1575 Claims Adjudication Jobs - Page 21

Expectations/ Requirements 1. Must have Smart Phone, Bike & Helmet 2. Candidate must have a zeal for Growth 3. Candidate should have good market knowledge 4. Must have done a Channel Sales Role before with 5 Member Sales Team handled before 5. Must understand concepts of distribution, expansion, metrics 6. Must have experience in getting team earn Lucrative Incentives Education Graduate or above / Post Graduation preferred. Job Descriptions- Responsible for the Sales enrollments/Sales in the city. Do the market race and prepare the list of prospective customers , Handle the Team Members and motivate them for better sales , Ensure the team members are in market where enrollments & usage are d...

Expectations/ Requirements 1. Must have Smart Phone, Bike & Helmet 2. Candidate must have a zeal for Growth 3. Candidate should have good market knowledge 4. Must have done a Channel Sales Role before with 5 Member Sales Team handled before 5. Must understand concepts of distribution, expansion, metrics 6. Must have experience in getting team earn Lucrative Incentives Education Graduate or above / Post Graduation preferred. Job Descriptions- Responsible for the Sales enrollments/Sales in the city. Do the market race and prepare the list of prospective customers , Handle the Team Members and motivate them for better sales , Ensure the team members are in market where enrollments & usage are d...

Role Objective:To bill out medical accounts with accuracy within defined timelines and reduce rejections for payers.Essential Duties and ResponsibilitiesProcess 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 PowerPointQualificationsGraduate 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 SetCandidate should have good healthcare knowledge. Candidate should have knowledg...

Location : Ahmedabad Process: International Voice Support( US Healthcare ) Salary: Up to 4.2LPA Immediate joiners Freshers and Experience Both can apply Shift: Night Shift Working Days: 5 days/week

Location : Ahmedabad Process: International Voice Support( US Healthcare ) Salary: 23K - 35K CTC Freshers and Experience Both can apply Shift: Night Shift Working Days: 5 days/week

Bpo Hiring For Health Care Domain Voice Process 6.5 LPA Location Gurugram Only Graduates. No B.E./Btech/UG''s Minimum 1 Year of Voice Experience With International BpO MUST Pls Cal Dipankar @ 9650094552 Email CV @ jobsatsmartsource@gmail.com

Job Description Minimum 2 years of experience in Claims Adjudication Understands claims processing on both professional and facility claims Ability to understand provider contracts Proficient keyboard skills, with a minimum typing speed of 25 words per minute. Strong attention to detail and analytical thinking capabilities. Ability to work independently as well as part of a team. Willingness to work only in days shifts as required.

We are currently seeking a HC&Insurance Operations Associate to join our team in Chennai, Tamil Ndu (IN-TN), India (IN). """ Checks for completeness and appropriateness of source data. Involved in fact finding, information search and data gathering. Verifies and compiles data. Identifies and resolves routine and recurring problems. Skills Required Ability to analyze and process transactions based on rules. Able to integrate knowledge as a skilled specialist. Possess strong domain knowledge in Healthcare and Insurance domain. """

Positions General Duties and Tasks: Process Insurance Claims timely and qualitativelyMeet & Exceed Production, Productivity and Quality goals Review medical documents, policy documents, policy history, Claims history, system notes and apply the trained client level business rules to make appropriate Claims decisions, call out claims trends and flag fraud activities Stay up to date on new policies, processes, and procedures impacting the outcome of Claims processing Be a team player and work seamlessly with other team members on meeting customer goals Requirements for this role include: Both Under Graduates and Post Graduates can apply. Excellent communication (verbal and written) and custome...

Checks for completeness and appropriateness of source data. Involved in fact finding, information search and data gathering. Verifies and compiles data. Identifies and resolves routine and recurring problems. Skills Required Ability to analyze and process transactions based on rules. Able to integrate knowledge as a skilled specialist. Possess strong domain knowledge in Healthcare and Insurance domain.

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

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

Candidate will be responsible for handling dental insurance claims, verifying patient eligibility, processing claims from various insurance providers, and ensuring smooth communication between patients, providers Required Candidate profile Experience in dental insurance claims processing or similar roles. Working on claims from various insurance providers Proficient in dental software Send profiles recruitment1.hipl@gmail.com

Join our team as an AR Caller & Denials Management Specialist! Handle accounts receivable, resolve denials, and ensure timely payments. Immediate openings available. Apply now! Initial 6 Months Work from Office. Required Candidate profile Experienced AR Callers & Denials Management Specialists sought! Proficiency in AR calling, denials resolution, healthcare billing processes, and strong communication skills required.

