Home
Jobs

710 Claims Processing Jobs - Page 26

Filter Interviews
Min: 0 years
Max: 25 years
Min: ₹0
Max: ₹10000000
Setup a job Alert
Filter
JobPe aggregates results for easy application access, but you actually apply on the job portal directly.

6 - 11 years

7 - 12 Lacs

Hyderabad

Work from Office

Naukri logo

About The Role Hands on experience in at least one of the Guidewire products (Claim/Policy/Billing) Should have knowledge on Admin data loading. Good knowledge in Web services, XML, GxModel, Messaging, Batch implementation, Integrating with 3rd Party Systems and Document composition tools like Xpressions, Thunderhead Experience on any database Oracle / SQL Server and well versed in SQL Designed & modified existing workflows (required for Billing Integration) Experience in SCRUM Agile, prefer Certified Scrum Master (CSM) Good written and oral communication. Works in the area of Software Engineering, which encompasses the development, maintenance and optimization of software solutions/applications.1. Applies scientific methods to analyse and solve software engineering problems.2. He/she is responsible for the development and application of software engineering practice and knowledge, in research, design, development and maintenance.3. His/her work requires the exercise of original thought and judgement and the ability to supervise the technical and administrative work of other software engineers.4. The software engineer builds skills and expertise of his/her software engineering discipline to reach standard software engineer skills expectations for the applicable role, as defined in Professional Communities.5. The software engineer collaborates and acts as team player with other software engineers and stakeholders. Mandatory Skills Hands on experience in at least one of the Guidewire products (Claim/Policy/Billing) Should have knowledge on Admin data loading. Good knowledge in Web services, XML, GxModel, Messaging, Batch implementation, Integrating with 3rd Party Systems and Document composition tools like Xpressions, Thunderhead. Skills (competencies) Verbal Communication Policy Development API integration Critical Thinking JavaScript

Posted 1 month ago

Apply

- 5 years

1 - 4 Lacs

Gurugram

Work from Office

Naukri logo

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. Genpacts 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 thats shaping the future, this is your moment Genpact (NYSE: G) is an advanced technology services and solutions company that delivers lasting value for leading enterprises globally. Through our deep business knowledge, operational excellence, and cutting-edge solutions we help companies across industries get ahead and stay ahead. Powered by curiosity, courage, and innovation , our teams implement data, technology, and AI to create tomorrow, today. Get to know us at genpact.com and on LinkedIn , X , YouTube , and Facebook. Inviting applications for the role of Process Associate, Wealth Management The objectives of this Genpact operations unit must tie into the overall aims of business. The group seeks to provide a high standard of service for business. The positions operate in a dynamic environment and are well suited to those with strong processing skills and a positive, can do” attitude. The candidate must be willing to work flexible and varying shifts through the year and must react positively, patiently and effectively to calls/emails seeking clarifications, have a customer centric approach in problem solving. You will work for end Customers to enable them to manage their Super account – Opening account, applying contributions, processing withdrawals, maintenance of accounts and reconcile the account. Responsibilities • To be able to work well on requests sent by the channels • To be quick and detailed in interpreting the request of the customer • Work well in the current frame of things & ability to escalate when required • Should have a customer focused approach & Attention to detail • Good Communication and interpersonal skills required • Relationship management ability with internal customers Qualifications Minimum qualifications • B. Com Graduate Preferred qualifications • Quick Learner & Ambitious • Good Excel Skills Why join Genpact? Be a transformation leader Work at the cutting edge of AI, automation, and digital innovation Make an impact Drive change for global enterprises and solve business challenges that matter Accelerate your career Get hands-on experience, mentorship, and continuous learning opportunities Work with the best Join 140,000+ bold thinkers and problem-solvers who push boundaries every day Thrive in a values-driven culture Our courage, curiosity, and incisiveness - built on a foundation of integrity and inclusion - allow your ideas to fuel progress Come join the tech shapers and growth makers at Genpact and take your career in the only direction that matters: Up. Lets build tomorrow together. Genpact is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, religion or belief, sex, age, national origin, citizenship status, marital status, military/veteran status, genetic information, sexual orientation, gender identity, physical or mental disability or any other characteristic protected by applicable laws. Genpact is committed to creating a dynamic work environment that values respect and integrity, customer focus, and innovation. Furthermore, please do note that Genpact does not charge fees to process job applications and applicants are not required to pay to participate in our hiring process in any other way. Examples of such scams include purchasing a 'starter kit,' paying to apply, or purchasing equipment or training.

