3155 Claims Processing Jobs - Page 20

Immediate joiners Calling insurance Company on behalf of healthcare providers for AR Caller and denial management, Physician billing. Salary & Quarterly Appraisal - Best in Industry Contact Lekha - 8884322624

Health Claims, Mass Claims & Provider Management, tpa Experience in HCP

Ready to shape the future of work? At Genpact, we don’t just adapt to change—we drive it. AI and digital innovation are redefining industries, and we’re leading the charge. Genpact’s AI Gigafactory, our industry-first accelerator, is an example of how we’re scaling advanced technology solutions to help global enterprises work smarter, grow faster, and transform at scale. From large-scale models to agentic AI, our breakthrough solutions tackle companies’ most complex challenges. If you thrive in a fast-moving, tech-driven environment, love solving real-world problems, and want to be part of a team that’s shaping the future, this is your moment. Genpact (NYSE: G) is anadvanced technology servi...

The Senior Software Development Engineer is responsible for designing, developing, and maintaining software solutions tailored to meet the specific needs of the business. The role creates robust and scalable software applications that streamline various processes within the insurance domain, such as policy management, claims processing, and risk assessment. They understand business requirements, translate them into technical specifications, conduct code reviews and implement innovative solutions that enhance operational efficiency and customer experience. Responsibilities: Design scalable systems with modern technology, such as serverless and event stream processing Follow industry best prac...

To assist in achieving sustainable profit and growth through the provision of back office operations management and technical expertise to manage Underwriting and support in Claims processing, leadership of employees and management of internal relationships. To assist in achieving sustainable profit and growth through the provision of back office operations management and technical expertise to manage Underwriting and support in Claims processing, leadership of employees and management of internal relationships.

Dear Candidates, Greetings from HealthIndia Insurance TPA Service Pvt. Ltd. Company Profile - We are provide highest level of quality health care by creating a platform which is entirely dedicated to service excellence, patient care and health education to the members . For more details kindly go through company website: https://www.healthindiatpa.com Currently we're having opening in Cashless Department for Medical Officer Profile. Role & Responsibilities: Cashless Claim Management: Review and process pre-authorization requests for cashless hospitalization, ensuring all required documentation is complete and accurate. Medical Scrutiny: Analyze medical records and reports to validate claims ...

Were Hiring for Insurance Claims Associate! Interested candidates can drop your resume to the mentioned contact - 7569452008 Are you detail-oriented and passionate about maintaining a safe and respectful online space? Join our team as a claims associate in Bangalore! WE ARE HIRING FOR: *Immediate joiner required *Excellent Verbal communication skills Position: Insurance Claims Associate Minimum Qualification: Non-Technical education background required (Eg.BA,B.com,BBA) Experience: Minimum in between 1 year experience into claims processing. Shifts: Rotational Shifts. Week Offs: Rotational offs. 2-way transportation will be provided. Candidate must stay in the 20kms from the work location Lo...

Looking for a skilled professional with 5-8 years of experience to lead our delivery team in Hyderabad. The ideal candidate will have a strong background in healthcare management services and excellent leadership skills. Roles and Responsibility Lead the delivery team to ensure successful project execution and client satisfaction. Develop and implement effective project plans, resource allocation, and risk management strategies. Collaborate with cross-functional teams to identify and prioritize project requirements. Provide guidance and mentorship to team members to enhance their skills and performance. Monitor and report on project progress, identifying areas for improvement and implementin...

International US - Voice Process Work From Office | Immediate Joiners Excellent Communication Skills In English 5 Days Working, Rotational Shifts 2 Way Cab Till 25Kms Radius Recent Passed Out Graduate For More Info Contact HR HARI : 7618776218

Job description Job Title : Manager - Revenue Cycle Operations Department : Medica Billing Location : Remote / India [Currently work from Home] Experience : 7 + years Shift Time : 5:30 Pm to 2:30 Am IST Company Website: https://www.modulemd.com Profile Overview We are seeking a detail-oriented, proactive, and client-focused Manager Revenue Cycle Operations to join our team. This role will oversee the entire Revenue Cycle Management (RCM) function, including: Billing Operations Oversight Compliance & Regulatory Adherence Team Leadership & Training Reporting & Analytics Vendor & Payer Relations Process Improvement Patient Billing & Support The ideal candidate will have strong expertise in US H...

