7662 Claims Jobs - Page 34

Job Description Team Name: Incentives Job Title: Finance Officer The Incentive Coordinator is responsible for making payments for all contractual deferred incentives, along with calculating and refunding any amounts owed for incentive issues via the Incentive Rebate Resolution process. The Incentive Administrative Assistant must be highly proficient in using MS Access and Excel. Additionally, he/she communicates information and clarification to site management, upper management, Pricing, F&A, Business Development, and occasionally customers. Job Duties Processing Contractual Payments Calculates and processes deferred incentive payments within the parameters of the contract on file. Calculate...

1 Position Overview: You will be responsible for overseeing and managing all aspects of travel-related expenses within the company. This role involves maintaining accurate records of State Offices other expenses. 2 Key Responsibilities: . Process and review all travel-related expenses submitted by employees, ensuring they align with company policy and budget guidelines. 2. Monitor and maintain the company s travel expenses sheet, ensuring accuracy and completeness of all data entries of bills and branch expenses. 3. Reconcile credit card statements and employee reimbursement claims related to travel expenses. 4. Ensure timely processing of reimbursements for employees and ensure all necessar...

Application Airbnb was born in 2007 when two hosts welcomed three guests to their San Francisco home, and has since grown to over 5 million hosts who have welcomed over 2 billion guest arrivals in almost every country across the globe. Every day, hosts offer unique stays and experiences that make it possible for guests to connect with communities in a more authentic way. The Community You Will Join: The CRM Engineering team builds world-class tools that drive growth and foster meaningful relationships between Airbnb and its community, including Hosts, Guests, Law Enforcement, Government Regulators, Local Community Leaders, and more. This team tackles some of the most challenging and unique p...

Desktop Investigation Trigger identification through data at intimation/Referral stage Social media searches Cold calling using digital platforms Identify key business people, link analysis Claim Investigation Allocation of assigned claims to respective vendors with case relevant triggers Follow up for IR and TAT management Level 1 QC clearance & validate the submissions against shared triggers Success in claim investigation based upon strong medical & legal evidences Preparing reports based on findings and observations and guide / Gathering and Analyzing the facts and developing & creating evidence which stands in court of law Report submission and coordination with claims team. Evidence Ma...

Engage with communities to raise awareness about health programs. Conduct outreach activities and health education sessions. Identify and support beneficiaries for health initiatives. Collect community feedback and report to supervisors. Encourage participation in health camps and preventive programs Graduate with relevant experience in public health will be added advantage Strong communication and interpersonal skills. Community engagement and awareness techniques. Cultural sensitivity and empathy. Reporting and basic data collection skills. Ability to motivate and educate communities

JOB DESCRIPTION PURPOSE OF ROLE Providing operational leadership to the Central Operations function ensuring quality, productivity, utilization of manpower and adherence to SLA. Designation AVP- Central Operations Function Central Operations - Supervisor Location Bangalore Educational Qualification MBA / Any IT Professional / BAMS / BHMS / MBBS Industry Type TPA / Insurance / Healthcare Roles and Responsibilities Claims Processing Metrics Claims Settlement Cycle Time: Average days from claim receipt to payment, targeting quick resolution to enhance member satisfaction Claims Denial Rate: Percentage of claims rejected, indicating adjudication accuracy and policy compliance. Claims Processed P...

Hiring for Senior Associate / Specialist, Retirement Services (Money-In & Money-Out) For more details please call or share resumes to the mentioned contact 7569452008 Job Description : Only for Experienced Folks. Hands-on experience with retirement platforms and workflow tools We are seeking an experienced Retirement Services professional with hands-on expertise in either Money-In, Money-Out, and Corrections across multiple retirement plan types. The role requires strong transaction accuracy, understanding of IRS regulations, and the ability to process complex participant and beneficiary requests. Key Responsibilities : Corrections & Tax Reporting : Apply tax rules for pre-tax, Roth, and aft...

Role & responsibilities Processing of pre-authorization/cashless claim. Maintain processing TAT for pre-auth/cashless claim Must be able to analyze large amount of data, Identify patterns and draw conclusions from that data Must have previous experience of conducting audit, sampling and preparing reports Reviewing insurance policy documents to determine coverage limits, exclusions that may affect the claim. Reviewing medical bills, medical records, and other documentation to determine medical necessity and appropriate treatment. Preferred candidate profile Immediate joiners preffered Any Medical degree (Mandatory) Good communication skills Ability to multi-task Good interpersonal skills Shou...

Paras Hospital is hiring IP Billing Manager for Udaipur location. Position Overview The IP Billing Manager is responsible for overseeing and managing the entire Inpatient billing process to ensure accurate, timely, and compliant billing of patient services. The role ensures effective coordination between clinical departments, TPA/Insurance, admission/discharge desk, and finance to optimize revenue realization and maintain high levels of patient satisfaction. Key Responsibilities 1. IP Billing Operations Ensure accurate & timely generation of IP bills for all admitted patients. Monitor daily billing entries, charge capture for procedures, consumables, medicines, investigations, and room charg...

