2028 Claims Processing Jobs

Handle Provider Chat queries and meet client SLA 5*10 Operation during weekdays Should have a valid degree & good in communication Adhere to client shift time and break hours Customer holidays are followed and hence need to work on India Holidays Should have experiance in handling Microsoft excel, words

Handle Provider Chat queries and meet client SLA 5*10 Operation during weekdays Should have a valid degree & good in communication Adhere to client shift time and break hours Customer holidays are followed and hence need to work on India Holidays Should have experiance in handling Microsoft excel, words

Reporting to - Director / Manager Role: Asst. Manager will be responsible for all business delivery & performance as per set SLA parameters of Disability claim process in healthcare & insurance domain. And must understand the business delivery, maintain & publish metrics with multiple stakeholders; brief and deliver all in-house process delivery & requirements, apart from coordinating with onshore partners as and when required. As a Asst. Manager, you will be the contact point for all team members, and will be responsible for supervising, managing and motivating team members daily basis. You should also be able to act proactively to ensure smooth team operations and effective collaboration. Purpose of the Post: The Asst. Manager role is to collaborate with the Director Operation / Manager to lead a core team of staff to process Disability management claims to achieve the defined productivity and quality as per the Service level Agreement by facilitating training, coaching and access to the process. The post holder will report to and work closely with the Director operation / Manager for the development and delivery of the service. He need to work with the staff team taking lead responsibility for the preparation, implementation and monitoring of all day-to-day activities and communicate to update all the stakeholders of status for the account. Key Responsibilities Ensure that the highest standard of service delivery in terms of productivity and quality as per the defined Service Level Agreement with Client. To provide leadership and support to the staff assigned in line with Policies. Contribute to the development of strategies for the implementation and improvement of the process. Coordinate with staff and ensure that duties, activities, and tasks allocated to staff are carried out efficiently. Verify and review all forms and documents of a case for errors, missing information, legibility; and request follow up information as required. Performs quality checks on all work to assure the accuracy. Will be responsible for maintaining up to date information on relevant databases and the monitoring and auditing of same for the account. Display effective and professional communication with internal and external customers. Always adhere to all HIPAA and confidentiality policies. Delegate tasks and set deadlines. Create an inspiring team environment with an open communication culture. Oversee day-to-day operation. Monitor team performance and report on metrics Motivate team members. Discover training needs and provide coaching. Listen to team members feedback and resolve any issues or conflicts. Recognize high performance and reward accomplishments. Suggest and organize team building activities. Note: This description is not restrictive, and the post holder may be required to carry out other duties as requested by the Account Director / Manager. Candidate Profile: 3 - 5 years of experience of team handling which includes 20+ members preferably in healthcare processes Indexing and Claims Processing. Excellent communication, team management, and customer management skills to maintain positive customer relations. Excellent analytical skills Good knowledge of client-specific process rules and regulatory requirements Work Timings: Scheduled shifts: Monday - Friday, 9:00 p.m. - 7:00 a.m. IST

Join our team as an AR Caller & Denials Management Specialist! Handle accounts receivable, resolve denials, and ensure timely payments. Immediate openings available. Apply now! Initial 6 Months Work from Office. Required Candidate profile Experienced AR Callers & Denials Management Specialists sought! Proficiency in AR calling, denials resolution, healthcare billing processes, and strong communication skills required.

Candidate will be responsible for handling dental insurance claims, verifying patient eligibility, processing claims from various insurance providers, and ensuring smooth communication between patients, providers Required Candidate profile Experience in dental insurance claims processing or similar roles. Working on claims from various insurance providers Proficient in dental software Send profiles recruitment1.hipl@gmail.com

Join our team as an AR Caller & Denials Management Specialist! Handle accounts receivable, resolve denials, and ensure timely payments. Immediate openings available. Apply now! Initial 6 Months Work from Office. Required Candidate profile Experienced AR Callers & Denials Management Specialists sought! Proficiency in AR calling, denials resolution, healthcare billing processes, and strong communication skills required.

