1065 Claims Adjudication Jobs - Page 4

JLL empowers you to shape a brighter way . Our people at JLL and JLL Technologies are shaping the future of real estate for a better world by combining world class services, advisory and technology for our clients. We are committed to hiring the best, most talented people and empowering them to thrive, grow meaningful careers and to find a place where they belong. Whether you’ve got deep experience in commercial real estate, skilled trades or technology, or you’re looking to apply your relevant experience to a new industry, join our team as we help shape a brighter way forward. Senior Finance Analyst - Accounts Receivable Client Finance - JLL Business Service (Gurugram) What this job involves: Raise PO or request PO from client system (if included in SOW) Run E1 Funding report Raise funding to client and ensure all required supporting documentation attached Ensure invoices/credit notes are raised in accordance with client PO Request invoices/credit notes to be raised in PeopleSoft or for outsourcing provider Ensure invoices/credit notes sent to client in order with invoicing instructions (email, portal upload or hard copy delivery) Log invoice in JDE E1 Resolve any client queries in consultation with Client Finance Analyst Once funding received log receipts on relevant financial systems Follow up unallocated cash payments with clients / chase for remittances Perform AR Write Offs and Maintenance Prepare any relevant reportsAR ageing, invoice volumes, etc as requested by client teams Calculate and post aging provision to the GL and prepare provision report Support financial reporting and reconciliation process. Sound like youTo apply, you need to be: 3-6 years of experience Motivated, positive and flexible in approach to work. Proactive in identifying issues and potential solutions. Self – supporting; diligent. Ability to work methodically and efficiently. Process-driven approach to work. Ability to deliver to tight deadlines. Ability to learn quickly, and desire to develop. Customer ServiceCommitment to solve requests and problems. Excellent interpersonal, presentation and communication skills. Intermediate / Advanced PC skills, proficient in Office tools, such as Microsoft Outlook Word & Excel. Familiarity with JDE E1 financial is advantageous Location On-site –Gurugram, HR Scheduled Weekly Hours: 40 If this job description resonates with you, we encourage you to apply even if you don’t meet all of the requirements. We’re interested in getting to know you and what you bring to the table! JLL Privacy Notice Jones Lang LaSalle (JLL), together with its subsidiaries and affiliates, is a leading global provider of real estate and investment management services. We take our responsibility to protect the personal information provided to us seriously. Generally the personal information we collect from you are for the purposes of processing in connection with JLL’s recruitment process. We endeavour to keep your personal information secure with appropriate level of security and keep for as long as we need it for legitimate business or legal reasons. We will then delete it safely and securely. Candidate Privacy Statement . For candidates in the United States, please see a full copy of our Equal Employment Opportunity and Affirmative Action policy here. Jones Lang LaSalle (“JLL”) is an Equal Opportunity Employer and is committed to working with and providing reasonable accommodations to individuals with disabilities. If you need a reasonable accommodation because of a disability for any part of the employment process – including the online application and/or overall selection process – you may contact us at Accommodation Requests . This email is only to request an accommodation. Please direct any other general recruiting inquiries to our Contact Us page I want to work for JLL.

What this job involves: Responsibilities: Daily Cash Application. Handle mailbox for request and query management Perform daily transactions as per standard operating procedures Allocating work to the team and ensuring service delivery as agreed norms and SLAs Creation of Statement of Accounts and Refund Packets Update process documents and capture the exceptions while processing as and when required Provide support during internal/ external audits Provide new hire orientation and process training Ability to multi-task and work in a dynamic and fast paced environment Team player and yet able to work independently Perform other duties assigned as and when required i.e. process improvement initiatives, system implementation and ad-hoc projects Sounds like you To apply, you need to have: Requirements: Ability Degree in Accounting or relevant professional accountancy qualification. Shift timings: 5:30 pm IST 02:00 am IST. Minimum 18 months of experience at current role within JLL. Preferably, 3-5 years of working experience in AR in MNC. Good knowledge of Accounts Receivable is an added advantage. Ability to multi-task and work in a dynamic and fast paced environment Team player and yet able to work independently On-site Gurugram, HR Scheduled Weekly Hours: 40