Essential Duties and Responsibilities: - Serve as functional lead for implementation projects across all capabilities. - Work with clients and end users to gather, understand, and define business requirements. - Develop user stories and to-be process flows for complex and/or multi-capability solutions to support the design and development of solutions for our clients. - Lead interactions with our customers, internal Operations teams, and external government clients. - Lead solutioning initiatives such as design thinking, scouting, RFP responses, etc. - Identify waste and digital enhancement opportunities. - Frequently responsible for providing guidance, coaching and training to other technic...

We are looking for a skilled professional with 5-8 years of experience to lead our delivery team in Chennai. The ideal candidate will have a strong background in healthcare management services and excellent leadership skills. Roles and Responsibility Lead the delivery team to ensure successful project execution and client satisfaction. Develop and implement effective project plans, resource allocation, and risk management strategies. Collaborate with cross-functional teams to identify and prioritize project requirements. Provide guidance and mentorship to team members to enhance their skills and performance. Monitor and report on project progress, identifying areas for improvement and implem...

Job description Greetings from Streamline MD!!!! Job Opening: AR Caller (1 to 4 Years Experience) Location: Chennai, Perungudi Work Mode: Work From Office Interview Mode: Virtual We are hiring experienced Radiology Coders with 4 to 6 years of expertise in medical coding. If you're passionate about accuracy and compliance in coding, we want to hear from you! Role Details: Scope: AR Caller Experience Required: 2 to 4 Years Work Mode: Work From Office Interview Mode: Virtual Requirements: Strong knowledge in Denials coding guidelines Immediate joiners highly desirable Contact: HR Sai Santosh - 8925722891

Guidewire Testing About The Role Location Bangalore, Hyd, Chennai, Pune Grade B2 and C1 Exp 4yrs to 8yrs NP Immediate to 15 days joiners only CTC 15 LPA(4 to 6 Yrs) and 22 LPA(6 to 8 Yrs) Hands-on experience in Guidewire testing. Experience in any of guidewire products (ClaimCenter/ PolicyCenter/ BillingCenter).

Overview The Coding Denial Specialist responsibilities include working assigned claim edits and rejection work ques, Responsible for the timely investigation and resolution of health plan denials to determine appropriate action and provide resolution. Responsibilities Processes accounts that meet coding denial management criteria which includes rejections, down codes, bundling issues, modifiers, level of service and other assigned ques. Resolve work queues according to the prescribed priority and/or per the direction of management in accordance with policies, procedures, and other job aides. Validate denial reasons and ensures coding is accurate. Generate an appeal based on the dispute reaso...

Analyze, validate, and process transactions as per Desktop procedures (L3 L4) Analyze and research all discrepancies. Research investigate and resolve outstanding items Determine eligibility and applicable plan provisions while meeting timeliness goals Clear and accurate written and verbal communication (Scripted and Templatized) with employee, employer stateside resources by email Establish action plans for each file to bring claims to resolution Utilize internal and external specialty resources to maximize impact on each claim file Utilize Intellis and ACS (SIR) to update and maintain accurate data record Use PC programs to increase productivity and performance Ensure that the assigned tar...

Job Description Summary We are looking for a detail-oriented and analytical Quantity Surveyor to manage all aspects related to project costs across various stages of development. The role involves cost estimation, budgeting, contract administration, and ensuring value for money while meeting project quality and compliance standards. 1. Cost Planning & Estimation Monitor project budgets, cash flows, and cost forecasts. Conduct cost-benefit analysis during pre-contract stages. 2.Tendering & Procurement Manage tendering processes including pre-qualification, bid evaluation, and negotiations. Review vendor quotations, rate analyses, and recommend cost-effective solutions. Draft, review, and admi...