Posted 1 month ago

Apply

1 - 4 years

1 - 3 Lacs

Gurugram

Work from Office

Naukri logo

At Genpact, we don't just adapt to change we drive it. AI and digital innovation are redefining industries and were leading the charge. Genpacts 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 and solutions company that delivers lasting value for leading enterprises globally. Through our deep business knowledge, operational excellence, and cutting-edge solutions we help companies across industries get ahead and stay ahead. Powered by curiosity, courage, and innovation, our teams implement data, technology, and AI to create tomorrow, today. Get to know us at genpact.com and on LinkedIn, X, YouTube, and Facebook. Inviting applications for the role of Process Associate, Wealth Management The objectives of this Genpact operations unit must tie into the overall aims of business. The group seeks to provide a high standard of service for business. The positions operate in a dynamic environment and are well suited to those with strong processing skills and a positive, can do attitude. The candidate must be willing to work flexible and varying shifts through the year and must react positively, patiently and effectively to calls/emails seeking clarifications, have a customer centric approach in problem solving. You will work for end Customers to enable them to manage their Super account Opening account, applying contributions, processing withdrawals, maintenance of accounts and reconcile the account. Responsibilities • To be able to work well on requests sent by the channels • To be quick and detailed in interpreting the request of the customer • Work well in the current frame of things & ability to escalate when required • Should have a customer focused approach & Attention to detail • Good Communication and interpersonal skills required • Relationship management ability with internal customers Qualifications Minimum qualifications • B. Com Graduate Preferred qualifications • Quick Learner & Ambitious • Good Excel Skills Why join Genpact? * Be a transformation leader Work at the cutting edge of AI, automation, and digital innovation * Make an impact Drive change for global enterprises and solve business challenges that matter * Accelerate your career Get hands-on experience, mentorship, and continuous learning opportunities * Work with the best Join 140,000+ bold thinkers and problem-solvers who push boundaries every day * Thrive in a values-driven culture Our courage, curiosity, and incisiveness - built on a foundation of integrity and inclusion - allow your ideas to fuel progress Come join the tech shapers and growth makers at Genpact and take your career in the only direction that matters: Up. Lets build tomorrow together Genpact is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, religion or belief, sex, age, national origin, citizenship status, marital status, military/veteran status, genetic information, sexual orientation, gender identity, physical or mental disability or any other characteristic protected by applicable laws. Genpact is committed to creating a dynamic work environment that values respect and integrity, customer focus, and innovation. Furthermore, please do note that Genpact does not charge fees to process job applications and applicants are not required to pay to participate in our hiring process in any other way. Examples of such scams include purchasing a 'starter kit,' paying to apply, or purchasing equipment or training.

Posted 1 month ago

Apply

1 - 5 years

1 - 4 Lacs

Noida, Gurugram, Delhi / NCR

Work from Office

Naukri logo

Job description R1 RCM India is proud to be recognized amongst India's Top 50 Best Companies to Work Fo2023 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. Responsibilities: Follow up with the payer to check on claim status. Responsible for calling insurance companies in USA on behalf of doctors/physicians and follow up on outstanding accounts receivables. Identify denial reason and work on resolution. Save claim from getting written off by timely following up. Candidates must be comfortable with calling on denied claims. Interview Details: Interview Mode: Face-to-Face Interview Walk-in Day : Friday (16-May-25) Walk in Timings : 1PM to 4 PM Walk in Address: Candor Tech Space Tower No. 3, 6th Floor, Plot 20 & 21, Sector 135, Noida, Uttar Pradesh 201304 Contact Information: Alina Zaman-9289544594/Keshav Kaushal-9205669978/ Nasar Arshi 9266377969/Arpita Mishra-8840294345 Desired Candidate Profile Candidate must possess good communication skills. Only Immediate Joiners can apply. Only Candidate with relevant experience in AR/Denial Management can apply Provident Fund (PF) Deduction is mandatory from the organization worked. B.Tech/B.E/LLB/B.SC Biotech aren't eligible for the Interview. Undergraduate with Min. 12 Months Exp is mandatory. Benefits and Amenities: 5 days working. Both Side Transport Facility and Meal. Apart from development, and engagement programs, R1 offers transportation facility to all its employees. There is specific focus on female security who work round-the-clock, be it in office premises or transport/ cab services. There is 24x7 medical support available at all office locations and R1 provides Mediclaim insurance for you and your dependents. All R1 employees are covered under term-life insurance and personal accidental insurance.