What this job involves: Responsibilities: Daily Cash Application. Handle mailbox for request and query management Perform daily transactions as per standard operating procedures Allocating work to the team and ensuring service delivery as agreed norms and SLAs Creation of Statement of Accounts and Refund Packets Update process documents and capture the exceptions while processing as and when required Provide support during internal/ external audits Provide new hire orientation and process training Ability to multi-task and work in a dynamic and fast paced environment Team player and yet able to work independently Perform other duties assigned as and when required i.e. process improvement initiatives, system implementation and ad-hoc projects Sounds like you To apply, you need to have: Requirements: Ability Degree in Accounting or relevant professional accountancy qualification. Shift timings: 5:30 pm IST 02:00 am IST. Minimum 18 months of experience at current role within JLL. Preferably, 3-5 years of working experience in AR in MNC. Good knowledge of Accounts Receivable is an added advantage. Ability to multi-task and work in a dynamic and fast paced environment Team player and yet able to work independently On-site Gurugram, HR Scheduled Weekly Hours: 40

Finance Analyst Accounts Receivable Client Finance - JLL Business Service (Gurugram) What this job involves: Analysing cash/amount received in the bank deposits and making the application against the tenant accounts Analyse and research tenant ledgers history against the over/short payments. Query handling working on all queries received and keeping a close tab on any pending queries that could be resolved and following up on the rest. Contact accountants and Property teams whenever necessary to determine the proper payment application. Research and analyse duplicate and erroneous payments. Escalate unresolved issues/concerns. Assist in training new employees as needed. Working on different process-related and ad-hoc reports Keeping all the process-related documents intact on a real-time basis Sounds like you To apply, you need to have the following: Employee Specifications Strong Finance background, Commerce graduate or Post Graduate is preferred. Minimum 0-2 years of experience in Order to Cash, specifically Cash Application role is preferable. Strong analytical skills with attention to detail and logical thinking and carry a positive attitude to develop solutions quickly Strong interpersonal skills Demonstrated consistency in values, principles, and work ethics Working knowledge of MS Office (MS Word, Excel, PowerPoint, Outlook) required Performance Objectives Works within established procedures with a moderate degree of supervision Identifies the problem and all relevant issues in straightforward situations, assesses each using standard procedures, and makes sound decisions

What this job involves: Responsibilities: Daily Cash Application. Handle mailbox for request and query management Perform daily transactions as per standard operating procedures Allocating work to the team and ensuring service delivery as agreed norms and SLAs Creation of Statement of Accounts and Refund Packets Update process documents and capture the exceptions while processing as and when required Provide support during internal/ external audits Provide new hire orientation and process training Ability to multi-task and work in a dynamic and fast paced environment Team player and yet able to work independently Perform other duties assigned as and when required i.e. process improvement initiatives, system implementation and ad-hoc projects Sounds like you To apply, you need to have: Requirements: Ability Degree in Accounting or relevant professional accountancy qualification. Open to all shift timings. Minimum 18 months of experience at current role within JLL. Preferably, 0-3 years of working experience in AR in MNC. Good knowledge of Accounts Receivable is an added advantage. Ability to multi-task and work in a dynamic and fast paced environment Team player and yet able to work independently.

