1604 Claims Adjudication Jobs - Page 29

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...

A hospital billing executive manages a healthcare facility's billing operations, focusing on accurate claim submission, patient invoicing, and insurance coordination to ensure timely payments and regulatory compliance . Key duties include patient registration, medical coding (ICD-10/CPT), submitting insurance claims, resolving payment discrepancies, and maintaining patient billing records. This role requires strong attention to detail, proficiency with medical billing software, knowledge of healthcare regulations, and excellent communication skills to work with patients, insurance providers, and hospital staff. Role & responsibilities **Healthcare Experience is Must. PMC Card preparation &vi...

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

International Process Associate - US Healthcare Process - Night Shift - HR Sanskrity Company Name - Sun Knowledge Inc (KPO) About Company - We are into Healthcare medical billing. No SALES/MARKETING involved. Interview Reference Code - " HR Sanskrity " - 9046450266 - WhatsApp/Call. Applicants need to write "HR SANSKRITY" on the top of their Resume/CV. Dress Code: Formals/ Smart Casuals Documents to Carry: your hard copy CV and Aadhaar Xerox should be attached to it. Roles and Responsibilities: This is the US Healthcare process. Candidates have to resolve queries and issues of Doctors and hospitals regarding medical Billing and Insurances. Desired Candidate Profile : Must have Excellent Commu...

Prepare and submit clean claims (electronic & paper) to insurance companies within specified timelines. Verify claim accuracy, coding, modifiers, and patient/payer details before submission. Ability to work in US Shift Timings (Night Shift).

Summary Retiral Specialists are responsible for managing the day-to-day Retiral Function with respect to Provident Fund/Superannuation Fund/Gratuity Fund/NPS. They should have a good knowledge on the latest updates with respect to retiral management and hands on exposure on day to day working on the operational part of Retiral work related to Remittance of Provident Fund/Settlement of Gratuity Fund/Settlement of Superannuation Fund/Assisting employees in any escalations/Bookkeeping with respect to Retiral Trusts Responsibilities Ensure statutory remittance happens on time monthly with respect to Provident Fund/Professional Tax/ESI/LWF/Superannuation Fund/NPS after checking the controls and v...

We are Hiring hybrid wfh Process Process : Motor Claims / Lability Claims Insurance (Min 3yr To 10 yrs BPO),Sal 10.00 LPA ( Mumbai ) Whatsapp : 9623462146 / 7391077622 / 7391077621 / 8888850831 Regards Dipika 9623462146

Greeting from Medi assist TPA Pvt ltd. Hiring Medical officer for Insurance Claim processing Profile Location- Mumbai -Andheri East. Role - Medical officer Exp : 0-5 years WORK FROM OFFICE ONLY. Job description : 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 ...

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 The Role Skill required: Membership - Life Sciences Regulatory Operations Designation: Health Operations New Associate Qualifications: BCom/B.B.M Years of Experience: 0 to 1 years What would you do? Embedding digital transformation in healthcare operations end-to-end, driving superior outcomes and value realization today, and enabling streamlined operations to serve the emerging health care market of tomorrowYou will be a part of the Healthcare Management team which is responsible for the administration of hospitals, outpatient clinics, hospices, and other healthcare facilities. This includes day to day operations, department activities, medical and health services, budgeting and ratin...

We are Hiring Claims Adjuster/Adjudicator US Insurance domain Location-Viman Nagar(Pune) Experience-3+Years of experience Candidates can apply Salary-Max 8LPA(Decent hike on last CTC) Shifts-(US)Shifts Notice Period -Up to 60Days Contact -7757051088

Greeting from Medi assist TPA Pvt ltd. Hiring Medical officer for Insurance Claim processing Profile Location- Mumbai -Andheri East. Role - Medical officer Exp : 0-8 years Job description : * Check the medical admissibility of claim by confirming diagnosis and treatment details * Verify the required documents for processing claims and raise an information request in case of an insufficiency * Approve or deny claims as per T&C within TAT Interested candidate can drop there resume in my Mail ID : varsha.kumari@mediassist.in We are looking for fresher or exp candidates BAMS, BHMS mail id - sarika.pallap@mediassist.in Thanks & Regards Whatsapp : 8792840500

Role & responsibilities - Assist in validating and processing health insurance claims - Ensure accurate data entry and documentation of claim details in the claims management system. - Support the review of claims for completeness and compliance with policy terms and conditions. - Coordinate with internal departments to gather missing documentation or information. - Flag potential discrepancies or anomalies for further review. - Maintain confidentiality and data protection standards in handling sensitive health information. - Respond to basic inquiries from policyholders regarding claim status and documentation requirements. - Ensure timely processing of claims to meet service level agreemen...