Hiring for Claims Process Associate !!! Skills Required: Candidate should be excellent in verbal communication skills Only Experienced candidates can apply for this position Experienced candidates must have atleast 6 months to 1 year of experience into claims processing Graduation mandatory Education: Non-Technical education background required (eg.BA ,B.com,BBA) Additional Information: *Should be flexible to work from office and rotational shifts *Candidate should be in 20 kms of radius from work location * 5 days working, 2 days week offs *REGISTER YOUR DETAILS USING THE BELOW LINK : https://smrtr.io/s99-P Interview Location: BLOCK-D, CENTENNIAL. 201 Kundalahalli Main Road EPIP Zone, Brook...

Role Overview: You are being hired as an IT Analyst for Logistics Applications with a focus on Oracle OTM/GTM modules. Your role will involve providing production support for logistics applications, assisting in OTM solution implementation, requirement gathering, solution design, and collaborating with technical teams and Oracle support to resolve critical issues. Key Responsibilities: - Provide production support for logistics applications - Assist in OTM solution implementation across business units - Handle requirement gathering, functional configuration, testing, and end-user training - Work on solution design, fit-gap analysis, and functional documentation - Collaborate with technical t...

As an Insurance Analytics Manager at Global Shared Services (GSS) in Liberty Mutual, your role as an AVP involves reporting to the GSS Insurance Analytics Leader and supporting the team based in India for governance, talent management, and strategy related to various Liberty Mutual Insurance (LMI) engagements worldwide. The team oversees the overall Enterprise-wide outsourcing workstream and acts as a central point of contact for home office and Regions. **Key Responsibilities:** - **Governance:** - Maintain a robust governance framework including MBRs, QBRs, and Townhalls to facilitate performance management and effective communication. - Track progress, monitor performance of offshore deli...

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...

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...

About the role Review patient medical records following PHI, HIPPA and convert into medical coding code as per ICD-10-CM and PCS guidelines. Complete daily assign tasks within time with expected quality, on time communication to internal/external stakeholders and adhere to organization policies. We are looking to hire an experienced Medical Coders / Senior Medical Coders with coding certifications (CIC or CCS) hands on experience on Inpatient DRG (MS-DRG/APR-DRG) coding. Eligibility Criteria 1 to 7+ Years of work experience in IP DRG medical Coding Education Any Graduate, Postgraduate Successful completion of a certification program from AHIMA (CCS) or AAPC (CIC) Must be active during joinin...

About The Role Skill required: Provider Network - Life Sciences Regulatory Operations Designation: Health Operations Analyst Qualifications: Any Graduation Years of Experience: 3 to 5 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 r...

About The Role Project Role : Business Architect Project Role Description : Identify opportunities to deliver tangible business value by assessing the current state, capturing high-level requirements, and defining business solutions. Translate business needs into technology-enabled solutions and operating models. Support transformation by developing business cases and guiding implementation of key initiatives. Must have skills : Medicare Advantage Good to have skills : Health Insurance Operations, Electronic Medical Records (EMR) Minimum 5 year(s) of experience is required Educational Qualification : 15 years full time education Summary :As a Configuration Lead, you will identify opportuniti...

About The Role Skill required: HM- Utilization Management - Healthcare Management Designation: Customer Service 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 administration ...

About The Role Skill required: HM- Utilization Management - Healthcare Management Designation: Customer Service 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 administration ...

About The Role Skill required: HM- Utilization Management - Healthcare Management Designation: Customer Service 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 administration ...

About The Role Skill required: HM- Utilization Management - Healthcare Management Designation: Customer Service 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 administration ...

About The Role Skill required: HM- Utilization Management - Healthcare Management Designation: Customer Service 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 administration ...

About The Role Skill required: HM- Utilization Management - Healthcare Management Designation: Customer Service Associate Qualifications: Any Graduation Years of Experience: 1 to 3 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 administration of h...

About The Role Skill required: Contract Management - Contract management Designation: Contract Associate Manager Qualifications: Any Graduation Years of Experience: 10 to 14 years What would you do? "- Exceptional leadership, team-building and motivational skills Gained substantial experience in the technology (High Tech and Software) sector, driving initiatives that improved online presence and customer engagement on a global scale Deep expertise in managing sales operations back office processes with knowledge of operations processes, tools and technology Has extensive knowledge in preparing Sales Contracts, Contract drafting, contract abstraction, contract redlining, contract orchestratio...

About The Role Skill required: HM- Utilization Management - Healthcare Management Designation: Customer Service Associate Qualifications: Any Graduation Years of Experience: 1 to 3 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 administration of h...