About The Role Skill required: Reinsurance - Collections Processing Designation: Claims Management Manager Qualifications: Any Graduation Years of Experience: 13 to 18 years 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 environment and offers a flexible operating model that can meet the unique needs of each market segment.Canceling and rewriting insurance policies and endorsementsManage OTC collection/disputes such as debt collection, reporting on aged debt, dunning process, bad debt provisioning etc. Perform Cash Reconciliations and follow up for missing remittances, prepare refund package with accuracy and supply to clients, record all collections activities in a consistent manner as per client process (tool), delivery of process requirements to achieve key performance targets, ensure compliance to internal controls, standards, and regulations (Restricted countries). What are we looking for? Adaptable and flexibleAbility to perform under pressureProblem-solving skillsPrioritization of workloadCommitment to qualityProficient with reinsurance systems and data analytics tool (e.g., SICS, SAP, Excel and Power BI, etc.) Roles and Responsibilities: In this role you are required to identify and assess complex problems for area of responsibility The person would create solutions in situations in which analysis requires an in-depth evaluation of variable factors Requires adherence to strategic direction set by senior management when establishing near-term goals Interaction of the individual is with senior management at a client and/or within Accenture, involving matters that may require acceptance of an alternate approach Some latitude in decision-making in involved you will act independently to determine methods and procedures on new assignments Decisions individual at this role makes have a major day to day impact on area of responsibility The person manages large - medium sized teams and/or work efforts (if in an individual contributor role) at a client or within Accenture Please note that this role may require you to work in rotational shiftsDirect all operational processes pertaining to Reinsurance, including claims notice, collections, cash applications, premium and loss journal entries, reconciliations, and regulatory reportingLead reinsurance servicing for allocated accounts, including meticulous claims management and endorsementsEvaluate Reinsurance risks, negotiate contracts, monitor claims, and ensure all documentation aligns with industry and internal standardsLiaise with Insurers, brokers, RI markets, actuarial, finance and external partners to meet client needs, drive renewal strategies, and resolve operational challengesDrive operational excellence by reviewing, developing, and implementing process improvements, leveraging analytics and best practices to maximize efficiency and optimize outcomesSupport strategic initiatives and projects contributing to transformation, cost reduction, and adoption of digital technologiesDesign and track KPIs, analyze performance trends, identify issues, and develop actionable insights for continuous improvement Qualification Any Graduation

About The Role Skill required: Operations Support - Pharmacy Benefits Management (PBM) Designation: Health Operations New Associate Qualifications: Any Graduation 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 Claims team which is responsible for the administration of health claims. This team is involved in core claim processing such as registering claims, editing & verification, claims evaluation, and examination & litigation.The business processes, operations and interactions of third party administrators of prescription drug programs, understanding of the processes used to manage programs for payers, process and pay prescription drug claims, develop and maintain the formulary, contract with pharmacies and negotiate discounts and rebates with drug manufacturers. What are we looking for? Adaptable and flexibleAbility to perform under pressureProblem-solving skillsDetail orientationAbility to establish strong client relationship Roles and Responsibilities: In this role you are required to solve routine problems, largely through precedent and referral to general guidelines Your primary interaction is within your own team and your direct supervisor In this role you will be given detailed instructions on all tasks The decisions that you make impact your own work and are closely supervised You will be an individual contributor as a part of a team with a predetermined, narrow scope of work Please note that this role may require you to work in rotational shifts Qualification Any Graduation

About The Role Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management Specialist Qualifications: Any Graduation Years of Experience: 7 to 11 years What would you do? We are seeking an experienced and dynamic Team Manager to lead a team of 30-40 professionals in the Property and Casualty (P&C) claims domain. The ideal candidate will have hands-on expertise in First Notice of Loss (FNOL) and Claims Payment Processing, strong client and people management skills, and the ability to drive operational excellence through reporting, stakeholder communication, and effective team leadership.Oversee end-to-end P&C claims lifecycle, focusing on FNOL intake and claims payment processes.Ensure timely and accurate processing of claims in line with client SLAs, regulatory requirements, and internal quality standards.Lead, mentor, and manage a team of 30-40 employees, including team leaders, claims processors, and analysts.Conduct regular performance reviews, feedback sessions, and team development initiatives.Serve as the primary point of contact for client communications, escalations, and process updates.Prepare and analyze daily, weekly, and monthly reports on team performance, volumes, SLA adherence, and issue resolution.Create and deliver professional presentations (PPTs) for internal leadership and client stakeholders.Oversee end-to-end P&C claims lifecycle, focusing on FNOL intake and claims payment processes.Ensure timely and accurate processing of claims in line with client SLAs, regulatory requirements, and internal quality standards.Lead, mentor, and manage a team of 30-40 employees, including team leaders, claims processors, and analysts.Conduct regular performance reviews, feedback sessions, and team development initiatives.Serve as the primary point of contact for client communications, escalations, and process updates.Prepare and analyze daily, weekly, and monthly reports on team performance, volumes, SLA adherence, and issue resolution.Create and deliver professional presentations (PPTs) for internal leadership and client stakeholders. What are we looking for? Bachelors degree (Masters preferred) in Business, Insurance, Finance, or related field.610 years of experience in P&C claims operations, with at least 3 years in a team leadership or managerial role.Strong understanding of FNOL, Claims Adjudication, and Payment processes in a US/UK insurance environment.Proven experience in client management and stakeholder engagement.Insurance certification (e.g., AINS, CPCU) is a plus.Experience in working with onshore/offshore models.Exposure to automation, digital transformation, or process improvement initiatives Roles and Responsibilities: In this role you are required to do analysis and solving of moderately complex problems May create new solutions, leveraging and, where needed, adapting existing methods and procedures The person would require understanding of the strategic direction set by senior management as it relates to team goals Primary upward interaction is with direct supervisor May interact with peers and/or management levels at a client and/or within Accenture Guidance would be provided when determining methods and procedures on new assignments Decisions made by you will often impact the team in which they reside Individual would manage small teams and/or work efforts (if in an individual contributor role) at a client or within Accenture Please note that this role may require you to work in rotational shifts Qualification Any Graduation