Review incoming health insurance applications for completeness and accuracy. Extract and validate medical information from application forms and supporting documents. Perform initial risk assessment based on predefined underwriting guidelines. Coordinate with internal teams to obtain missing or additional medical information. Ensure compliance with Hong Kongs Insurance Authority (IA) regulations and data privacy laws. Input and update underwriting decisions in the policy administration system. Refer complex or borderline cases to senior underwriters or medical officers. Maintain accurate documentation of underwriting decisions and rationale. Support the issuance of policy documents post-unde...

Hiring: Project Manager / Senior Manager RCM (US Healthcare) Experience : 10 to 12 Years in RCM (Medical Billing / Claims) and Min 1 Year exp as a Manager On papers into Medical Billing / Claims Strong End-to-End RCM Expertise Required Skills & Expertise Expertise in claim adjudication, benefits/eligibility verification, and authorization. Strong knowledge of U.S. healthcare policies, regulations, and terminology. Proficiency in healthcare software and EHR systems. Excellent communication skills across global teams. Package : Up to 17 LPA Qualification: Degree Mandatory Job Locations: Vizag & Shillong Notice Period: Immediate 60 Days Interview Mode: Virtual Be part of a growing US Healthcare...

Hiring for Manager - Medical Billing / RCM Project Manger - US Healthcare || 17 Lpa || Vizag & Shilong Designation : Senior Manager or RCM Project Manger Skills :- Need overall 10-12 yrs in the role of a Medical Billing Or Claims and must have End to End RCM Experience . Need 1 yr ON Paper Experience as RCM Manager or Claims Manager or RCM Project Manager Loc :- Vizag & Shilong Qualification :- Degree Mandate Notice Period :- Immediate to 60 Days Package :- 17 LPA Interview Mode :- Virtual Interview Rounds :- 3 Rounds Intrested Candidates can drop their CV to HR Bhavana - 8374730176 or can drop their cv to mail id Bhavana.D@axisservice.co.in

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...

About The Role Why This Role Is Valuable You have a solid risk and insurance background and at least 2- 3 years experience in claims administering or claims settlement or have worked in a claims role in an insurance firm. You are willing and looking to consolidate and grow your skills and talents in the long term with a company that works in a strong team and results-based environment. Reports to Manager- Insurance and Alternative Solutions How You Add Value Review and process property insurance claims, including analyzing policies, assessing damage, and determining coverage and settlements. Work with insurance adjusters, clients, and third-party vendors to gather necessary information and d...

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...

Follow up with payers to obtain claim status updates Identify reasons for denials and work towards resolution Must have Voice Experience Work on billing scrubbers and make necessary edits Handle contractual WhatsApp cv 7696517849 Required Candidate profile AR Caller With Experience for Hyderabad, Bangalore Night Shifts Cab Yes Excellent English Speaking WhatsApp cv 7696517849 Register For Call Back https://callcenterjobs.anejabusinessgroup.com/ Perks and benefits https://callcenterjobs.anejabusinessgroup.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...

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

Responsibility Areas: Coding or auditing charts, based on requirements Updating/Clearing the production/pending reports To work closely with the team leader. To review emails for any updates Identify issues and escalate the same to the immediate supervisor Strict adherence to the company policies and procedures. Sound knowledge in Medical Coding concept. Should have 6 months to 3 Yrs of Coding Experience. Understand the client requirements and specifications of the project. Meet the productivity targets of clients within the stipulated time (Daily & Monthly) Applying the instructions/updates received from the client during production. Coding or auditing charts, based on requirements. Prepare...

Responsibility Areas: Coding or auditing charts, based on requirements Updating/Clearing the production/pending reports To work closely with the team leader. To review emails for any updates Identify issues and escalate the same to the immediate supervisor Strict adherence to the company policies and procedures. Sound knowledge in Medical Coding concept. Should have 6 months to 3 Yrs of Coding Experience. Understand the client requirements and specifications of the project. Meet the productivity targets of clients within the stipulated time (Daily & Monthly) Applying the instructions/updates received from the client during production. Coding or auditing charts, based on requirements. Prepare...

Role Description Overview: Coder is accountable to manage day to day activities of coding the Patients chart & Diagnosis report. Responsibility Areas: Coding or auditing charts, based on requirements Updating/Clearing the production/pending reports To work closely with the team leader. To review emails for any updates Identify issues and escalate the same to the immediate supervisor Strict adherence to the company policies and procedures. Sound knowledge in Medical Coding concept. Should have 6 months to 3 Yrs of Coding Experience. Understand the client requirements and specifications of the project. Meet the productivity targets of clients within the stipulated time (Daily & Monthly) Applyi...