1604 Claims Adjudication Jobs - Page 26

Role & Responsibilities Handling TPA related all process from billing to co-ordinate with TPA companies. Responsible for counseling patient's family & pre-Auth process. Maintaining & uploading patient's files on the portal. Couriering the hard copy of patient's medical file to the Insurance companies. Responsible for all co-ordination activities from patient's admission to discharge. Handling billing Department, Implants bill updating & reconciliation. Daily co-ordination with the patient and Hospital staff. Outstanding follow-up with TPA. To obtain and review referrals and authorizations for treatments. Must be aware of norms of the insurance sector. Daily follow up with Insurance companies...

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 cl...

SUMMARY Job Title: Apprentice Apprentice Machine Operator / Computer Operator (Fresher) - Jammu We are inviting fresh ITI candidates to join as Apprentices under NAPS at our CFA in Karnal. This role offers hands-on learning in machine operations, computer operations, and warehouse processes , providing a strong foundation for future career growth. Work Location: Kikri Morh, Birpur Parmandal Road, Birpur, Jammu-181133, Jammu and Kashmir Experience: Fresher Only Qualification: ITI- Fitter/Electrician/Computer (COPA) Salary (Stipend): 12,000 Working Days: 6 Days a Week (1 Day Week Off) Shift: Rotational Shift Key Responsibilities Operate and monitor basic machinery or computer systems Support i...

SUMMARY Job Title: Apprentice Apprentice Machine Operator / Computer Operator (Fresher) - Patiala We are inviting fresh ITI candidates to join as Apprentices under NAPS at our CFA in Karnal. This role offers hands-on learning in machine operations, computer operations, and warehouse processes , providing a strong foundation for future career growth. Work Location: Village Kheri Gurna, Tehsil- Rajpura, Patiala, Punjab-140417 Experience: Fresher Only Qualification: ITI- Fitter/Electrician/Computer (COPA) Salary (Stipend): 12,000 Working Days: 6 Days a Week (1 Day Week Off) Shift: Rotational Shift Key Responsibilities Operate and monitor basic machinery or computer systems Support in receiving,...

SUMMARY Job Title: Apprentice Apprentice Machine Operator / Computer Operator (Fresher) - Alamgir Ludhiana We are inviting fresh ITI candidates to join as Apprentices under NAPS at our CFA in Karnal. This role offers hands-on learning in machine operations, computer operations, and warehouse processes , providing a strong foundation for future career growth. Work Location: Guru Gobind Singh Marg , Alamgir Ludhiana- 141116, Punjab Experience: Fresher Only Qualification: ITI- Fitter/Electrician/Computer (COPA) Salary (Stipend): 12,000 Working Days: 6 Days a Week (1 Day Week Off) Shift: Rotational Shift Key Responsibilities Operate and monitor basic machinery or computer systems Support in rece...

Role & responsibilities: Check the medical admissibility of a claim by confirming the diagnosis and treatment details. Scrutinize the claims, as per the terms and conditions of the insurance policy. Interpret the ICD coding, evaluate co-pay details, classify non-medical expenses, room tariff, capping details, differentiation of open billing and package etc. Understand the process difference between PA and an RI claim and verify the necessary details accordingly. Verify the required documents for processing claims and raise an IR in case of an insufficiency. Coordinate with the LCM team in case of higher billing and with the provider team in case of nonavailability of tariff. Approve or deny ...

Designation : Operations Manager Location: Hyderabad Reports to (level of category) : Senior Operations Manager 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 sessio...

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

To contact the insured for Underwriting referred proposals to procure the complete medical history using Audio and/or Video tools. To Follow up with customer for past medical records and/or relevant health documents Maintain end to end TAT / SLAs. Required Candidate profile Location – Bangalore Candidate must know to speak excellent English. CTC – Upto 3.5 LPA

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.

Salary: Up to 23,000 CTC + Incentives (5,000 – 7,000) Qualification: Minimum 12th Pass with Experience / Graduate fresher Shift Timing: 5:30 PM – 2:30 AM (Fixed Shift) Working Days: 5 Days/Week (Saturday & Sunday Fixed Off) Facilities: Cab + meal

Please mention Kanchan Maurya/Aastha on the front of your CV. (WhatsApp only-9211499587) Point of Contact: Kanchan Maurya (kmaurya378@r1rcm.com), Aastha (aaryika@r1rcm.com) Dear Candidates, We are pleased to invite you to the R1 RCMs Walk-In Drive for our 6-month paid apprenticeship program under the National Apprenticeship Training Scheme (NATS), followed by Full-Time Employment, subject to performance . This is an excellent opportunity for fresh graduates to gain hands-on experience in the U.S. healthcare revenue cycle domain with one of the industry's most respected employers. We are conducting a Walk-In Drive as per the details below: Time: 12:00 PM to 5:00 PM Mode of Interview : Face-to...

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

About Us: Medi Assist is India's leading Health Tech and Insure Tech company focused on administering health benefits across employers, retail members, and public health schemes. We consistently strive to drive innovation and participate in such initiatives, to lower health care costs. Our Health Benefits: Administration model is designed to deliver the tools necessary for a health plan to succeed, whether its our modular claims management system, our technology that unveils data to make important decisions, or our service solutions built around the voice of the customer. In short, our goal is to link our success to that of our members Roles and Responsibilities: Check the medical admissibil...

