3165 Claims Processing Jobs - Page 27

Medcare Hospitals Medical Centres is looking for Technician - Medical Records to join our dynamic team and embark on a rewarding career journey. Record Management: Collect, organize, and maintain patient medical records in both electronic and paper formats. Ensure that records are complete, accurate, and up-to-date.Data Entry: Enter patient information into the electronic health record (EHR) system, including demographics, medical history, test results, diagnoses, treatments, and other relevant data.Confidentiality: Safeguard patient privacy and confidentiality by adhering to strict HIPAA (Health Insurance Portability and Accountability Act) regulations and facility-specific policies.Record ...

Medcare Hospitals Medical Centres is looking for Insurance Officer - Insurance to join our dynamic team and embark on a rewarding career journey. The Insurance Officer manages patient insurance processes, including verification, pre-authorization, and claim submission. They liaise with insurance companies, ensure documentation accuracy, and resolve claim discrepancies. The role includes maintaining up-to-date records of policy terms, coordinating with billing teams for settlements, and addressing queries from patients regarding coverage. They also track claim performance metrics, follow up on pending claims, and work to streamline insurance-related operations for improved cash flow and custo...

Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 years About Accenture Accenture is a global professional services company with leading capabilities in digital, cloud and security.Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song all powered by the world's largest network of Advanced Technology and Intelligent Operations centers. Our 699,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more tha...

All Risk Claims Management Implement Claims SOP within the team and service network and ensure adherence of the same in region Monitoring day to day claims activities and ensure claim settlement as per agreed TAT at region Guide and direct the team member in handling critical claims End to End claims processing, approving/repudiating claims considering policy terms and conditions Ensure up to date data entry in Claims Module by ASPs/Self and team members and document collections required for claims processing Interact with Service Providers /logistic partners for timely service delivery and monitor service providers payments Updating customers about the claim s status ACS Control and Loss Mi...

We are seeking a highly experienced Senior PBM Professional to join our India GCC as PBM domain expert . This individual will play a pivotal role in building PBM domain capabilities in India by training and mentoring staff, aligning them to U.S. healthcare and pharmacy benefit management standards, and ensuring seamless integration of domain knowledge into Technology product building & operational processes. Key Responsibilities Serve as primary PBM domain SME supporting Technology & operations teams. Design and deliver training programs to onboard and upskill teams on the U.S. pharmacy and PBM ecosystem, terminology, workflows, regulations, and compliance. Collaborate with US teams to tailo...

Hiring Medical Officers - Doctors for non clinical profile. Must have experience in claims processing.

About Company: INTECH Insurance Surveyors And Loss Assessors Pvt Limited is India's most preferred and trusted Insurance Survey and Loss Assessment Company has always been at the forefront in providing a wide gamut of loss adjusting and claims management services across various disciplines across India. Roles & Responsibilities: Conduct inspections and investigations to verify losses, ownership, and policy compliance. Assess damage, determine liability, and prepare accurate survey and claim reports. Advice insured parties on safety, loss minimization, and compliance measures. Resolve queries from insurers/insured, ensuring transparency, neutrality, and timely closure. Consult experts when re...

Job Description: Analyze the claim submission process and how to create batches & submit claims. Should know all types of rejections. Should be aware of Eligibility rejections. Medicare & Medicaid Payer guidelines. Different payer website knowledge. Must have knowledge of Scrubber edits.CMS 1500 OR UB04 Billing. Should be aware of the basic RCM cycle. Must be aware of the Secondary claim process. Knowledge on different Clearing Houses. Required Skills: Min one year of experience in relevant skills Ability to communicate effectively Good analytical skills Contact: HR Revati Mobile: 7219717605 Email: hr@mdcsglobal.com

The Opportunity: Avantor is seeking a Workday Analyst with expertise in Workday Benefits configuration to join our HR Technology team. This role is responsible for designing, implementing, and maintaining Workday Benefits functionality that supports Avantors global workforce. The analyst will collaborate with HR, Total Rewards, and external vendors to ensure benefits programs are accurately reflected, seamlessly administered, and compliant with regulatory requirements. This is a full-time position. If you are passionate about Workday Benefits and eager to grow into a broader Workday SME, Avantor is the place for you! The Team The HR Technology team partners with HR and business leaders acros...

