710 Claims Processing Jobs - Page 29

About the Role: We are seeking a detail-oriented and proactive Accounts Receivable (AR) Caller to join our medical billing team. The AR Caller will be responsible for contacting insurance companies to follow up on outstanding claims, resolve payment issues, and ensure timely reimbursement for medical services rendered. Key Responsibilities: Make outbound calls to insurance companies to check claim status and resolve denials or pending claims. Follow up on unpaid or underpaid claims and escalate complex issues as needed. Review and analyze Explanation of Benefits (EOBs) and Remittance Advice (RA). Update billing system with accurate notes and claim statuses. Collaborate with internal billing and coding teams to resolve billing discrepancies. Ensure compliance with HIPAA regulations and company policies. Meet daily, weekly, and monthly productivity and quality targets. Required Skills and Qualifications: Bachelors degree or equivalent work experience in medical billing or healthcare. 2–3 years of experience in AR calling or medical billing preferred. Strong understanding of revenue cycle management (RCM), CPT, ICD-10, and HCPCS codes. Excellent communication and negotiation skills. Ability to work independently and manage time effectively. Familiarity with billing software and electronic health records (EHRs) is a plus. Preferred Skills: Experience with Medicare, Medicaid, and commercial insurance payers. Knowledge of US healthcare regulations and insurance guidelines. Prior experience working in a BPO/KPO environment focused on healthcare. Compensation & Benefits: Competitive salary based on experience. Health insurance and other standard company benefits. Opportunities for growth and professional development.

Job description Job Title: GB P&B Job Location : Thane Experience : 0 to 3 Years Work Style :Hybrid Shift Timing: 6:30AM to 3:30PM and 1:30PM to 10:30PM Note: No gap in education . 2025 Pass out Candidates whose online results are out welcomed. Job Summary: P&B team plays an integral part in the end to end servicing of an account. We act as the documentation and billing team for our brokers, enabling them with information to service an account in a timely manner. Placing and Billing relates to - creation of documents before and after placing the business, generating invoices on behalf of the broker and providing the final policy document. Principal Duties/Responsibilities KPI Management Deliver as per the KPI's defined for the role. To always maintain set SLA Accuracy/quality, TAT standards prescribed by the Business Unit. Manage work load/ volumes and delivery expectations as per business requirement Develop a sound understanding of the business process. Update work tracker and time tracking tools accurately and on real time basis Complete ad-hoc tasks as directed by Team Leader. Ensure adherence to compliance and operate within the guidelines of internal and external regulators. Ensure that all statutory and company procedures are followed while processing work to protect clients, colleagues and the business interests of the company. Operations Management/Operational Effectiveness Participate and contribute in team huddles. Proactively support key initiatives that have been delivered to implement change. To ensure any feedback (including breach/errors) found in the process is informed to the team Manager instantly. Relationship management Ensure ongoing, effective relationships with stakeholders (Internal/external) Required Qualifications, Skills, Knowledge, Experience Qualifications: Minimum bachelors degree required. Preferred Commerce or Insurance background Functional Competencies: (Skill levels are for managerial reference only) Analytical : Analytical skills refer to the ability to research, collect, interpret, analyze and problem solve information (includes numerical and graphical). Attention to Detail : Attention to detail is the ability to achieve thoroughness, accuracy and completeness when accomplishing a task. MS Office : Having the requisite knowledge level and understanding of MS Office. Communications Skills : Communication skills refer to the ability to comprehend, articulate and respond effectively to information in a logical manner through verbal and written mediums. Preferred candidate profile

Urgent requirement for MBBS,BHMS,BDS,BAMS -Rajasthan(Jaipur) Freshers/candidate with clinical or TPA experience. Interested candidates can call on 9371762436 or share their updated resumes to career@mdindia.com Job Description: Scrutiny of medical documents and adjudication. Assess the eligibility of medical claims and determine financial outcomes. Identification of trigger factors of insurance related frauds and inform the concerned department. Determine accuracy of medical documents. Required Candidate profile: MBBS ,BHMS,BDS,BAMS graduate. Male candidate prefer. Good Medical & basic computer knowledge Should have completed internship (Permanent Registration number is mandatory) Freshers can also apply. Work from office. Venue details: MDIndia Health Insurance TPA Pvt. Ltd Naval Tower, J.L.N. Marg, 4 & 6th Floor, Near Fortis Hospital, Jaipur 302017 .

