1575 Claims Adjudication Jobs - Page 17

Role: Claims Processing and Adjudication Experience: 6 to 8 years Job Location: Bengaluru JD : Kindly refer to the end of the post Interested candidates please mail with EP ID (registration number process mentioned) in the mentioned Email ID (subhasish.g@tcs.com) Please mention “#Claims Processing and Adjudication_Bengaluru” in your EMAIL SUBJECT LINE Mandatory Requirements (How to generate your EPCN) EPCN number is mandatory for eligibility of the interview Step 1: Visit https ://ibegin.tcs.com/iBegin/ Step 2: Click to login Step 3: Click New user (Register with us) Step 4: Select "BPO" in areas of interest and complete the registration. (Fill the details) Step 5: Once completed, your TCS n...

Educational Requirements MBA,MCA,MTech,Bachelor of Engineering,BCA,BTech Service Line Application Development and Maintenance Responsibilities A day in the life of an Infoscion As part of the Infosys delivery team, your primary role would be to interface with the client for quality assurance, issue resolution and ensuring high customer satisfaction. You will understand requirements, create and review designs, validate the architecture and ensure high levels of service offerings to clients in the technology domain. You will participate in project estimation, provide inputs for solution delivery, conduct technical risk planning, perform code reviews and unit test plan reviews. You will lead an...

Educational Requirements MBA,MCA,MTech,Bachelor of Engineering,BCA,BTech Service Line Application Development and Maintenance Responsibilities As a Senior Product Manager you will be pivotal to creating roadmap, owning release plan for multiple capabilities that is futuristic and meets industry and client needs. You will be responsible for continuous backlog management, prioritizing the backlog considering the needs and objectives of every stakeholder. As a thought leader in your business domain, bring in industry best practices, learnings from client demos and interactions into designing. You will anchor business pursuit initiatives, sales demo. You will have the opportunity to shape the In...

About The Role Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management Analyst Qualifications: Any Graduation Years of Experience: 3 to 5 years What would you do? We are seeking a dedicated and detail-oriented Workmen Compensation Claims Adjuster to manage and resolve Workmen Compensation (WC) claims end-to-end. The ideal candidate should have in-depth knowledge of applicable labor laws, a strong grasp of claim computation methodologies, and experience handling claims related to permanent disability, temporary disability, medical reimbursement, and death benefits. This role requires excellent analytical skills and the ability to interpret medi...

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(Domestic) - Advanced About Accenture 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. Visit us at www.accenture.com What would yo...

Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management Specialist Qualifications: Any Graduation Years of Experience: 7 to 11 years Language - Ability: English(Domestic) - Advanced About Accenture 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. Visit us at www.accenture.com What would you d...

H.Sc / Graduate freshers with good communication, Preferably from Science stream US healthcare Exp will be an advantage. Knowledge of basic computer operations. Willingness to work in the late evening and night shifts. Courteous with strong customer service orientation. Good listening and speaking skills. Typing speed 30/90% Work from office only Mandatory Skills: Claims_Processing.

Contributes to own team/closely related teams by ensuring quality and accuracy of team output. Builds productive internal relationships at team lead or management level. Collaborates with others to achieve objectives and ensure information flow Provides operational support for activities associated with all phases of transaction processing Ensures accurate and timely processing of transactions to meet or exceed customer service level agreements. Identifies and resolves issues around nonstandard pending transactions Ability to analyze reasons behind incomplete transactions Understand process interdependencies Possess expert domain knowledge in Healthcare and Insurance domain Requirements for ...

Before you apply to a job, select your language preference from the options available at the top right of this page. Explore your next opportunity at a Fortune Global 500 organization. Envision innovative possibilities, experience our rewarding culture, and work with talented teams that help you become better every day. We know what it takes to lead UPS into tomorrowpeople with a unique combination of skill + passion. If you have the qualities and drive to lead yourself or teams, there are roles ready to cultivate your skills and take you to the next level. About The Role : Position Designation: Senior Assistant ( (Temporary) Shift Timing: 06:00 PM to 03:00 AM IST Department: Healthcare Sub-...

Role: Claims Executive Industry Type: Insurance Department: BFSI, Investments & Trading Employment Type: Full Time, Permanent Role Category: General Insurance Education: B. Tech/B.E. in Mechanical Key Skills: Insurance claims Job Responsibilities: Financial Contribute to renewal portfolio expansion through relationship building with the insurance companies and surveyors to ensure optimum claim settlement in the minimum time. During the processing of the claim analyze the following and communicate to underwriters: adequacy of coverage wrt. location specifications e.g.. Earthquake /flood etc. adequacy of the sum insured anomalies in the policy scope of additional policies other related informa...

