1604 Claims Adjudication Jobs - Page 35

Role Objective: To directly supervise and motivate a team of frontline employees, ensuring day-to-day operations run smoothly, meet performance targets, maintain quality standards, and effectively communicate company goals while fostering a positive work environment and addressing challenges at the operational level, acting as a bridge between management and the workforce. Essential Duties and Responsibilities: Great with Healthcare knowledge Should be aware of all type of payers. Must have good understanding of payer portal for benefits & denials. Should have people centric mindset to manage team Should have verbal and written communication skills, probing skills and denials understanding W...

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...

Urgent requirement for BHMS/BAMS -Jharkhand(Ranchi) Freshers/candidate with clinical or TPA experience. Interested candidates can call on 9371762436 or share their updated resumes to career@mdindia.com Job Description: Scrutiny of medical documents and adjudication. Assess the eligibility of medical claims and determine financial outcomes. Identification of trigger factors of insurance related frauds and inform the concerned department. Determine accuracy of medical documents. Required Candidate profile: BAMS / BHMS graduate. Male candidate prefer. Good Medical & basic computer knowledge Should have completed internship (Permanent Registration number is mandatory) Freshers can also apply. Wo...

Processing transactions into the system as per the communication received from customers Reviewing documents to determine type of request(s) & process them Process Payment Processing and Manual Calc transactions for Retirement insurance Required Candidate profile Graduate with 2 yrs Experience in US Healthcare Retirement Retirement Payment Processing Defined Benefits Manual Calculations Comfortable with US shift Noida Location WFO info.aspiringmantra@gmail.com

Job Summary The TL-Encounters role is pivotal in ensuring the seamless processing and adjudication of claims within our hybrid work model. With a focus on Facets and UiPath the candidate will leverage their expertise in Provider and Payer domains to optimize workflows and enhance operational efficiency. This night shift position requires a proactive approach to problem-solving and a commitment to delivering high-quality results. Responsibilities Lead the team in the efficient processing of claims using Facets to ensure accuracy and compliance. Oversee the automation of routine tasks through UiPath to enhance productivity and reduce manual errors. Provide expert guidance on claims adjudicatio...

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

This Position reports to: FP&A CoE Hub Business Area Lead Roles and Responsibilities: Performing analysis of business performance versus budget and forecast. Performing bench-marking of key performance indicators with external and internal peers. Performing closing activities and MIS reports for the respective business / functions. Working with the other financial professionals in Divisions / Hubs / Countries / Functions to understand and analyze the drivers of financial performance and identify trends. Preparing and analyzing Product / Customer profitability. Financial analysis for various what if scenarios and sensitivity analysis and the overall impact to the Divisions. Perform Capital in...

Hiring for US Healthcare Claims Contact Person - Bhanumathi 1 year and above experince in US Helathcare claims US shifts and offs Work from office Salary best in the market Need only immediate joiners Work location Bangalore, Brookfiled Interested candidates can walk-in to th below address with Hard copy resume. Brigade Tech Gardens, Kundalahalli, Brookefields Green Avenue, Kundalahalli, ITPL Main Rd, Phase 2, Brookefield, Bengaluru, Karnataka 560037 Disclaimer: Firstsource follows a fair, transparent, and merit-based hiring process. We never ask for money at any stage. Beware of fraudulent offers and always verify through our official channels or @firstsource.com email addresses.

We are Claims Adjudication Experienced! HR Recruiter (Reference) : Sam Jeshurin Job Location: Firstsource Solution Limited, 5th floor ETA Techno Park, Block 4, 33 OMR Navalur, Chennai, Tamil Nadu 603103. Landmark: Near Vivira Mall. https://maps.app.goo.gl/x3Cip1mapKu8jF9c7 Shift Details: Night shift / Flexible to work in any shift and timing Cab Boundary Limit: Up to 30 km (One way drop cab) Requirements: Minimum 1 year experienced in US Healthcare Claims adjudication (No Freshers) Immediate joiners only!! Walk-In Details: Walk-In Days: Monday To Friday Walk-In Time: 10:30 AM - 2:00 PM Documents to carry: 1. Updated resume 2. Aadhar card 3. Pan card 4. Educational Certificates (1st to 6th ma...

Roles and Responsibilities: Process Adjudication claims and resolve for payment and Denials Knowledge in handling authorization, COB, duplicate, pricing and corrected claims process Knowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits and exclusions, state variations Ensuring accurate and timely completion of transactions to meet or exceed client SLAs Organizing and completing tasks according to assigned priorities. Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the team Resolving...

Role: AR Caller(Account Receivable) Process: International Voice Process Experience : Freshers Location: Chennai Shift: Night Shift Package : 3LPA Qualification : Any Graduate Regards, Prabhakaran Please share your CV to this number 6381236843

Job Title: Non-Voice Process Associate (UK Shift) Location: Firstsource Solutions Limited Brigade Residency. Unit-202, 2nd Floor, Block A, Brigade tech gardens Brigade Properties Private Limited, Brookefields, Kundalahalli Whitefield, Marathahalli, Bengaluru, Bengaluru Urban Karnataka - 560037 Shift Timings: US Shift (5:30 PM 2:30 AM IST) Working Days: 5 Days a Week (2 Rotational Offs) Eligibility Criteria: Minimum qualification: Graduation(No Freshers) Should have Experience is Medical Claims, Claim Adjudication, Medical Billing. Excellent written communication skills in English Basic computer proficiency (MS Office, Internet, Email) Ability to work in a fast-paced environment Prior experie...