Greetings from Firstsource !!! HR Spoc - Madhubala Looking for US Healthcare Professionals !! Experience : 1- 4 Years Process : Non Voice - Skill : Claims Adjudication!! US Healthcare experience. Work location : Navalur Chennai Required : Minimum 1year Experience in US Healthcare BPO. Claims Adjudication!! Education - Any Graduates and Diploma(10+3)can apply. Immediate Joiners preferred!! Willing to work in Night Shift. Interested folks can directly Walk-in to Location: 5th floor, 4th block, Sandhiya Infocity(Bayline Infocity), OMR Rajiv Gandhi Salai, Navalur, near to AGS Bus Stop, Chennai, Tamil Nadu 603103. Walk - in time: 11:00 Am - 2:00 Pm Walk - in date: Monday to Friday Note: Bring you...

About Us: Medi Assist is India's leading Health Tech and Insure Tech company focused on administering health benefits across employers, retail members, and public health schemes. We consistently strive to drive innovation and participate in such initiatives, to lower health care costs. Our Health Benefits: Administration model is designed to deliver the tools necessary for a health plan to succeed, whether its our modular claims management system, our technology that unveils data to make important decisions, or our service solutions built around the voice of the customer. In short, our goal is to link our success to that of our members Roles and Responsibilities: Check the medical admissibil...

Educational Requirements Bachelor of Engineering,BCA,BSc,MTech,MCA,MSc Service Line Enterprise Package Application Services Responsibilities A day in the life of an Infoscion As part of the Infosys consulting team, your primary role would be to actively aid the consulting team in different phases of the project including problem definition, effort estimation, diagnosis, solution generation and design and deployment You will explore the alternatives to the recommended solutions based on research that includes literature surveys, information available in public domains, vendor evaluation information, etc. and build POCs You will create requirement specifications from the business needs, define...

Thane Location 100% Voice 24*7 rotational shifts 2 rotational week offs Hsc + minimum 6 months any exp Grad fresher (hard copy of final year marksheets mandate) Or Grad + min 6 months any exp Required Candidate profile Salary 20k- 24k in hand (based on qualification and/or experience) HR-amcat-ops Follow Thane IBU boundaries .

Coding profile Indent- 6 Location- Thane Eligibility criteria- HSC/Graduate - minimum 1 year coding experience mandatory Routine - 5 days, 2 rotational week offs 24*7 rotational shifts CTC - 5 LPA In hand - 35k Follow Thane IBU boundaries

WE ARE HIRING AUTHORIZATION Process Indent- 50 Authorization Batch date - Immediate joiner looking Location- Thane Eligibility criteria- HSC/Graduate - Experience minimum 1 year Authorization experience for Authorization profile Required Candidate profile Requirement 50 for Authorization Routine - 5 days, 2 rotational week offs 24*7 rotational shifts CTC - 5 LPA In hand - up to 35k based on last drawn Follow Thane IBU boundaries

Thane Location 100% Voice 24*7 rotational shifts 2 rotational week offs Hsc + minimum 6 months any exp Grad fresher (hard copy of final year marksheets mandate) Or Grad + min 6 months any exp Required Candidate profile Salary 20k- 24k in hand (based on qualification and/or experience) HR-amcat-ops Follow Thane IBU boundaries .

Hiring for Ar and medical billing *50% candidates with any experience on paper and 50% candidates from AR - medical billing experience required. AR - Medical Billing experience mandatory for this Thane Location Blended process- voice and chat Required Candidate profile 24*7 shifts 2 offs Hsc/Graduate with minimum 6 months of any experience on paper Minimum 6 months AR - Medical billing experience or above - 25k in hand Graduate freshers - 21k in hand HR-amcat-ops

*50% candidates with any experience on paper and 50% candidates from Authorization - medical billing experience required. Date of joining- 9th December, 2024 Blended process- voice and chat 24*7 rotational shifts 2 rotational week offs HR-amcat-ops Required Candidate profile Hsc/Graduate with minimum 6 months of any experience on paper - 23k in hand Graduate Freshers - 21k in hand HSC/Graduates with experience in AR- Medical Billing or Pre-Authorization - 25k in hand

Our Client is hiring for Claim Handler at Mumbai Location. Role type - Dedicated claims handler Work location - Work from office Mumbai, Vikhroli. Timings - 10 am - 7 pm. Monday to Saturday - Acko, Digit, Care TPA - Medi assist, Vidal Health, FHPL Required Candidate profile Preferred roles - Client Servicing, CRM, Claims handler, Customer support (If they understand claims terminology. Comms expectation - Interaction with Customers and Partners TPA/insurers

Our Client is hiring for Claim Handler at Mumbai Location. Role type - Dedicated claims handler Work location - Work from office Mumbai, Vikhroli. Timings - 10 am - 7 pm. Monday to Saturday - Acko, Digit, Care TPA - Medi assist, Vidal Health, FHPL Required Candidate profile Preferred roles - Client Servicing, CRM, Claims handler, Customer support (If they understand claims terminology. Comms expectation - Interaction with Customers and Partners TPA/insurers