Posted 1 month ago

Apply

1 - 6 years

2 - 3 Lacs

Mumbai

Work from Office

Naukri logo

SUMMARY Warranty Claims Processor Job Summary We are in search of a Warranty Claims Processor to uphold the quality and service standards of the Warranty Claims processing team in alignment with the contracted Service Level Agreement. The ideal candidate will be accountable for examining warranty claims, facilitating recovery, and assigning appropriate responsibilities, as well as formulating and executing strategies to improve operational efficiencies. Location and Shift Timings Work Location : Airoli, Navi Mumbai Shift Timings : 12.30 PM- 10 PM & 7.00 AM to 4.30 PM WFH / WFO : Hybrid Responsibilities Develop and execute strategies to improve operational efficiencies Examine warranty claims, facilitate recovery, and assign appropriate responsibilities Conduct and assess monthly reporting Execute queries and conduct verification and analysis of warranty claims using available external resources Record and append comments to warranty claims Required Skills **Experience : Min 1 year to max 3 years preferred worked as service advisor, Warranty claims assessor role** BE Automobile Graduate/12th + Diploma with Automotive experience BE Mechanical Graduate/12th + Diploma with Automotive experience Experience in Warranty ( Aftermarket services) domain Experience with Auto components Interpersonal skills to deal with dealers, warranty engineers, etc. Data processing accuracy, detail oriented, and ability to evaluate/research a warranty claim Organized, timely, pro-active, and highly productive Experience in Warranty /Auto Dealership Requirements Requirements: **Experience : Min 1 year to max 3 years preferred worked as service advisor, Warranty claims assessor role** BE Automobile Graduate/12th + Diploma with Automotive experience BE Mechanical Graduate/12th + Diploma with Automotive experience Experience in Warranty ( Aftermarket services) domain Experience with Auto components Interpersonal skills to deal with dealers, warranty engineers, etc. Data processing accuracy, detail oriented, and ability to evaluate/research a warranty claim Organized, timely, pro-active, and highly productive Experience in Warranty /Auto Dealership Benefits Budget:30K CTC Click to chat with 2COMS (10:00 am - 06:00 pm) post applying: https://url.2coms.com/68 To start chat , click link & then press enter once the keyword ( Start Chat For Job ) pops up on the typing area of WhatsApp.

Posted 1 month ago

Apply

2 - 7 years

4 - 9 Lacs

Chennai

Work from Office

Naukri logo

Job Tile : Claims processing Doctor Job Description: Medical claims processor will have to look into claims where payment was denied. Commonly due to issues of insurance coverage eligibility , the claims handler may be tasked with reviewing documentation from the patient, their physicians, or the insurance. With the medical expertise ,need to master the various products and to apply the same during claim processing. Claims processors process any claim payments when applicable and must ensure they comply with federal, state, and company regulations and policies. List of Responsibilities: To validate the authenticity and the credibility of the claims. To coordinate with various persons (Claimant, Treating Physician, Hospital insurance desk, Field Visit Drs, Investigation officers)for hassle-free claim processing . To expertise ,the process of negotiation when necessitated. The claim handler owes a duty of care to the patient, ensuring that their needs are being met and that they re receiving the treatment or medicine they need. Job Qualifications and Requirements: Required MBBS Graduates. Adapt and inbuilt the process of communication and coordination across the zones and the supporting verticals accordingly.

