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3.0 - 8.0 years

1 - 6 Lacs

Chennai

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Job description Quality Auditor - Claims Adjudication Location : Navalur,Chennai Roles & Responsibilities: In-depth Knowledge and Experience in the US Health Care Payer System. 3-8 years of excellent knowledge on client specifics and experience in all types of Claims Adjudication. Good experience in Quality team handling. Perform quality review of claims based on the documentation provided by client to ensure claim output meets all customer specifications Collects all findings during the audits and perform effective root cause analysis along with examiners & ops supervisors Generate multiple level of analysis from the audit findings and identify opportunities to improve overall process Circulate quality dashboards at agreed periodic intervals to all relevant stake holders Conduct 1-0-1 coaching / feedback on specific error scenarios Provide suggestions to Trainer and Ops on the slow performers who needs additional coaching / re-training on specific areas Tracks all feedback from client and provide constructive information to agents during daily quality team huddle Participates in client knowledge calibration exercise Understanding Client P&Ps and auditing documents / claims based on instruction guidelines. Record audit findings and prepare audit reports and circulate quality dashboard Organize ILP review meeting and quality briefings to update associates on any quality issues Analyze internal/client feedback and respond with details Handling Feedback sessions efficiently. Interested Candidates share your CV - deepalakshmi.rrr@firstsource.com / 8637451071 Disclaimer: Firstsource follows a fair, transparent, and merit-based hiring process. We never ask for money at any stage. Beware of fraudulent offers and always verify through our official channels or deepalakshmi@firstsource.com email addresses.

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0.0 - 2.0 years

3 - 4 Lacs

Chennai

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Responsibilities: • Analyze and evaluate workers's compensation claim payments using client proprietary software, systems and tools. Use payment documentation provided by payers to determine if the medical provider has been reimbursed in compliance with the applicable state workers compensation fee schedule and/or PPO contract. Research, request and acquire all pertinent medical records, implant manufacturers invoices and any other supporting documentation necessary and then submit with hospital claims to insurance companies to ensure prompt correct claims reimbursement. Conduct timely and thorough telephone follow-up with payers to ensure claims with supporting documentation have been received and facilitate prompt reimbursement. Prepare correct Workers Comp initial bill packet or appeal letter using Client systems tools and submit with all necessary supporting documentation to insurance companies. Other duties as required. Education: Diploma / Bachelors Degree in any discipline. Experience: • Experience working for a US based BPO OR US healthcare insurance industry experience OR a similar experience recommended. • Competent in MS Office Suite and Windows applications. Skills and Prerequisites: • Strong verbal communication skills. • Fast and accurate typing skills while maintaining a conversation. • Multitasking of data entry while conversing with Client contacts and insurance companies. • Ability to professionally and confidently communicate to outside parties via phone, email and fax. • Ability to handle large volumes of work while maintaining attention to detail. • Ability to work in a fast-paced environment. • Work under limited supervision, manage multiple tasks and prioritize assignments within limited time constraints. • Effectively communicate issues/problems and results that impact timelines for project completion. • Ability to interact professionally at multiple levels within the organization. • Timely and regular attendance.

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2.0 - 6.0 years

2 - 6 Lacs

Ahmedabad

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1) Preparing and submitting billing data and medical claims to insurance companies 2) Generate revenue by making payment arrangements, collecting accounts and monitoring and pursuing delinquent accounts 3) Collect delinquent accounts by establishing payment arrangements with patients, monitoring payments and following up with patients when payment lapses occur 4) Utilize collection agencies and small claims courts to collect accounts by evaluating and selecting collection agencies, determining the appropriateness of pursuing legal remedies and testifying in court cases, when necessary 5) Ensuring each patients medical information is accurate and up-to-date 6) Preparing bills and invoices and document amounts due to medical procedures and services 7) Good expertise in AR Aging 8) Doing charge and Payment Posting 9) All the End to End process of Medical Billing Please share your updated CV with the Acknowledgement Role & responsibilities Benefits 5 Days Working Medical + Accident Insurance On-site Yoga, Gym, Sports, and Bhagwat Geeta Session Excellent Work-life balance Annual one-day Trip All festival Celebration US Shift (Timings is 5:30 PM to 3:00 AM)