About The Role Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management Associate Manager Qualifications: Any Graduation Years of Experience: 14 Years to 16 Years What would you do? We are seeking a highly experienced and results-driven Claims Associate Manager with a strong background in Property & Casualty (P&C) insurance claims operations. The ideal candidate will have a minimum of 14 years of experience, including proven leadership in managing large teams (~40 FTEs) across First Notice of Loss (FNOL), claims adjudication, and payment processing functions.This role demands strong capabilities in people leadership, client relationship management, escalation handling, and cross-functional stakeholder collaboration (internal & external). The individual will be responsible for driving performance, ensuring SLA adherence, process optimization, and enhancing overall client satisfaction.Lead and oversee end-to-end P&C claims operations, including FNOL intake, adjudication, approvals/denials, and payments.Manage daily workflow, resource allocation, and workload balancing for a team of ~40 FTEs.Ensure delivery against operational KPIs, SLAs, and compliance guidelines.Provide leadership, mentoring, and performance feedback to direct reports.Handle staffing, training, and team development to build high-performing, engaged teams.Conduct regular one-on-ones, performance appraisals, and drive employee engagement initiatives.Act as the primary point of contact for client communications and service delivery discussions.Manage client escalations and ensure timely and effective resolution.Lead and oversee end-to-end P&C claims operations, including FNOL intake, adjudication, approvals/denials, and payments.Manage daily workflow, resource allocation, and workload balancing for a team of ~40 FTEs.Ensure delivery against operational KPIs, SLAs, and compliance guidelines.Provide leadership, mentoring, and performance feedback to direct reports.Handle staffing, training, and team development to build high-performing, engaged teams.Conduct regular one-on-ones, performance appraisals, and drive employee engagement initiatives.Act as the primary point of contact for client communications and service delivery discussions.Manage client escalations and ensure timely and effective resolution. What are we looking for? Ability to establish strong client relationshipAbility to handle disputesAbility to manage multiple stakeholdersAbility to meet deadlinesAbility to work well in a teamExposure to US/UK P&C insurance markets.Experience in transitioning or setting up new processes or client accounts.Certification in Insurance (e.g., AIC, CPCU) or Lean/Six Sigma will be an added advantage. Roles and Responsibilities: In this role you are required to do analysis and solving of moderately complex problems Typically creates new solutions, leveraging and, where needed, adapting existing methods and procedures The person requires understanding of the strategic direction set by senior management as it relates to team goals Primary upward interaction is with direct supervisor or team leads Generally interacts with peers and/or management levels at a client and/or within Accenture The person should require minimal guidance when determining methods and procedures on new assignments Decisions often impact the team in which they reside and occasionally impact other teams Individual would manage medium-small sized teams and/or work efforts (if in an individual contributor role) at a client or within Accenture Please note that this role may require you to work in rotational shifts Qualification Any Graduation