Posted 1 month ago

Apply

1 - 4 years

2 - 5 Lacs

Palakkad, Coimbatore

Work from Office

Naukri logo

Call Insurance companies on behalf of physicians and carry out a further examination on outstanding Accounts Receivables Prioritize unpaid claims for calling according to the length of time it has been outstanding Call insurance companies directly and convince them to pay the outstanding claims Check the relevance of insurance info offered by the patient Evaluate unpaid insurance claims Call insurance companies and check on the status of claims Transfer the outstanding balance to the patient if he/she doesn't have adequate insurance coverage If the claim has already been paid, ask the insurance company for an Explanation of the Benefits Make corrections to the claim based on inputs from the insurance company. Voice Process Only. Required Candidate profile: A brief understanding on the entire Medical Billing Cycle. Must possess good communication skill with neutral accent. Must be flexible and should have a positive attitude towards work. Must be willing to work in Night Shifts. End to End process Fluent verbal communication abilities/call center expertise Night shift Only. Immediate joining preferred. Basic excel knowledge. Male Candidate Only. Thank you! Shifana HR Shifana.u@247mbs.com Call / Share resume - 7708722553 Note: Looking for Immediate Joiners

Posted 1 month ago

Apply

- 3 years

2 - 4 Lacs

Hyderabad

Work from Office

Naukri logo

Job Title : AR Caller / Medical Billing Executive Job Description: We are seeking experienced AR Callers/Medical Billing Executives to join our dynamic healthcare team. The ideal candidate will have a strong understanding of the revenue cycle management (RCM) process, excellent communication skills, and the ability to resolve claims issues with insurance companies effectively. Key Responsibilities: AR Calling: Follow up with insurance companies to check the status of outstanding claims. Claims Resolution: Identify and resolve issues related to denials, rejections, and underpayments. Billing Process: Handle end-to-end medical billing processes, including charge entry, claim submission, and payment posting. Insurance Verification: Verify patients' insurance coverage and ensure accuracy in claim submissions. Documentation: Maintain accurate records of claim status, correspondence, and follow-ups in the billing system. Compliance: Ensure adherence to HIPAA guidelines and healthcare billing policies. Team Collaboration: Work closely with the team to meet billing targets and deadlines. Required Skills and Qualifications: Proven experience in AR calling and medical billing (minimum 1-2 years preferred). Strong knowledge of US healthcare processes, insurance terminologies, and claim adjudication. Excellent verbal and written communication skills in English. Proficiency in using medical billing software. Ability to analyze and resolve denials effectively. Attention to detail and strong organizational skills. Willingness to work night shifts. Preferred Candidates: 0-3 Years of experience in accounts receivable follow-up/denial management for US healthcare customers Fluent verbal communication abilities / call center expertise Knowledge of Denials management and A/R fundamentals will be preferred Willingness to work continuously on night shifts Basic working knowledge of computers. Prior experience working in a medical billing company and using medical billing software will be considered an advantage. Knowledge of Healthcare terminology and ICD/CPT codes will be considered a plus Freshers are Eligible Willingness to work from the office.