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5.0 - 8.0 years

0 - 0 Lacs

Bhavnagar

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Role & responsibilities Team Management : Supervise and mentor a team of 10 - 15 billing specialists, ensuring high performance and productivity. Workflow Oversight : Manage day-to-day billing operations, prioritize tasks, and allocate resources to meet deadlines. Performance Monitoring : Regularly assess team performance, provide feedback, and implement improvement plans where necessary. Training and Development : Conduct training sessions to enhance the team's skills and keep them updated on industry changes and billing regulations. Communication : Serve as the primary point of contact between the team and management, ensuring clear and effective communication of goals and updates. Quality Assurance : Monitor and ensure accuracy in billing, coding, and submission processes to minimize denials and maximize collections. Issue Resolution : Address and resolve escalated claims, denials, and payment discrepancies efficiently. Compliance : Ensure adherence to all regulatory and compliance standards, including HIPAA guidelines. Reporting : Prepare and present regular performance reports and operational updates to senior management. Continuous Improvement : Identify process inefficiencies and implement strategies for improvement. Qualifications: Experience : 5 - 7 years in medical billing, with at least 2 years in a team lead or supervisory role. Technical Skills : Proficiency in billing software, EHR/EMR systems, and Excel; strong knowledge of coding (CPT, ICD-10) and payer guidelines. Leadership Skills : Demonstrated ability to lead, coach, and motivate a team to achieve set targets. Communication : Excellent verbal and written communication skills, with the ability to interact effectively with team members, clients, and management. Problem-Solving : Strong analytical skills to resolve complex billing issues and drive efficiency. Flexibility : Willingness to work in a night shift to align with client requirements and team operations. Preferred Qualifications: Experience in handling US-based medical billing processes. Certification in medical billing and coding (e.g., CPC, CHRS). Familiarity with payer-specific rules and denial management strategies. Perks and benefits 5 Days Working Medical + Accident Insurance On-site Yoga, Gym, Sports, and Bhagwat Geeta Session Excellent Work-life balance Annual one-day Trip All festival Celebration

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5.0 - 8.0 years

0 - 0 Lacs

Jamnagar

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Role & responsibilities Team Management : Supervise and mentor a team of 10 - 15 billing specialists, ensuring high performance and productivity. Workflow Oversight : Manage day-to-day billing operations, prioritize tasks, and allocate resources to meet deadlines. Performance Monitoring : Regularly assess team performance, provide feedback, and implement improvement plans where necessary. Training and Development : Conduct training sessions to enhance the team's skills and keep them updated on industry changes and billing regulations. Communication : Serve as the primary point of contact between the team and management, ensuring clear and effective communication of goals and updates. Quality Assurance : Monitor and ensure accuracy in billing, coding, and submission processes to minimize denials and maximize collections. Issue Resolution : Address and resolve escalated claims, denials, and payment discrepancies efficiently. Compliance : Ensure adherence to all regulatory and compliance standards, including HIPAA guidelines. Reporting : Prepare and present regular performance reports and operational updates to senior management. Continuous Improvement : Identify process inefficiencies and implement strategies for improvement. Qualifications: Experience : 5 - 7 years in medical billing, with at least 2 years in a team lead or supervisory role. Technical Skills : Proficiency in billing software, EHR/EMR systems, and Excel; strong knowledge of coding (CPT, ICD-10) and payer guidelines. Leadership Skills : Demonstrated ability to lead, coach, and motivate a team to achieve set targets. Communication : Excellent verbal and written communication skills, with the ability to interact effectively with team members, clients, and management. Problem-Solving : Strong analytical skills to resolve complex billing issues and drive efficiency. Flexibility : Willingness to work in a night shift to align with client requirements and team operations. Preferred Qualifications: Experience in handling US-based medical billing processes. Certification in medical billing and coding (e.g., CPC, CHRS). Familiarity with payer-specific rules and denial management strategies. Perks and benefits 5 Days Working Medical + Accident Insurance On-site Yoga, Gym, Sports, and Bhagwat Geeta Session Excellent Work-life balance Annual one-day Trip All festival Celebration

