes. - Strong communication, negotiation, and interpersonal skills for effective interactions with insurance representatives and team members. - Attention to detail, analytical skills, and the ability to review and interpret claim data accurately. - Familiarity with HIPAA compliance standards and con...

Job Description Field Description Position/ Title Team Lead Hospital Billing Grade 2A Vertical AR Location Bengaluru Responsibility Areas Role Description Overview: Mentor a group of employees to achieve assigned productivity and quality targets by motivating employees; work with cross functional teams effectively. Responsibility Areas: 1. Monitor, identify and resolve performance/ behavior/ attendance issues using prescribed performance management techniques. 2. Monitor and act on personnel and disciplinary issues. Excellent Knowledge on Denial Management. Should have Knowledge on Epic Software. Should have Knowledge on UB04 claim form. Understand the client requirements and specifications ...

Role Overview: As an Accounts Receivables Specialist, your main responsibility will be to analyze and resolve unpaid claims. You will interact with US-based insurance carriers, review insurance EOBs, and understand CMS-1500 and UB-04 claim formats. It is crucial to track and follow up on claims within given timelines and have an understanding of denial management and appeal processes. Experience in Personal Injury and Workers Comp AR will be considered a plus. Key Responsibilities: - Analyze and resolve unpaid claims - Interact with US-based insurance carriers - Review insurance EOBs and understand claim formats - Track and follow up on claims within timelines - Understand denial management ...

As an AR Caller Executive/Sr Executive in the RCM Industry, your role involves making calls to insurance companies for claim resolution, handling denials and rejections to ensure maximum reimbursement, updating and maintaining accurate patient accounts, following up on unpaid claims within standard billing cycle timeframe, resolving billing issues, and improving cash flow. Qualifications required for this role include a Bachelor's degree preferred, minimum 1 year of experience as an AR Caller/Analyst in the healthcare industry, proficiency in revenue cycle management processes, and fluency in Hindi and English languages. The company provides benefits such as food, health insurance, paid time...

Role Overview: As an AR Caller at our Noida, India location, your primary responsibility will be to perform calls to insurance companies to resolve outstanding balances on patient accounts from aging reports. You will also be 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 making 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 not paid by insurance companies, and ...

As an Insurance Operations Manager, your role involves overseeing end-to-end insurance operations with a focus on claims submission, follow-ups, denials management, and reimbursements. You will lead and manage the Accounts Receivable (AR) team to ensure timely collection and reconciliation of dues. Monitoring key performance indicators (KPIs) such as DSO, denial rates, and claim rejection ratios will be crucial. Traveling regularly to insurers and TPAs to reconcile outstanding claims and analyze disallowances are part of your responsibilities. You will also review, interpret, and compare tariffs across insurance partners, collaborating with department heads to determine appropriate pricing f...

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 dispo...

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 produ...

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...

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 compa...

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 deg...

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 billin...