Role: Chief Manager/Senior Manager/Manager - Accident & Travel Claims Job location: Goregaon East Position Overview: A Claims Manager in the Accident & Travel department oversees the processing and settlement of claims related to travel accidents and incidents. They ensure timely, accurate claims assessment, manage a team of adjusters, and maintain compliance with legal and policy guidelines while delivering excellent customer service. Additionally, they are responsible for mitigating risk and resolving complex claims efficiently. Role & responsibilities: Involvement in daily claim processing Regular Updating of Claims System data Calling customers for intimation details & reminders E-mail &...

SUMMARY Retail Staff Job Description Our client, a UAE-based multinational conglomerate headquartered in Dubai, is seeking freshers to join their retail staff team. The group is involved in the retailing of various products such as apparel, footwear, consumer electronics, cosmetics & beauty products, home improvement, and baby products. Additionally, the group focuses on hospitality & leisure, healthcare, and mall management. Responsibilities: Folding and stacking at a basic table. Timely display of received stocks. Upkeep of section. Ensuring a carton-free floor. Maintaining display standards, including signage. Merchandise clearance from the trial room. Ensuring the right product is displa...

As a Process Analyst– Insurance (Claims),, you will be involved in the Processing of Life and Annuity Insurance, Claims processing. You should be flexible to work in shifts. Your primary responsibilities include: Handling claims investigation, processing, and payments Claims document validation, calculating benefit amount, and releasing same to the beneficiary Meet productivity and quality targets on a daily, weekly, and monthly basis Required education Bachelor's Degree Preferred education Master's Degree Required technical and professional expertise Graduate (except B.Tech/Technical Graduation/Law) with a minimum of 1.5 years of experience in Life/Annuities products in Claims Good Communic...

Ready to shape the future of work? At Genpact, we don't just adapt to change we drive it. AI and digital innovation are redefining industries and were leading the charge. Genpact's AI Gigafactory, our industry-first accelerator, is an example of how were scaling advanced technology solutions to help global enterprises work smarter, grow faster, and transform at scale. From large-scale models to agentic AI, our breakthrough solutions tackle companies most complex challenges. If you thrive in a fast-moving, tech-driven environment, love solving real-world problems, and want to be part of a team that's shaping the future, this is your moment. Genpact (NYSE: G) is an advanced technology services...

As a Quality Auditor on the Process Excellence team at Navi, your role involves auditing claims processed by medical officers to ensure accuracy, compliance, and continuous improvement. The team is committed to upholding and enhancing the quality of customer interactions through audits on agent communications across various channels like calls and chats. You will collaborate with business stakeholders to drive key business metrics while ensuring accuracy, consistency, and compliance. Key Responsibilities: - Identify discrepancies, fraud, or errors in claims to ensure compliance with health insurance policies and regulatory requirements. - Review health claims for accuracy, completeness, and ...

Job Description: You will be responsible for handling queries and issues related to HR/Employee, customers, and brokers in the context of claims and other matters. Your primary duties include: - Resolving queries through emails and calls - Guiding customers on applying for claims and policy terms - Registering claims in the system - Following up with the Insurance Company for endorsements - Tracking claims files - Updating corporate clients - Following up on cheque dispatch and NEFT details - Maintaining day-to-day activities on worksheets - Resolving grievances by coordinating with the operations team - Preparing/sending monthly MIS reports to corporate clients Qualifications Required: - St...

As a Claims Processor at CIGNA Healthcare, you will be responsible for international insurance claims processing for member claims. Your role will involve delivering basic technical, administrative, or operative tasks related to claims, including examining and processing paper and electronic claims, completing data entry, maintaining files, and providing necessary support. You will work under direct instruction and close supervision, with tasks allocated on a day-to-day or task-by-task basis. This position serves as an entry point into professional roles within the organization. **Key Responsibilities:** - Adjudicate international pharmacy claims in accordance with policy terms and condition...

Job Description R1 RCM India is proud to be recognized amongst India's Top 50 Best Companies to Work For 2023 by Great Place To Work® Institute. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to ‘make healthcare simpler’ and enable efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 14,000 strong in India with offices in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities. Role Objective: The accounts re...