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5.0 - 8.0 years

0 - 0 Lacs

Ahmedabad

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Role & responsibilities Team Management : Supervise and mentor a team of 10 - 15 billing specialists, ensuring high performance and productivity. Workflow Oversight : Manage day-to-day billing operations, prioritize tasks, and allocate resources to meet deadlines. Performance Monitoring : Regularly assess team performance, provide feedback, and implement improvement plans where necessary. Training and Development : Conduct training sessions to enhance the team's skills and keep them updated on industry changes and billing regulations. Communication : Serve as the primary point of contact between the team and management, ensuring clear and effective communication of goals and updates. Quality Assurance : Monitor and ensure accuracy in billing, coding, and submission processes to minimize denials and maximize collections. Issue Resolution : Address and resolve escalated claims, denials, and payment discrepancies efficiently. Compliance : Ensure adherence to all regulatory and compliance standards, including HIPAA guidelines. Reporting : Prepare and present regular performance reports and operational updates to senior management. Continuous Improvement : Identify process inefficiencies and implement strategies for improvement. Qualifications: Experience : 5 - 7 years in medical billing, with at least 2 years in a team lead or supervisory role. Technical Skills : Proficiency in billing software, EHR/EMR systems, and Excel; strong knowledge of coding (CPT, ICD-10) and payer guidelines. Leadership Skills : Demonstrated ability to lead, coach, and motivate a team to achieve set targets. Communication : Excellent verbal and written communication skills, with the ability to interact effectively with team members, clients, and management. Problem-Solving : Strong analytical skills to resolve complex billing issues and drive efficiency. Flexibility : Willingness to work in a night shift to align with client requirements and team operations. Preferred Qualifications: Experience in handling US-based medical billing processes. Certification in medical billing and coding (e.g., CPC, CHRS). Familiarity with payer-specific rules and denial management strategies. Perks and benefits 5 Days Working Medical + Accident Insurance On-site Yoga, Gym, Sports, and Bhagwat Geeta Session Excellent Work-life balance Annual one-day Trip All festival Celebration

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1.0 - 3.0 years

2 - 3 Lacs

Chennai

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We are hiring!! HR Recruiter: Arun Kumar Industry: ITES/BPO Category: International Non-Voice Division: Healthcare International Business We are looking for enthusiastic candidates with excellent communication to join our team as Customer Support Associates in the International Non-Voice Process for Healthcare. Job Title: CSA and Senior CSA Grade: H1/H2 Function/Department: Operations Reporting to: Team Lead Role Description: Roles & Responsibilities (Indicative not exhaustive) A claims examiner needs to analyse multiple documents / contracts and decide to pay / deny the claim submitted by member or providers with respect to client specifications. The claims examiner should also route the claim to different department or provider / member for any missing information that required for claims adjudication. The claims needs to be completed adhering to required TAT and quality SLA. Key Results Production, Quality Shift and Schedule adherence Process Knowledge Minimum Eligibility: Candidates should have minimum 1 year Experience in Claims Adjudication & Claims Adjustment or Claims Adjudication with Appeals & Grievances. Shift Details: Night shift / Flexible to work in any shift and timingCab Boundary Limit: Up to 30 km (One way drop cab) Job Location: Firstsource Solution Limited,5th floor ETA Techno Park, Block 4, 33 OMR Navallur, Chennai, Tamil Nadu 603103.Landmark near Vivira Mall. Contact: Arun HR Phone: 8015721106 Email: arun.kumar9@firstsource.com If you are interested please share your updated CV to the arun.kumar9@firstsource.com or 8015721106 Join us to be part of a dynamic team with career growth opportunities. We look forward to seeing you at the interview! You can refer your friends as well! Disclaimer: Firstsource follows a fair, transparent, and merit-based hiring process. We never ask for money at any stage. Beware of fraudulent offers and always verify through our official channels or arun.kumar9@firstsource.com