Posted 1 month ago

Apply

3 - 7 years

5 - 10 Lacs

Thiruvananthapuram

Remote

Naukri logo

Job Summary The Insurance Verification Manager will be responsible for overseeing the insurance verification process, ensuring timely and accurate verification of patient insurance eligibility and benefits. This role involves managing a team, optimizing workflows, and leveraging advanced features to enhance operational efficiency and patient experience. Key Responsibilities: Supervise and mentor the insurance verification team, setting performance goals and conducting regular evaluations. Provide training and support to team members on insurance verification tools and best practices. Ensure timely verification of patient insurance eligibility, benefits, coverage levels, exclusions, and limitations. Monitor and manage the verification process, addressing any discrepancies or issues promptly. Utilize efficient scheduling and patient list management techniques to prioritize verification tasks. Implement and maintain insurance templates to streamline data entry and reduce errors. Coordinate with other departments to ensure seamless integration of insurance verification with scheduling, billing, and patient care. Communicate with insurance providers to resolve verification issues and stay updated on policy changes. Generate and analyze reports on verification metrics, claim statuses, and aging balances. Ensure compliance with HIPAA and other regulatory requirements in all insurance verification activities. Qualification Bachelors degree in Healthcare Administration, Business Administration, or a related field. Minimum of 5 years of experience in insurance verification or healthcare revenue cycle management, with at least 2 years in a managerial or supervisory role. In-depth knowledge of insurance policies, eligibility criteria, coverage details, and claims processes. Proficiency in using insurance verification software, practice management systems, or related healthcare management tools. Strong understanding of HIPAA regulations and other healthcare compliance requirements. Excellent leadership and team management skills. Strong analytical and problem-solving skills, with the ability to make data-driven decisions. Effective communication and interpersonal skills, with the ability to coordinate with cross-functional teams. Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint) and experience with data analysis tools. Professional certifications in healthcare management or medical billing and coding (e.g., CPC, AAPC, CHAM) are a plus. Willing to work in night shifts

Posted 1 month ago

Apply

1 - 3 years

0 - 3 Lacs

Coimbatore

Work from Office

Naukri logo

Roles and Responsibilities Role : Medical billing executive Shift : 6pm to 3am Location : Tidel park, cbe Responsibilities: * At least one year of medical billing experience is required. * Experience with AR follow up is required. * Candidates must have proven track record and hands-on working experience with CPT and ICD-10 codes, as well as modifiers. * Ability to constructively communicate and problem solve with Medicare and commercial insurance companies. * This includes the use of the respective insurance portals, as well as verbal and written communication. Medical billing certification is a plus. * Biller will have full responsibility for all billing aspects (posting charges, posting payments, insurance billing, appeals, insurance follow up, patient and practice communication, etc.) of several practices and specialties. * Candidates must demonstrate the ability to multitask and independently work well within a group environment. * Competitive Salary * Only Male candidates Preferred

Posted 1 month ago

Apply

1 - 5 years

3 - 5 Lacs

Hyderabad/ Secunderabad

Work from Office

Naukri logo

Full Job Description 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 knowledge of Medicare and Medicaid. Ability to interact positively with team members, peer group and seniors Fresh graduates are most Welcome.. Perks and Benefits Paid Time off and Holidays Long Service Recognition Mobile and Internet Allowance COVID Emergency Support Transportation Medical Facility on Premise Mediclaim Insurance - Self & Dependents Voluntary Top Up on Mediclaim Insurance Personal Accidental Insurance Life Insurance Maternity/ Paternity Leave Telemedicine services Day Care Program Provident Fund Employee Pension Scheme Provident Fund (Voluntary) Gratuity Professional Development Calendar Manager Development Programs Domain Knowledge Expertise Maternity/ Paternity Leave Maternity Leave As per ESIC/Maternity Benefit Act whichever is applicable. 5 Paternity leave granted to the father of a new-born. Day care Benefit Program : childcare facilities to all its female associates so that they are able to focus on their work and achieve their career aspirations without compromising on childcare. We provide near site day care facilities tie up information and a reimbursement of up to INR 8000/- per month per child for up to 2 children per family. Paid Time Off and Holidays Under the paid time off program associates are entitled for different types of paid leaves 30 leave (Earned Leave + Casual Leave) per calendar year. Leave accrues every month. Only earned leave up to a maximum of 30 can be carried forward to the next year. 10 Holidays every calendar year; published in the beginning Regards Amit Soni Call or what's App: 9560589907

Posted 1 month ago

Apply

1 - 5 years

3 - 5 Lacs

Gurugram

Work from Office

Naukri logo

Job Description: We are seeking a detail-oriented and proactive AR Follow-up Executive to join our dynamic revenue cycle team. The ideal candidate will be responsible for timely follow-up on outstanding claims with insurance companies to ensure maximum reimbursement. Youll work closely with billing and coding teams to resolve denials, track claims, and reduce aging accounts. Key Responsibilities: Review and analyze unpaid or denied claims. Initiate calls or work on web portals to follow up with insurance companies. Resolve claim discrepancies and ensure proper documentation. Update systems with claim statuses and next action steps. Meet daily and weekly productivity and quality targets Requirements: 1+ year of AR follow-up experience in the US healthcare domain. Strong knowledge of insurance guidelines and denial management. Excellent communication and analytical skills. Familiarity with medical billing software and tools. To apply, call Miss Shahin - 9599818161