About The Role Skill required: Operations Support - Pharmacy Benefits Management (PBM) Designation: Health Operations New Associate Qualifications: Any Graduation 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 Claims team which is responsible for the administration of health claims. This team is involved in core claim processing such as registering claims, editing & verification, claims evaluation, and examination & litigation.The business processes, operations and interactions of third party administrators of prescription drug programs, understanding of the processes used to manage programs for payers, process and pay prescription drug claims, develop and maintain the formulary, contract with pharmacies and negotiate discounts and rebates with drug manufacturers. What are we looking for? Adaptable and flexibleAbility to perform under pressureProblem-solving skillsDetail orientationAbility to establish strong client relationship Roles and Responsibilities: In this role you are required to solve routine problems, largely through precedent and referral to general guidelines Your primary interaction is within your own team and your direct supervisor In this role you will be given detailed instructions on all tasks The decisions that you make impact your own work and are closely supervised You will be an individual contributor as a part of a team with a predetermined, narrow scope of work Please note that this role may require you to work in rotational shifts Qualification Any Graduation

About The Role Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 years Language - Ability: English - 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 environment and offers a flexible operating model that can meet the unique needs of each market segment.Claim processing team collects end-end data dataYou will be responsible for developing and delivering business solutions that support the claims process across its lifecycle, including first notice of loss, claims investigation, payment administration or adjudication, provider reimbursement (health care), subrogation and recovery. What are we looking for? Ability to manage multiple stakeholders,Ability to perform under pressure,Agility for quick learning,Collaboration and interpersonal skills,Commitment to qualityAbility to manage multiple stakeholders,Ability to perform under pressure,Agility for quick learning,Collaboration and interpersonal skills,Commitment to quality Roles and Responsibilities: In this role you are required to solve routine problems, largely through precedent and referral to general guidelines Your primary interaction is within your own team and your direct supervisor In this role you will be given detailed instructions on all tasks The decisions that you make impact your own work and are closely supervised You will be an individual contributor as a part of a team with a predetermined, narrow scope of work Please note that this role may require you to work in rotational shifts Qualification Any Graduation

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 to pass or clear the Health Insurance claims. Qualifications Bachelor's degree. Previous experience in TPA management or Banking. Good interpersonal and communication skills. Simran Sandhu 7696661783

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 clients, patients, and each other. With our proven and scalable operating model, complementing a healthcare organizations infrastructure to quickly drive sustainable improvements to net patient revenue and cash flows while reducing operating costs and enhancing the patient experience. Responsibilities:Assign codes to diagnoses and procedures, using ICD (International Classification of Diseases) and CPT (Current Procedural Terminology) codes.Follow up with the provider on any documentation that is insufficient or unclear.Communicate with other clinical staff regarding documentation.Search for information in cases where the coding is complex or unusual.Receive and review patient charts and documents for accuracy.Review the previous day's batch of patient notes for evaluation and coding.Ensure that all codes are current and active. Requirements:Education Any Graduate.3 to 7 Years experience in Medical Coding.Successful completion of a certification program from AHIMA or AAPC.Strong knowledge of anatomy, physiology, and medical terminology.Skilled in assigning ICD-10 & CPT codes.Solid oral and written communication skills.Able to work independently.Flexible to work from office and home as required by the business.

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 in receiving, storage, and dispatch activities Maintain records, data entry, and documentation Assist in equipment handling and preventive maintenance Ensure compliance with safety and housekeeping standards Requirements Who Should Apply: Individuals with no prior work experience Physically fit and prepared for work in production or warehouse environments Keen to gain practical industry exposure through apprenticeship

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, storage, and dispatch activities Maintain records, data entry, and documentation Assist in equipment handling and preventive maintenance Ensure compliance with safety and housekeeping standards Requirements Who Should Apply: Individuals with no prior work experience Physically fit and prepared for work in production or warehouse environments Keen to gain practical industry exposure through apprenticeship