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1.0 - 5.0 years

3 - 3 Lacs

Gurugram

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Role & responsibilities To greet incoming patients or their representatives and to record complete information required for processing cashless facility. To hand over Pre-Auth form to patient and explain the procedure in detail. To process Initial approval, interim bill and final enhancement and co-ordinate with billing. To answer questions and to provide information directly to the person or on the telephone. For eg.Explaning Policy terms and conditions and hospital Policy regarding payment of bills. To prepare and maintain data of patients availing cashless facility and status, check payable report. To explain hospital regulations to patients, concerning Insurance process and discharge formalities. Preferred candidate profile B.Com with 1-5 years of revelant experience

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1.0 - 3.0 years

2 - 3 Lacs

Mumbai Suburban

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Primary responsibility of TPA Executive is Follow ups and Clearing of outstanding dues with TPA’s & other govt. agencies and split billing. Required Candidate profile Reporting of daily, weekly, monthly on dues outstanding follow ups to the reporting manager. Insurance patient billing, Packages and other billing process, Resolve queries.

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3.0 - 5.0 years

5 - 7 Lacs

Pune, Bengaluru, Mumbai (All Areas)

Hybrid

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Role & responsibilities Marine Insurance Preferred candidate profile With end to end experience in marine claim.

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1.0 - 5.0 years

3 - 7 Lacs

Chennai

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Positions General Duties and Tasks: Process Insurance Claims timely and qualitatively Meet & Exceed Production, Productivity and Quality goals Review medical documents, policy documents, policy history, Claims history, system notes and apply the trained client level business rules to make appropriate Claims decisions, call out claims trends and flag fraud activities Stay up to date on new policies, processes, and procedures impacting the outcome of Claims processing Be a team player and work seamlessly with other team members on meeting customer goals Requirements for this role include: Both Under Graduates and Post Graduates can apply. Excellent communication (verbal and written) and customer service skills. Able to work independently; strong analytic skills. Detail-oriented; ability to organize and multi-task. Ability to make decisions. Required computer skills: must have experience with data entry and word processing, possess a working knowledge of MS Office applications, and understand how to navigate through web-based applications. Demonstrate strong reading comprehension and writing skills. Cognitive Skills include language, basic math skills, reasoning ability and verbal communication skills. Ability to work in a team environment. Handling different Reports - IGO/NIGO and Production/Quality. To be in a position to handle training for new hires Work together with the team to come up with process improvements Strictly monitor the performance of all team members and ensure to report in case of any defaulters. Encourage the team to exceed their assigned targets. **Required schedule availability for this position is Monday-Friday 6PM/4AM IST. The shift timings can be changed as per client requirements. Additionally, resources may have to do overtime and work on weekend s basis business requirement. Requirements for this role include: Candidate should be flexible & support team during crisis period Should be confident, highly committed and result oriented Experience on working in an office environment set up utilizing Windows PC applications that required you to use a keyboard, navigate screens, and learn new software tools Experience in a professional/office related role that required you to communicate (oral/written) effectively with internal team members and external customers