Join our team as an AR Caller & Denials Management Specialist! Handle accounts receivable, resolve denials, and ensure timely payments. Immediate openings available. Apply now! Initial 6 Months Work from Office. Required Candidate profile Experienced AR Callers & Denials Management Specialists sought! Proficiency in AR calling, denials resolution, healthcare billing processes, and strong communication skills required.

Join our team as an AR Caller & Denials Management Specialist! Handle accounts receivable, resolve denials, and ensure timely payments. Immediate openings available. Apply now! Initial 6 Months Work from Office. Required Candidate profile Experienced AR Callers & Denials Management Specialists sought! Proficiency in AR calling, denials resolution. Immediate joiners preferred. Send CV recruitment1.hipl@gmail.com

Join our team as an AR Caller & Denials Management Specialist! Resolve denials and ensure timely payments. Immediate openings. Apply now! Initial 6 Months Work from Office. Required Candidate profile Experienced AR Callers & Denials Management Specialists sought! Proficiency in AR calling, denials resolution. Immediate joiners preferred. Experience in ECW software must

Join our team as an AR Caller & Denials Management Specialist! Resolve denials and ensure timely payments. Immediate openings. Apply now! Initial 3 Months Work from Office. Required Candidate profile Experienced AR Callers & Denials Management Specialists sought! Proficiency in AR calling, denials resolution. Immediate joiners preferred. Experience in ECW software must

•Provider Enrollment experience with multiple payers is must •Create and maintain files for Credentialing applications and renewals • Compile and maintain current and accurate data for all providers • Completion, submission, Follow up of applications Required Candidate profile • Minimum of 2 year of Provider Enrollment experience • Experience using PECOS, processing enrollment with Medicaid, and using CAQH Immediate joiners preferred. Send CV to recruitment1.hipl@gmail.com

•Provider Enrollment experience with multiple payers is must •Create and maintain files for Credentialing applications and renewals • Compile and maintain current and accurate data for all providers • Completion, submission, Follow up of applications Required Candidate profile • Minimum of 2 year of Provider Enrollment experience • Experience using PECOS, processing enrollment with Medicaid, and using CAQH Immediate joiners preferred. Send CV to recruitment1.hipl@gmail.com

Assisting with the preparation of operating budgets, financial statements, and reports. Processing requisition and other business forms, checking account balances, and approving purchases. Advising other departments on best practices related to fiscal procedures. Managing account records, issuing invoices, and handling payments. Collaborating with internal departments to reconcile any accounting discrepancies. Analyzing financial data and assisting with audits, reviews, and tax preparations. Updating financial spreadsheets and reports with the latest available data. Reviewing existing financial policies and procedures to ensure regulatory compliance. Providing assistance with payroll adminis...

Positions General Duties and Tasks: Process Insurance Claims timely and qualitativelyMeet & Exceed Production, Productivity and Quality goals Review medical documents, policy documents, policy history, Claims history, system notes and apply the trained client level business rules to make appropriate Claims decisions, call out claims trends and flag fraud activities Stay up to date on new policies, processes, and procedures impacting the outcome of Claims processing Be a team player and work seamlessly with other team members on meeting customer goals Requirements for this role include: Both Under Graduates and Post Graduates can apply. Excellent communication (verbal and written) and custome...

Dear All, We are hiring for AS400 Developer AS/400 Technical Lead. Position Summary : Seasoned AS/400 Technical Lead to drive end-to-end developmentfrom design through deployment and post-implementation. Lead the delivery of scalable, mission-critical solutions in a dynamic environment with Strong AS/400 and RxClaim development experience, Proven leadership in technical delivery and ability to thrive in fast-paced, collaborative teams. Required Skills : SYNON, AS/400, RPGILE, CLLE, SQLRPGLE, RxClaim. Preferred Skills : RxClaim Adjudication Development Experience.

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: Ab...

Positions General Duties and Tasks: Process Insurance Claims timely and qualitatively Meet & Exceed Production, Productivity and Quality goals Review medical documents, policy documents, policy history, Claims history, system notes and apply the trained client level business rules to make appropriate Claims decisions, call out claims trends and flag fraud activities Analyze customer queries to provide timely response that are detailed and ordered in logical sequencing Cognitive Skills include language, basic math skills, reasoning ability with excellent written and verbal communication skills Stay up to date on new policies, processes, and procedures impacting the outcome of Claims processin...