Posted 1 month ago

Apply

2 - 5 years

3 - 6 Lacs

Gurugram

Work from Office

Naukri logo

Job Summary: We are seeking a dedicated and detail-oriented professional to manage insurance claims on behalf of clients across various lines of business. The ideal candidate will ensure accurate documentation, effective coordination with insurers, and timely settlement of claims, while maintaining high standards of service and compliance. Key Responsibilities: Register and manage claims across multiple insurance segments (e.g., Health, Motor, Property, Marine, etc.) Liaise with clients and insurance companies to collect required claim documents and provide status updates Monitor and ensure timely follow-ups to drive claim resolution and settlements Maintain accurate claim records and prepare regular MIS reports for internal and client use Ensure adherence to regulatory requirements and internal company standards throughout the claims process Proactively follow up with insurers to expedite claim approvals and settlements Escalate delays, disputes, or complex claims to senior management or resolve through effective negotiation Candidate Requirements: Graduate degree (preferably in Commerce, Insurance, or a related field) 25 years of experience in claims handling within a broking firm or insurance company Strong knowledge of insurance products and end-to-end claim processes Effective communication and interpersonal skills, with a focus on client servicing and coordination High attention to detail and the ability to manage multiple claims simultaneously

Posted 1 month ago

Apply

4 - 9 years

3 - 5 Lacs

Coimbatore

Work from Office

Naukri logo

Greetings!!! Openings at Sagility for Process Trainer-Enrollment(US Healthcare) Minimum of 4 years of experience as a Process Trainer in an International BPO. Excellent written and verbal communication skills, with strong interpersonal abilities. Proven experience as a Trainer in an International BPO environment. Strong presentation and Excel skills. Sound knowledge of basic training methodologies. Ability to work in US rotational shifts. Immediate joiners are mostly preferred. Interested candidates can share your resume to anitha.c@sagilityhealth.com

Posted 1 month ago

Apply

1 - 4 years

2 - 5 Lacs

Gurugram

Work from Office

Naukri logo

Role Objective: Payers either send an EOB (explanation of benefits) or ERA (electronic remittance advice) towards the payment of a claim. The cash/payment posting staff posts these payments immediately into the respective patient accounts, against that claim to reconcile them. Essential Duties and Responsibilities: Need to work on payment posting and denial batches. Must work on ERA discrepancies. Need to do bank reconciliation. 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 knowledge of Medicare and Medicaid. Ability to interact positively with team members, peer group and seniors.

Posted 1 month ago

Apply

2 - 5 years

5 - 9 Lacs

Gurugram

Work from Office

Naukri logo

Reports to (level of category) : Individual COA( Performance Management) 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.? Analysis data to identify process gaps, prepare reports and share findings for Metrics improvement. Able to interact independently with counterparts. Performance management First level of escalation Work in all shifts on a rotational basis WFO only Need to be cost efficient with regards to processes, resource utilization and overall constant cost management Must operate utilizing aggressive operating metrics. Qualifications Graduate in any discipline from a recognized educational institute (Except B.Pharma , M.Pharma , Regular MBA, MCA B.Tech Freshers') 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. Subject matter expert in AR follow up Demonstrated ability to exceed performance targets Ability to effectively prioritize individual and team responsibilities Communicates well in front of groups, both large and smal l.

Posted 1 month ago

Apply

2 - 5 years

4 - 7 Lacs

Gurugram

Work from Office

Naukri logo

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 knowledge of Medicare and Medicaid. Ability to interact positively with team members, peer group and seniors.

Posted 1 month ago

Apply

2 - 5 years

3 - 7 Lacs

Noida

Work from Office

Naukri logo

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: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 knowledge of Medicare and Medicaid. Ability to interact positively with team members, peer group and seniors.