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5.0 - 10.0 years

7 - 12 Lacs

Chennai

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Positions General Duties and Tasks: Process Insurance Claims timely and qualitatively Meet & Exceed Production, Productivity and Quality goals Review medical documents, policy documents, policy history, Claims history, system notes and apply the trained client level business rules to make appropriate Claims decisions, call out claims trends and flag fraud activities Analyze customer queries to provide timely response that are detailed and ordered in logical sequencing Cognitive Skills include language, basic math skills, reasoning ability with excellent written and verbal communication skills Stay up to date on new policies, processes, and procedures impacting the outcome of Claims processing Continuous learning to ramp up on the knowledge curve to be the SME and to be compliant with any certification as required to perform the job Be a team player and work seamlessly with other team members on meeting customer goals Developing and maintaining a solid working knowledge of the insurance industry and of all products, services and processes performed by Claims function Handle reporting duties as identified by the team manager Handle claims processing across multiple products/accounts as per the needs of the business Requirements for this role include: Both Under Graduates and Post Graduates can apply. Excellent communication (verbal and written) and customer service skills. Able to work independently; strong analytic skills. Detail-oriented; ability to organize and multi-task. Ability to make decisions. Required computer skills: must have experience with data entry and word processing, possess a working knowledge of MS Office applications, and understand how to navigate through web-based applications. Demonstrate strong reading comprehension and writing skills. Cognitive Skills include language, basic math skills, reasoning ability and verbal communication skills. Ability to work in a team environment. Handling different Reports - IGO/NIGO and Production/Quality. To be in a position to handle training for new hires Work together with the team to come up with process improvements Strictly monitor the performance of all team members and ensure to report in case of any defaulters. Encourage the team to exceed their assigned targets. Candidate should be flexible & support team during crisis period Should be confident, highly committed and result oriented Experience on working in an office environment set up utilizing Windows PC applications that required you to use a keyboard, navigate screens, and learn new software tools Experience in a professional/office related role that required you to communicate (oral/written) effectively with internal team members and external customers Experience in a role that required a focus on quality including attention to detail, accuracy, and accountability for your work product Candidate should be flexible to work from home and office environment. Broadband connection is must while working from home. Preferences for this role include: 5+ years of experience processing insurance claims in the health, life, or disability disciplines that required knowledge of CPT, HCPCS, ICD9/10, CDT. 2+ year(s) of experience in role that required understanding and interpreting complex documents such as medical records and legal contracts. ***Required schedule availability for this position is Monday-Friday 6PM/4AM IST. The shift timings can be changed as per client requirements. Additionally, resources may have to do overtime and work on weekend s basis business requirement.

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1.0 - 3.0 years

1 - 4 Lacs

Hyderabad

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Dear Candidate, Greetings from AGS Health! Job Title: Process Associate/Sr Process Associate Job Role: Responsible for calling US Insurance companies on behalf of doctors/physicians and following up on outstanding Accounts Receivable. Should have basic knowledge of the entire RCM (Revenue Cycle Management) Perform analysis of accounts receivable data and understand the reasons for pending claims in AR and the top denial reasons Process : International Voice process - AR Calling Qualification: Any Graduate Interview Process: Rounds off interviews: 1. HR screening 2. Online Assessment Test 3. Operational/Technical Round Shift Timing: 5.00 PM to 2.00 AM or 07:00 PM to 4:00 AM Night Shift (US Shift) - Should be flexible for both shifts. Transport: Two-way transport is available based on boundary limits. Location: Western Pearl, Kothaguda, Kondapur, Hyderabad Job Type: Full-time, Regular / Permanent Benefits: 5 days work Work from the Office PF ESI Health insurance Performance bonus Required Skills: Minimum 1 year of experience in AR calling Calling experience on Denial Management - Physician Billing/Hospital Billing Should be comfortable working with Night shifts Good Communication skills Looking for an aspirant who can join us immediately. Note: Immediate joiners preferred. Interested candidates can WhatsApp their resume to 8056048336 Regards Bhaviri

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1.0 - 4.0 years

3 - 6 Lacs

Mumbai

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Legal officer has to deal & coordinate with Advocates appointed by company in these maters - Investigator for IR Internal communication & processing claims with approval team Mandatory Skills: Expert in Legal related activities Desirable Skills: 1. Good communication skills. 2. Flexible & adaptable to change. 3. Well versed with MS Office. 4. Should have good analytical and problem-solving skills. 5. Should be aware of the Local language. Education/Qualification: LLB; LLM