"1. Handle Provider Chat queries and meet client SLA 2. 5*10 Operation during weekdays 3. Should have a valid degree & good in communication 4. Adhere to client shift time and break hours 5. Customer holidays are followed and hence need to work on India Holidays 6. Should have experiance in handling Microsoft excel, words"

Position''s General Duties and Tasks In these roles you will be responsible for Performing outbound calls to insurance companies (in the US) to collect outstanding Accounts Receivables. Responding to customer requests by phone and/or in writing to ensure customer satisfaction and to assure that service standards are met Analyzing medical insurance claims for quality assurance Resolving moderately routine questions following pre-established guidelines Performing routine research on customer inquiries. Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the team Requirements for this role include Abi...

About The Role Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management Analyst Qualifications: Any Graduation Years of Experience: 3 to 5 years Language - Ability: English(Domestic) - Intermediate 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 ...

Position Title: Operation Delivery Leader (Coding Quality) Function: Coding Location: Hyderabad Shift Timings: 12:00 to 22:00 Hrs. (flexible) Reporting To: Director Responsibilities: Lead a team of quality senior managers/managers/ assistant managers for multiple business units/customers and across locations. Lead closer calibrated quality outcomes for end customers. Drive customer satisfaction for quality of coding output including corrective and preventive actions for customer quality concerns. Build and operate a predictable quality model and well aligned outcome-based quality assurance unit for coding. Actively collaborate new customer engagements for better quality outcomes including ca...

Role- Medical Coder: We are looking to hire an experienced Coder / Sr. Coder with active coding certifications (CPC / CPC-A / CIC / CCS / COC). With strong domain expertise in CPT and ICD (diagnosis) coding, the incumbent should be able to validate the coding after reviewing all relevant medical records ensuring codes are accurate and sequenced correctly in accordance with government and insurance regulations. Working in an evolving healthcare setting, delivering innovative solutions using our shared expertise. Using opportunities to learn and grow through rewarding interactions, collaboration, and the freedom to explore professional interests. Giving priority always to what is best for our ...

Designation : Operations Manager Location: Sec-21 GGN 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 ...

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...

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 ...

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...

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 ...

Position Title: Operation Delivery Leader (Coding Quality) Function: Coding Location: Hyderabad Shift Timings: 12:00 to 22:00 Hrs. (flexible) Reporting To: Director Responsibilities: Lead a team of quality senior managers/managers/ assistant managers for multiple business units/customers and across locations. Lead closer calibrated quality outcomes for end customers. Drive customer satisfaction for quality of coding output including corrective and preventive actions for customer quality concerns. Build and operate a predictable quality model and well aligned outcome-based quality assurance unit for coding. Actively collaborate new customer engagements for better quality outcomes including ca...

About The Role Project Role : Business Analyst Project Role Description : Analyze an organization and design its processes and systems, assessing the business model and its integration with technology. Assess current state, identify customer requirements, and define the future state and/or business solution. Research, gather and synthesize information. Must have skills : Agile Requirement Management Good to have skills : NA Minimum 3 year(s) of experience is required Educational Qualification : 15 years full time education Summary :As a Business Analyst, you will engage in a variety of tasks that involve analyzing an organization and designing its processes and systems. Your typical day will...

Min 2 yrs hands on experience in US medical billing with eligibility verification & authorization is MUST. Candidates experienced preferably in behavioral health Ready to work in night shift Any Graduate with very good communication skills in english language.

Caregivers in centre will take care of the childrens. Need to help the children in Naptime & Feeding. Need to take the Children s to the washroom. Diaper Changing for Infants. Need to clean the classrooms & Play area before Leaving. Qualification & Experience not Required. Age Limit is from 20 to 45 years.

Hands on experience in US Healthcare Provider Demographics, Contracting, Networks and Claims Adjudication Basics. Must have minimum 2 years of experience in end-to-end process of Provider Enrollments/ Insurance Credentialing, Provider Contracting, and Re-Credentialing Must have experience in getting providers setup with Insurance payers 2 - 5 Years of experience in end-to-end process of Provider Enrollments/ Insurance Credentialing, Provider Contracting, and Re-Credentialing. Knowledge of provider credentialing and its direct impact on the practices revenue cycle. Medicare or Commercial Claims basics and provider relationship related to claims adjudication Experience in Manual & Automation T...