Posted 1 month ago

Apply

2 - 5 years

3 - 7 Lacs

Noida

Work from Office

Naukri logo

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 knowledge of Medicare and Medicaid. Ability to interact positively with team members, peer group and seniors.

Posted 1 month ago

Apply

4 - 8 years

6 - 10 Lacs

Hyderabad

Work from Office

Naukri logo

Designation : Operations Manager 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.

Posted 1 month ago

Apply

4 - 8 years

4 - 9 Lacs

Gurugram

Work from Office

Naukri logo

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.

Posted 1 month ago

Apply

3 - 7 years

2 - 3 Lacs

Chennai

Work from Office

Naukri logo

Greetings from ACP Billing Services! We are hiring for the following roles - Work from Office Charge Posting Payment Posting Experience & Requirements: Minimum 3+ years of experience in US Medical Billing. Strong verbal and written communication skills. Charge/Payment Posting candidates with good typing skills will have an added advantage. Competitive remuneration as per industry standards. Spot offers for selected candidates. Immediate joiners are preferred. Responsibilities: Process medical billing transactions with a 99% or higher accuracy rate. Understand and apply customer-provided business rules while ensuring compliance with turnaround time requirements. Work collaboratively in teams to achieve set targets. Utilize medical billing expertise to monitor and report customer KPIs. Actively participate in learning programs and compliance initiatives. Competencies & Skills: Strong interpersonal and analytical skills. Proficiency in MS Office (Word, Excel, PowerPoint). Adaptability, flexibility, and a proactive approach to tasks. Commitment to meeting productivity, quality, and attendance SLAs. Team-oriented mindset with a willingness to take initiative. Work Location : ACP Billing Services Pvt Ltd - NO.133, 2ND FLOOR, EJNS ARK, KP GARDEN STREET, MADHAVARAM HIGH ROAD, MADHAVARAM Chennai- 600 051. Land Mark : Next to ICICI Bank Madhavaram Branch. Share your CV to hr@acpbillingservices.com / WhatsApp 9841820311

Posted 1 month ago

Apply

1 - 6 years

1 - 3 Lacs

Chennai

Work from Office

Naukri logo

Designation - Claim Support Consultant Location - Teynampet Education - Any Graduate Experience - Advanced Excel & Team Handling Contact - Priskila -7825845773

Posted 1 month ago

Apply

12 - 19 years

22 - 37 Lacs

Hyderabad, Chennai, Bengaluru

Hybrid

Naukri logo

Project Role Description : Analyze an organization and design its processes and systems, assessing the business model and its integration with technology. Assess current state, identify customer requirements, and define the future state and/or business solution. Research, gather and synthesize information. Summary: As a Business Analyst, you will analyze an organization and design its processes and systems, assessing the business model and its integration with technology. You will assess the current state, identify customer requirements, and define the future state and/or business solution. Research, gather, and synthesize information to contribute to key decisions and solutions. Roles & Responsibilities: - Expected to be an SME, collaborate and manage the team to perform. - Responsible for team decisions. - Engage with multiple teams and contribute on key decisions. - Expected to provide solutions to problems that apply across multiple teams. - Lead process improvement initiatives to enhance efficiency. - Conduct stakeholder interviews to gather requirements effectively. Location: Pan India

Posted 1 month ago

Apply

1 - 5 years

4 - 7 Lacs

Kolkata

Work from Office

Naukri logo

Job TitleINSURANCE EXECUTIVE Job Code HREQ2017/12/66 --> Job Location Kolkata Experience 1YR -5YRS Gender Male/ Female Job Details URGENTLY LOOKING FOR A CANDIDATE WHO HAVE KNOWLEDGE ABOUT Quotation and issuence of general insurance, claim processing. ELIGIBILITY CRITERIA- ANY GRADUATE. Salary Per Year 1-2.5 LPA Apply Now

Posted 1 month ago

Apply
cta

Start Your Job Search Today

Browse through a variety of job opportunities tailored to your skills and preferences. Filter by location, experience, salary, and more to find your perfect fit.

Job Application AI Bot

Job Application AI Bot

Apply to 20+ Portals in one click

Download Now

Download the Mobile App

Instantly access job listings, apply easily, and track applications.

Featured Companies