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1.0 - 4.0 years

3 - 6 Lacs

Chennai

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Location: Chennai Shift : US Shift Timing (6.30PM 3.30AM) Job Qualification : Looking for voice process only. Experience in Claims Operations Candidate should have good communication skills. Responsibilities : End to End domain knowledge on US Healthcare and Payer Services life Cycle. Knowledge on Payer workflows like Enrollment, Claims Adjudication, Appeals and Grievances, Payment Integrity & Authorization Expertise on Payer terminologies (Related to Medicare Advantage programs) and concepts like Credentialing, Authorization, Out of network and In Network concepts & Subrogation. Basic knowledge on Revenue Cycle Management Interested candidates Contact : Lithan Kumar HR (7339696444) Those who have experience in Non voice please don"t apply

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1.0 - 4.0 years

3 - 6 Lacs

Chennai

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Location: Chennai Shift : US Shift Timing (6.30PM 3.30AM) Job Qualification : Experience in Claims Operations Candidate should have good communication skills. Responsibilities : End to End domain knowledge on US Healthcare and Payer Services life Cycle. Knowledge on Payer workflows like Enrollment, Claims Adjudication, Appeals and Grievances, Payment Integrity & Authorization Expertise on Payer terminologies (Related to Medicare Advantage programs) and concepts like Credentialing, Authorization, Out of network and In Network concepts & Subrogation. Basic knowledge on Revenue Cycle Management Interested candidates Contact : Varsha HR (8056370297) Those who have experience in Non voice please don"t apply

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10.0 - 15.0 years

10 - 18 Lacs

Pune

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Responsibilities may include the following and other duties may be assigned: As the Delivery Lead of Insurance Collections for Patient Financial Services, the role involves working in conjunction with Senior Leadership to identify unit, department, and business priorities to successfully deliver on Patient Financial Service accounts receivable metrics. Responsibilities include accounts receivable management, including recovery and reconciliation of denial, and no activity insurance claims. The individual will interact and collaborate with various departments, lead payer issue denial trending, research and recovery of payer issues, system updates, data analytics, strategic work plans, and execution of plans and directives. Required Knowledge and Experience: Bachelors degree in business or accounting major is preferred. 10+ years’ experience in healthcare insurance collections, accounts receivable management, billing and claims processing, and insurance payor contracts. Advanced knowledge of insurance contracting, payor regulations, insurance benefits, coordination of benefits, managed care, and healthcare compliance, rules, and regulations. Advanced experience with reading, and understanding medical policy information, and utilizing insurance benefit and coverage information to recovery denied claims. Advanced experience with various insurance plans offered by both government and commercial insurances. Experience with medical billing and collections terminology – CPT, HCPCS, ICD-10 and NDC coding, HIPAA guidelines and healthcare compliance.

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2.0 - 7.0 years

1 - 4 Lacs

Vadodara

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Job Overview: We are looking for a person who has possesses understanding in the insurance industry, including premium, claims, reserves, and treaty types, with strong accounting knowledge. Key Responsibilities Claim Intake and Assessment: Receiving and logging new claims, verifying policy details, and assessing the validity of the claim based on policy conditions. Information Gathering: Collecting necessary information and documentation from claimants, witnesses, and other relevant parties, including photographs, reports, and financial records. Liaison: Maintaining communication with claimants, solicitors, loss adjusters, and other professionals involved in the claim process. Documentation and Reporting: Maintaining accurate records of all claim-related activities, preparing reports, and ensuring compliance with company procedures and regulations. Customer Service: Providing excellent customer service to claimants throughout the claim process, addressing their inquiries and concerns. Fraud Detection: Identifying and investigating potential fraudulent claims. Compliance: Ensuring compliance with all relevant regulations and guidelines, including those set by the Financial Conduct Authority (FCA). Required Skills and Qualifications: Communication Skills: Excellent verbal and written communication skills for interacting with various parties. Analytical Skills: Ability to analyze information, assess claims, and make informed decisions. Organizational Skills: Ability to manage a large workload, prioritize tasks, and meet deadlines. Customer Service Skills: Ability to provide excellent customer service and build rapport with claimants. Knowledge of Insurance: Understanding of insurance principles, policy wording, and claims handling procedures. Attention to Detail: Ability to pay close attention to detail when reviewing documents and assessing claims. Problem-Solving Skills: Ability to identify and resolve issues that arise during the claim process. Qualifications: Graduate What We Offer Joining QX Global Group means becoming part of a creative team where you can personally grow and contribute to our collective goals. We offer competitive salaries, comprehensive benefits, and a supportive environment that values work-life balance. Work Model Location: Vadodara Model: WFO (Indian Shift)