•Provider Enrollment experience with multiple payers is must •Create and maintain files for Credentialing applications and renewals • Compile and maintain current and accurate data for all providers • Completion, submission, Follow up of applications Required Candidate profile • Minimum of 2 year of Provider Enrollment experience. • Experience using PECOS, processing enrollment with Medicaid, and using CAQH • Excellent communication skills

Join our team as an AR Caller & Denials Management Specialist! Handle accounts receivable, resolve denials, and ensure timely payments. Immediate openings available. Apply now! Initial 6 Months Work from Office. Required Candidate profile Experienced AR Callers & Denials Management Specialists sought! Proficiency in AR calling, denials resolution, healthcare billing processes, and strong communication skills required.

Join our team as an AR Caller & Denials Management Specialist! Handle accounts receivable, resolve denials, and ensure timely payments. Immediate openings available. Apply now! Initial 6 Months Work from Office. Required Candidate profile Experienced AR Callers & Denials Management Specialists sought! Proficiency in AR calling, denials resolution. Immediate joiners preferred. Send CV recruitment1.hipl@gmail.com

Join our team as an AR Caller & Denials Management Specialist! Resolve denials and ensure timely payments. Immediate openings. Apply now! Initial 6 Months Work from Office. Required Candidate profile Experienced AR Callers & Denials Management Specialists sought! Proficiency in AR calling, denials resolution. Immediate joiners preferred. Experience in ECW software must

Join our team as an AR Caller & Denials Management Specialist! Resolve denials and ensure timely payments. Immediate openings. Apply now! Initial 3 Months Work from Office. Required Candidate profile Experienced AR Callers & Denials Management Specialists sought! Proficiency in AR calling, denials resolution. Immediate joiners preferred. Experience in ECW software must

•Provider Enrollment experience with multiple payers is must •Create and maintain files for Credentialing applications and renewals • Compile and maintain current and accurate data for all providers • Completion, submission, Follow up of applications Required Candidate profile • Minimum of 2 year of Provider Enrollment experience • Experience using PECOS, processing enrollment with Medicaid, and using CAQH Immediate joiners preferred. Send CV to recruitment1.hipl@gmail.com

Join our team as an AR Follow-Up/Calling Specialist! Manage accounts receivable, ensure timely insurance claim follow-ups, and optimize reimbursements in a dynamic healthcare RCM environment. Immediate openings available. Apply now! Required Candidate profile Experienced AR Callers or AR Follow Up. Proficiency in AR calling, denials resolution. Immediate joiners preferred. Send CV recruitment1.hipl@gmail.com Initial 1 Months Work from Office.

•Provider Enrollment experience with multiple payers is must •Create and maintain files for Credentialing applications and renewals • Compile and maintain current and accurate data for all providers • Completion, submission, Follow up of applications Required Candidate profile • Minimum of 2 year of Provider Enrollment experience • Experience using PECOS, processing enrollment with Medicaid, and using CAQH Immediate joiners preferred. Send CV to recruitment1.hipl@gmail.com

Join our team as an AR Caller & Denials Management Specialist! Resolve denials and ensure timely payments. Immediate openings available. Permanent Work From Home. Apply now! Required Candidate profile Seeking experienced AR Callers & Denials Specialists! Must have ECW expertise, AR calling, denials resolution skills. Immediate joiners preferred. Send CV: recruitment1.hipl@gmail.com.

Experience: 3+ years of experience in medical billing, coding, or claims management, with a strong understanding of insurance claims processes and denial management.

Join our team as an AR Caller & Denials Management Specialist! Resolve denials and ensure timely payments. Immediate openings available. Permanent Work From Home. Apply now! Required Candidate profile Seeking experienced AR Callers & Denials Specialists! Must have ECW expertise, AR calling, denials resolution skills. Immediate joiners preferred. Send CV: recruitment1.hipl@gmail.com.

Experience: 3+ years of experience in medical billing, coding, or claims management, with a strong understanding of insurance claims processes and denial management. Must Require ECW software Experience.

Join our team as Denials Management Specialist! Resolve denials and ensure timely payments. Immediate openings available. Permanent Work From Home. Apply now! Required Candidate profile Seeking experienced AR Callers & Denials Specialists! Must have ECW expertise, AR calling, denials resolution skills. Immediate joiners preferred. Send CV: recruitment1.hipl@gmail.com.