Key Responsibilities: Adjudicate medical, dental, and vision claims using the Facets platform. Review and analyze claims for eligibility, provider contracts, coding accuracy, and payment rules. Ensure timely and accurate processing of claims per regulatory and organizational standards (e.g., CMS, HIPAA). Identify discrepancies or issues in claims data and take corrective actions. Apply plan benefit designs and provider fee schedules during claim review. Collaborate with cross-functional teams including customer service, provider relations, and medical management. Participate in audits and quality checks to ensure process accuracy. Maintain confidentiality and compliance with data protection ...

Role & responsibilities Experience working in multiple processing environments executing back-office support This role will need to partner with others inter-departmental teams in order to realize some of the outcomes Knowledge of Health Savings Accounts preferred The successful candidate should have excellent computer (PowerPoint, Excel and Word) skills, strong financial and analytic research skills, problem solving, and organizational skills as well as a commitment to quality, customer satisfaction and meeting of deadlines. Previous experience in claims processing preferably in the Consumer Directed Health market with knowledge of HSA, FSA, HRA, DCA, and other Transit products. Ability to ...

H.Sc / Graduate freshers with good communication. US healthcare Exp will be an advantage. Knowledge of basic computer operations. Willingness to work in the late evening and night shifts. Courteous with strong customer service orientation. Good listening and speaking skills. Typing speed 30/90% SVAR test mandatory. Work from office only QR code with recruiter details will be displayed at Raheja main gate B.E / B. Tech and other technical graduates are eligible to apply Mandatory Skills: Claims_Processing .

About The Role Skill required: Claims Services - Payer Claims Processing Designation: Health Admin Services 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.Business solutions that...

About The Role Skill required: Supply Chain - Automotive Supply Chain Designation: Business Advisory Associate Qualifications: BE/Diploma in Automobile Years of Experience: 1 to 3 years What would you do? To maintain quality and service standards of the Warranty Claims processing team in support of the contracted Service Level AgreementInvestigate and Verify warranty claims based on available external support resources (Parts catalog, Dealer Assist & Standard labor time) & take appropriate decisionImplement practices to improve operational efficienciesAnalyze, improve and optimize automotive supply chains to make them more effective, efficient and resilient through digitization. What are we ...

We are looking for Manual Test Engineer who can join us immediately. Experience: 2 to 3Years Notice: Immediate to 15 days Mode: Remote(Work from home) Shift: 2PM to 11PM Job Description: Experience in Manual testing Strong experience in Healthcare domain Strong experience in US healthcare Experience in claims Good communication skills Interested candidates kindly click on the link below to join the call @ 4PM - 06 Oct 2025. Join Zoom Meeting https://indiumsoft.zoom.us/j/91210672365?pwd=108fofEVEV4yFswpKssXIUNSOvsfsp.1 Meeting ID: 912 1067 2365 Passcode: 708393

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 PowerPointQualifications: 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 ...

Virtual Walkin_ Zoom Interview on (6th-OCT-25 Mon at 4:00 PM) Company: Indium Tech Designation: QA Analyst Claims Tester Exp: 2- 4Yrs CTC: Neg Mandatory skills: Manual Test, US Claims processing, Healthcare Insurance, Portals NP: Max 15 Days Location: Remote Pls join on below link. https://indiumsoft.zoom.us/j/91210672365?pwd=108fofEVEV4yFswpKssXIUNSOvsfsp.1 Meeting ID: 912 1067 2365 Passcode: 708393

Job Title: Quality Team Lead (QTL) US Healthcare Claims Experience: 5+ years in Claims Adjudication, 3+ years in Quality Assurance Job Description: We are seeking a skilled Quality Team Lead (QTL) with strong expertise in US Healthcare claims adjudication and Quality Assurance practices . The role involves leading quality audits, ensuring compliance, identifying process gaps, and driving performance improvements through RCA, CAPA, and Six Sigma methodologies. The QTL will guide Quality Analysts, collaborate with operations, and ensure delivery of high-quality outcomes. Key Responsibilities: Lead and monitor quality audits in claims adjudication. Ensure compliance with HIPAA, CMS, and client ...