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1.0 - 6.0 years

3 - 7 Lacs

Navi Mumbai, Mumbai (All Areas)

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Candidate should have a min of 1 to 4 years of experience in P&C or Specialty Insurance BPO service provider Must have managed FNOL (First notify of loss), FROI (First report of injury), Document Management & Payments Processing Good Communication Required Candidate profile Practical know-how of using MS Office application Mandatory: Graduate or Postgraduate from any background Desirable: Insurance / Risk management Commitment to achieving deadlines Good communication

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4.0 - 9.0 years

2 - 6 Lacs

Vadodara

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TL/AM-UK Insurance Domain Job Overview: We are looking for a person who has possesses deep expertise in the insurance industry, including premium, claims, reserves, and treaty types, with strong accounting knowledge. Experienced in broker operations, especially Lloyds market processes, systems (e.g., Eclipse, Acturis), and regulatory reporting (UK focus). Key Responsibilities - Insurance industry knowledge (Insurance company lifecycle, Finance & Accounting Lifecycle) - Know concepts of Premium, Claims, UEPR, DAC, CASE, IBNR Reserves - Know broker & MGA lifecycle - Broker business nuances specifically Lloyds as below - IBA concept - Software used in broker business Eclipse, Acturis, etc - MRC, EDI, LPOS, Signing Release, Release Delinked Signings, IMR, UMR, CASA, LPAN, XIS, XCS - Client and Insurer statement reconciliation - Expense accounting & Trending - Month end close review activities - Support Management, regulatory and statutory reporting - Provide support during various internal/external audits - Updating the process documents - Advance excel knowledge - Good problem-solving and communication skills - Great team player - Ensure all KPI/SLA are met per client expectations Must haves: 5+ Year(s) of experience with Insurance Domain. Experience with Insurance client is a must preferably UK or US. Strong communication skills (both written and verbal). Familiarity with MS Outlook and MS Office. Excellent MS Excel skills. Recent insurance experience is must. Knowledge of Lloyds concepts, and report is must from Manager and above position. Knowledge of broker business specifically IBA is added advantage Qualifications: Graduate What We Offer Joining QX Global Group means becoming part of a creative team where you can personally grow and contribute to our collective goals. We offer competitive salaries, comprehensive benefits, and a supportive environment that values work-life balance. Work Model Location: Vadodara Model: WFO (Indian Shift)

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8.0 - 12.0 years

7 - 11 Lacs

Ghaziabad, Uttar Pradesh, India

On-site

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Key Deliverables: Ensure accurate inpatient billing aligned with insurance and TPA protocols Oversee daily IPD operations and coordinate with clinical and admin teams Manage billing discrepancies, approvals, and pre/post discharge processing Lead and train staff for service quality and compliance with SOPs and ISO standards Role Responsibilities: Monitor billing accuracy, package mapping, and CGHS/PSU documentation Handle queries, feedback, and patient financial counselling Coordinate interdepartmental workflows for timely discharge processes Track and improve IPD service delivery using HIS and MIS systems