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 receiving, storage, and dispatch activities Maintain records, data entry, and documentation Assist in equipment handling and preventive maintenance Ensure compliance with safety and housekeeping standards Requirements Who Should Apply: Individuals with no prior work experience Physically fit and prepared for work in production or warehouse environments Keen to gain practical industry exposure through apprenticeship

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 the claims as per the terms and conditions within the TAT. • Handle escalations and responding to mails accordingly. Preferred candidate profile: BAMS, BHMS graduates ONLY. Work from Office only. Interested candidates share resume to Mail : sarika.pallap@mediassist.in Whatsapp : 8792840500

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 sessions, KRA, PIP) d) Reports (Internal and Client performance reports) e) Work allocation strategy f) CMS 1500 & UB04 AR experience is mandatory. g) Span of control - 80 to 100 h) Thorough knowledge of all AR scenarios and Denials i) Expertise in both Federal and Commercial payor mix j) Excellent interpersonal skills h) Should be capable to interact with US clients and manage escalations 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 be good in Denial Management Candidate should have knowledge of Medicare, Medicaid & ICD & CPT codes used on Denials. Ability to interact positively with team members, peer group and seniors. Demonstrated ability to exceed performance targets. Ability to effectively prioritize individual and team responsibilities. Communicates well in front of groups, both large and small.

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-Face Venue: R1 RCM, Tower 9, 7th Floor , Candor TechSpace, Sector 135, Noida 201304 About the Apprenticeship Program: Role: Apprentice AR Follow-Up (U.S. Healthcare Process) Duration: 6 months (Paid Apprenticeship) followed by Full Time Employment, subject to performance. Program Type: Registered under the NATS program Future Scope: Conversion to full-time employee based on performance This program is designed to provide structured training in insurance claim follow-up, denial handling, U.S. healthcare communication, and process understanding, all under the guidance of experienced mentors. Benefits: Paid a monthly stipend during the apprenticeship Paid leaves and National Holidays Free pick-up/drop-off facility for night shifts R1-sponsored medical and accidental insurance Access to R1 wellness and teleconsultation programs Government Certificate of Completion (NATS) Attractive salary package on successful conversion to full-time role Fast-track career growth opportunities Complimentary Meals Who Can Apply: Eligible Qualification : Fresh Graduates (Non-Engineering Streams only) Not Eligible Qualifications : B.Pharm, B.Tech/BE, LLB, B.Sc. Biotech. Strong spoken English and interpersonal skills. Analytical mindset with willingness to work in high-volume calling environments. Comfortable with rotational night shifts. What Youll Learn: U.S.healthcare insurance lifecycle and terminology End-to-end claim handling processes Communication with U.S.-based clients Structured corporate communication skills Process orientation and quality focus About R1 RCM: R1 RCM is a leading provider of technology-driven solutions that help hospitals and health systems manage their revenue cycle more efficiently and improve overall patient experience. With a presence in major Indian cities including Noida, Hyderabad, Bangalore, and Chennai, we support 300,000+ providers, 1000+ hospitals, and physician groups globally. We have been consistently recognized among: Top 25 Best Workplaces in Healthcare Top 50 Workplaces for Women Top 75 for Diversity & Inclusion Top 10 for Health and Wellness Top 50 Workplaces for Millennials At R1, we believe in a purpose-driven, inclusive work culture that empowers employees to grow. With over 30,000 employees globally, R1 is a dynamic, future-forward company offering robust employee benefits and a fast-paced learning environment. Mandatory to Carry: Two copies of your updated resume. A valid Government-issued photo ID proof (Aadhar, PAN, Voter ID, etc.) Start your career with a globally trusted healthcare brand that prioritizes your learning, development, and future growth. We look forward to seeing you at the drive.

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 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 non-availability of tariff. Approve or deny the claims as per the terms and conditions within the TAT. Handle escalations and responding to mails accordingly. Work from Office only 4th floor, AARPEE Chambers, Off Andheri-Kurla Road Industrail Estate Marol, Andheri East, , Marol Cooperative Next To Times Square, Shagbaug, Gamdevi, Marol, Mumbai, Maharashtra 400059 Interested candidates can share their resumes to ronojoy.bagchi@mediassist.in