Denials Management Specialist! Resolve denials and ensure timely payments. Immediate openings available. Maintain knowledge of payer policies and changes in denial/appeal regulations Permanent Work From Home. Required Candidate profile Seeking experienced AR Callers & Denials Specialists! Must have ECW expertise, AR calling, denials resolution skills with Appeal process.

Seeking a skilled Denials Management Specialist with ModMed (Modernizing Medicine) EMR/EHR expertise. The specialist will be responsible for analyzing, resolving, preventing claim denials while working closely with payers, providers. Required Candidate profile Must have experience in denials management for US healthcare billing and proficiency in ModMed (Modernizing Medicine) EMR/EHR system.

•Provider Enrollment experience with multiple payers is must •Create and maintain files for Credentialing applications and renewals • Compile and maintain current and accurate data for all providers • Completion, submission, Follow up of applications Required Candidate profile • Minimum of 2 year of Provider Enrollment experience • Experience using PECOS, processing enrollment with Medicaid, and using CAQH Immediate joiners preferred. Send CV to recruitment1.hipl@gmail.com

About The Role Skill required: Retirement Solutions - Claims Case Mgmt - Claims Processing Designation: Claims Management Associate Qualifications: Any Graduation Years of Experience: 1 to 3 years What would you do? Tower:UK Life and Pensions-Claims Processing What are we looking for? Skillset:Graduate in any stream.Open to flexible shifts based on business requirements.Good verbal & written communication skillsGood typing skill and attention to detail.Good time management skills. Ability work independentlyMust have/ minimum requirementMinimum of 2 years experience in the UK Life, Pensions and Investment domain, specifically Claims processing with equivalent experience in U.S. retirement services will also be considered.Strong analytical and comprehension skills with the ability to interpret information accurately and draw meaningful insights.Proficient in Microsoft Office tools, including Excel, Word, and Outlook, for reporting, documentation, and daily operations. Roles and Responsibilities: Roles & Responsibilities:Assess claims to determine coverage eligibility and benefit entitlements in line with policy terms and regulatory guidelines.Conduct thorough research to validate policy details, support documentation, and calculate the correct benefit amount.Identify and confirm the appropriate payee or beneficiary before initiating claims payment.Ensure accurate eligibility verification and payment processing in compliance with organizational policies and regulatory requirements (including UK-specific and applicable local laws).Review the proof of employment, salary history and other information needed to calculate benefits for Pensions claims.Verify the information and eligibility for the benefits of Pensions claims.Complies with all regulatory requirements, procedures, and State/Local regulations.Researching on any queries/ requests sent by the Business Partners/Client Support Teams and replying the same with minimum response time.Taking active participation in process improvements and automation.Ensure Quality Control standards that have been set are adhered to.Excellent organizational skills with ability identify and prioritize high value transactions.Completing assigned responsibilities and projects within timelines apart from managing daily BAU. Qualification Any Graduation

Assisting with the preparation of operating budgets, financial statements, and reports. Processing requisition and other business forms, checking account balances, and approving purchases. Advising other departments on best practices related to fiscal procedures. Managing account records, issuing invoices, and handling payments. Collaborating with internal departments to reconcile any accounting discrepancies. Analyzing financial data and assisting with audits, reviews, and tax preparations. Updating financial spreadsheets and reports with the latest available data. Reviewing existing financial policies and procedures to ensure regulatory compliance. Providing assistance with payroll administration. Keeping records and documenting financial processes.

Retail Claims - Automation & ProjectsKey Responsibilities1 Automate Claims Processes- Design anddevelop automated workflows and business rules to streamline claims processing Integrate with Existing Systems- Integrateautomated claims processing solutions with existing systems and technologies Testing and UAT - Test and validateautomated claims processing solutions to ensure accuracy and efficiency Daily production issue - Troubleshootissues and resolve problems related any day-to-day production issues across allclaim systems for death and health claims5 Collaborate with IT stakeholders, claim team and other requiredstakeholders to understand requirements and implement solutions6 Strong technical skills while alsounderstanding the business requirement from stakeholders and prepare a BRD fordevelopment and having analytical skills and ability to analyse complex datasets 7 Workingwith individual project teams and test lead to develop UAT approach and providesupport in setup of UAT