Role & responsibilities Review and process incoming healthcare or insurance claims accurately and efficiently. Verify patient, provider, and policy details to ensure claims meet all requirements. Investigate discrepancies, missing information, or potential fraud indicators. Coordinate with internal departments or external providers for claim clarification. Maintain accurate records and ensure compliance with regulatory and company standards. Meet daily productivity and quality targets while maintaining confidentiality. Freshers are not eligible B.TECH ,B.E, B.Sc, Any Post Graduation fresher are not eligible. Anyone who attended interview before 30 days are not eligible to attend walk-in. Dis...

Key Responsibilities: Review and process incoming healthcare or insurance claims accurately and efficiently. Verify patient, provider, and policy details to ensure claims meet all requirements. Investigate discrepancies, missing information, or potential fraud indicators. Coordinate with internal departments or external providers for claim clarification. Maintain accurate records and ensure compliance with regulatory and company standards. Meet daily productivity and quality targets while maintaining confidentiality. B.TECH ,B.E, B.Sc, Any Post Graduation fresher are not eligible. Anyone who attended interview before 30 days are not eligible to attend walk-in. Disclaimer: Firstsource follows...

Roles and Responsibilities: Process Adjudication claims and resolve for payment and Denials Knowledge in handling authorization, COB, duplicate, pricing, and the corrected claims process Knowledge of healthcare insurance policy concepts, including in-network, out-of-network providers, deductible, coinsurance, co-pay, out-of-pocket, maximum inside limits, and exclusions, state variations Ensuring accurate and timely completion of transactions to meet or exceed client SLAs Organizing and completing tasks according to assigned priorities. Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services, and processes performed by the team R...

Job Summary: Manages a team that processes accounts receivable transactions. Team includes supervisors and indirect reports. Key Responsibilities: Manages accounts receivable supervisors of a team of accounts receivable staff within the established accounting policies of the corporation. Monitors records of amounts owed to Cummins and assures prompt collection of payments; works with other areas of Finance to ensure appropriate cash management and application of credit policies. Manages the review of work methods and procedures; considers the impact of any changes on the overall organization; develops and implements changes in those methods and procedures to improve the efficiency of the acc...

Job description : Interested candidates can call to the mentioned number - 7569452008 We are seeking graduates or qualified legal professionals to join our UK motor claims support team. This role involves assisting UK insurer clients with the technical handling and legal processing of motor insurance claims, particularly around liability resolution, litigation prep, and document review. Training in UK motor insurance law and procedural frameworks (e.g., RTA, OIC, MOJ Portal, Credit Hire Portal) will be provided Role & Responsibilities : Review motor accident claim files to assist in liability determination Draft and review case summaries, driver statements, and incident versions Support prep...

Job description : Interested candidates can call to the mentioned number - 7569452008 We are seeking graduates or qualified legal professionals to join our UK motor claims support team. This role involves assisting UK insurer clients with the technical handling and legal processing of motor insurance claims, particularly around liability resolution, litigation prep, and document review. Training in UK motor insurance law and procedural frameworks (e.g., RTA, OIC, MOJ Portal, Credit Hire Portal) will be provided Role & Responsibilities : Review motor accident claim files to assist in liability determination Draft and review case summaries, driver statements, and incident versions Support prep...

We are hiring!! HR Recruiter: Arun Kumar Industry: ITES/BPO Category: International Non-Voice Division: Healthcare International Business We are looking for enthusiastic candidates with excellent communication to join our team as Customer Support Associates in the International Non-Voice Process for Healthcare. Job Title: CSA and Senior CSA Grade: H1/H2 Function/Department: Operations Reporting to: Team Lead Role Description: Roles & Responsibilities (Indicative not exhaustive) A claims examiner needs to analyse multiple documents / contracts and decide to pay / deny the claim submitted by member or providers with respect to client specifications. The claims examiner should also route the cl...

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...

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...

Need min 5 yr exp. in international (1.5 year as TL on Paper) (from P& C /insurance & mortgage or must have managed Complex process) Package upto 8 L SME Exp also work - 7 LPA Graduate us shift 1 side cab 8800967949/shristiguptaimaginators@gmail.com Required Candidate profile Should have good decision making skills,experience to handle complex processes, should know about Analytical and logical processes. Need Excellent communication skills

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 Title : Claim Processor Open Positions: 2 Vacancies Location: Konankunte cross Job Summary: We are seeking candidates with a minimum of 1 year of experience in Indian health Insurance/TPA (Added Advantage) who have strong communication and along with good medical knowledge in Claims Adjudication. Qualifications : Degree in M pharma, B Pharma, Pharm D BAMS, BHMS, BSMS, or MBBS . Candidates who can join immediately or within 15 days are preferred. Roles & Responsibilities: Ensuring accuracy and compliance in medical claims adjudication. Knowledge & Skill Requirements: Technical Competencies: Claims processing Preauthorization, Cashless, Reimbursement, Medical Adjudication, and Billing expe...

We’re Hiring – Customer Service Associate (Night Shift) Location: Mumbai (Airoli) | WFO US Healthcare – International Voice Process 20K in-hand + incentives + night allowance Call HR Khushi – 9389460353 |