As a Trainee Assistant Manager at our company, you will play a crucial role in supporting the management of motor insurance claims. Your primary focus will be on ensuring the efficient processing and resolution of claims, making this role perfect for individuals looking to enhance their skills in claims management and customer service within the insurance industry. **Key Responsibilities:** - **Claims Processing:** - Assist in evaluating and processing motor claims from initiation to settlement. - Review claim documentation for accuracy and completeness. - Coordinate with clients, adjusters, and service providers to gather necessary information. - **Customer Service:** - Respond to inquiries...

The Branch Head will be responsible for leading and managing the overall operations and business development activities of the Mumbai branch. This role requires strong leadership, operational excellence, and client relationship management skills to ensure smooth service delivery and sustainable business growth. Key Responsibilities: Operations Management: Oversee day-to-day operations of the branch, ensuring adherence to company policies and regulatory guidelines. Ensure efficient claims processing, customer service, and healthcare network management. Monitor key performance indicators (KPIs) to ensure branch performance meets business and service quality standards. Handle escalations effect...

Hello All, Greetings for the day! We have an job opportunity with our client Neovance (Earlier Called as Fortrea). Work Experience: 2-4 Years of Experience (1+ Years exp in US health experience or Recent experience in US Health care) Work Location: Bangalore (Preferred). Education: bachelors degree or a masters Degree with all Documents from a regular College/University. Project: 6 months fixed Project. Shift: 6:00 PM - 03:00 AM (2 Ways Cab facility) Work model: Work From Office as per company's requirement. Interview Round: 3 Rounds (Mettle Assessment - Online Screening Round - In Person Interview at Allegis Group) Important Note: US or international Voice experience US Health Care and Cust...

Key Responsibilities: 1. OPD & IPD Operations Management Supervise and streamline outpatient (OPD) and inpatient (IPD) services to ensure smooth patient flow and operational efficiency. Coordinate with clinical and non-clinical teams for timely and quality patient care. 2. Facility Management Oversee maintenance, cleanliness, safety, and functionality of all hospital facilities. Ensure availability of required medical and non-medical equipment. 3. Patient Satisfaction & Relations Monitor and improve patient satisfaction scores. Address and resolve patient complaints promptly and professionally. Implement patient feedback systems. 4. Hospital Operations & Administration Manage day-to-day hosp...

Job Description: Claims Executive Location: On-site Working Days: Monday to Friday Working Hours: 9:00 AM 5:30 PM Probation Period: 6 months (No paid leave during probation) Experience Required: 12 years Company Overview BimaGuru is a trusted name in insurance advisory, offering tailored insurance solutions backed by expert guidance. We help clients secure their future with a wide range of reliable insurance products designed to meet diverse needs. Position Summary We are hiring a Claims Executive to support and manage our claims operations. The role involves end-to-end claim registration, maintaining accurate records, tracking documentation, and generating timely reports. The ideal candidat...

SUMMARY P&C Insurance Team Lead ========================== Summary ----------- We are seeking an experienced P&C Insurance Team Lead to manage a team and oversee all relevant technical/operational processing activities. The successful candidate will provide direct assistance to underwriting teams as needed, while also handling people management, performance appraisals, and client interaction. Responsibilities - - - - - - - - - - - - - - - - - - - Monitor the performance of a team of Claims adjusters and provide timely feedback Conduct employee performance reviews and assist with professional development Set objectives and manage the team's progression Coordinate with internal customers and m...

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 admissibil...