Hiring for US Healthcare company Grad with 7 months exp in RCM can apply UG/Btech with 12 months RCM can also apply Salary upto 3.60 LPA to 5.50 LPA Fixed Sat-Sun off Fixed nght shifts Loc- Gurgaon / Noida Snehal@9625998099 Required Candidate profile Candidate should have good knowledge on RCM. Candidate should be comfortable with night shifts. Candidate should have decent typing speed. Perks and benefits Both side cabs One time meal

Job Description: Manipal Hospitals is seeking a detail-oriented and customer-focused Admission & Billing Specialist to join our dynamic team. In this role, you will be responsible for managing the admissions process for patients, ensuring a smooth and efficient experience from entry to billing. Your primary functions will include collecting and verifying patient information, processing insurance claims, and handling billing inquiries and billing process. Roles and Responsibilities Key Responsibilities: - Facilitate the patient admission process by accurately gathering and entering patient information into the system. - Verify patients' insurance coverage and determine eligibility for services provided. - Prepare and process billing statements, ensuring accuracy and timeliness. - Assist patients with billing-related inquiries and resolve issues in a professional manner. - Collaborate with healthcare providers and administrative staff to streamline the admission and billing processes. - Maintain patient confidentiality and adhere to HIPAA regulations at all times. - Generate and review reports related to admissions and billing as required. - Continuously seek ways to improve efficiency in the admissions Location: Manipal Hospital, 98, HAL Old Airport Rd, Kodihalli, Bengaluru, Karnataka 560017 Walk Ins - Monday To Friday Morning - 9 - 12 am

Identifying and booking claims: Our team identifies valid claims as per the slip, books them in the system and ensures all claim details are accurately documented Generating closings: We generate closing statements to facilitate the settlement of claims Coordinate closely with cedents and underwriters to ensure smooth processing of all transactions, maintaining clear communication and addressing issues promptly

Job Description Position: Auto Claim Adjuster Job Title: Auto Claims Adjuster Department: Claims Reports to: Claims Manager Location: Bangalore Employment Type: Full-time Roles & Responsibilities : Dealing with Insurance Companies for Auto claims only Dealing with Location Managers for paper formalities Maintaining In-House location, Insurance companies etc. Coordinating with parent company representatives Skills & Qualifications : 1 - 3 years SOLID experience with insurance company Claims Dept or Brokerage dealing with AUTO claims / Auto Insurance only Knowledge of LOCAL Auto insurance regulatory laws Good Communication & Negotiation Skills (writing and speaking) Time flexibility requirement, and should be self-motivated Hands-on capabilities Room to Grow Bachelors degree in a related field or equivalent work experience Compensation: Fixed Salary + Incentive 2 Rounds of interviews and joining would be immediately after the 2nd round of interviews.Background check and verification is required. Shift - Night shift ( Canadian Timings ) 6 Days working - Sunday Off Location - Serene Building No.106, 4th Floor, 4th C Cross Rd, 5th block, Koramangala Industrial Layout, S.G. Palya, Bengaluru, Karnataka 560095 If Interested directly visit to our office location for F2F Interview Notes: If interested in auto claims then only Please apply - US/Canada process Open to freshers with strong English communication skills. Notes: If interested in auto claims then only Please apply If You have Auto claims experience, Apply Please

Role Description Overview: The AR Associate is accountable to manage day to day activities of Denials Processing/ Claims follow-up/ Customer Service Responsibility Areas: To review emails for any updates Call Insurance carrier, document the notes in software and spreadsheet and take appropriate action Identify issues and escalate the same to the immediate supervisor Update Production logs Understand the client requirements and specifications of the project Ensure targeted collections are met on a daily / monthly basis Meet the productivity targets of clients within the stipulated time. Ensure that the deliverables to the client adhere to the quality standards. Ensure follow up on pending claims. Prepare and Maintain status reports

Skill required: Claims Services - Payer Claims Processing Designation: Health Operations 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 support the healthcare claim function, leveraging a knowledge of the processes and systems to receive, edit, price, adjudicate, and process payments for claims. What are we looking for? Good process knowledgeGood process knowledge Roles and Responsibilities: In this role you are required to solve routine problems, largely through precedent and referral to general guidelines Your primary interaction is within your own team and your direct supervisor In this role you will be given detailed instructions on all tasks The decisions that you make impact your own work and are closely supervised You will be an individual contributor as a part of a team with a predetermined, narrow scope of work Please note that this role may require you to work in rotational shifts Qualification Any Graduation

Skill required: Claims Services - Payer Claims Processing Designation: Health Admin Services 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.Business solutions that support the healthcare claim function, leveraging a knowledge of the processes and systems to receive, edit, price, adjudicate, and process payments for claims. What are we looking for? Contract conversion Roles and Responsibilities: In this role you are required to solve routine problems, largely through precedent and referral to general guidelines Your expected interactions are within your own team and direct supervisor You will be provided detailed to moderate level of instruction on daily work tasks and detailed instruction on new assignments The decisions that you make would impact your own work You will be an individual contributor as a part of a team, with a predetermined, focused scope of work Please note that this role may require you to work in rotational shifts Qualification Any Graduation