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11.0 - 15.0 years

50 - 55 Lacs

Ahmedabad, Chennai, Bengaluru

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Dear Candidate, We are hiring a Zig Developer to create reliable and performant systems software. Zig emphasizes safety and manual control without hidden behavior, ideal for OS-level programming, game engines, or embedded development. Key Responsibilities: Develop low-level systems using Zig programming language . Replace or interface with C codebases using Zigs FFI. Focus on compile-time safety and performance tuning . Build tools, compilers, or libraries with deterministic behavior. Contribute to debugging, testing, and optimization. Required Skills & Qualifications: Strong understanding of Zig , manual memory management , and no runtime Experience with C interop, embedded systems, or OS internals Familiarity with LLVM, compilers, or real-time systems Bonus: Interest in Rust, C++, or Go Soft Skills: Strong troubleshooting and problem-solving skills. Ability to work independently and in a team. Excellent communication and documentation skills. Note: If interested, please share your updated resume and preferred time for a discussion. If shortlisted, our HR team will contact you. Srinivasa Reddy Kandi Delivery Manager Integra Technologies

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4.0 - 5.0 years

3 - 4 Lacs

Pune

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Location: Chakan, Maharashtra Experience Required: 45 Years Salary: 30,000 32,000 Gross Job Objective: The candidate will be responsible for processing and managing claims related to CRM Goodwill, Special Approvals, CCR, and Transcars Star Ease. The role also involves maintaining claim records, coordinating with dealers, sharing payment details, and preparing CRM reports. Key Responsibilities: 1. Claims Processing & Documentation CRM Goodwill Claims: Approve/Reject claims in e-Dealer on a daily basis. Execute claim processing cycles on the 1st & 16th of each month. Collect, sort, and verify dealer invoices. Export summary sheets for the previous 15-day period. Create standard templates and credit notes in the E-workflow system. Submit hard copies to the accounts department. Obtain and share payment details with respective dealers. Maintain dealer-wise CRM utilization reports. Special Approval & CCR Claims: Approve/Reject claims after reviewing invoices as per GST format. Maintain provision records shared by CRM team. Prepare credit notes and ensure timely submission to accounts. Follow up with accounts for payments and communicate with dealers. Monitor and report on CCR budget consumption. Transcars Star Ease Claims: Review and approve service estimates from dealers. Collect and verify supporting documents and invoices. Maintain claim records as per approvals. Generate templates and credit notes in the E-workflow. Submit hard copies to finance/accounts. Obtain payment details and share with dealers. Prepare utilization reports for Transcars Star Ease. 2. Other CRM Activities Provision & Maintenance Invoices: Submit related invoices to the accounts department. Reporting: Prepare monthly Complaint Ratio and Courtesy Car reports. Maintain dealership complaint data and gather inputs on courtesy car usage. Desired Candidate Profile: 4–5 years of relevant experience in CRM or claim processing within the automobile industry. Strong knowledge of claim processing, GST norms, and dealer management. Proficient in Excel, e-Dealer, and E-workflow systems. Detail-oriented with strong documentation and reporting skills. Effective communication and coordination abilities. Key Skills: CRM Goodwill / CCR Handling Claim Verification & Processing Dealer Coordination Invoice Validation & GST Compliance Credit Note Preparation Report Generation (Excel) E-Dealer / ERP / E-Workflow Proficiency Budget Monitoring Complaint Ratio & Courtesy Car Reporting Time Management & Attention to Detail Contact: 9881736115 sandip.d@uds.in

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1.0 - 3.0 years

1 - 4 Lacs

Hyderabad

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Dear Candidate, Greetings from AGS Health! Job Title: Process Associate/Sr Process Associate Job Role: Responsible for calling US Insurance companies on behalf of doctors/physicians and following up on outstanding Accounts Receivable. Should have basic knowledge of the entire RCM (Revenue Cycle Management) Perform analysis of accounts receivable data and understand the reasons for pending claims in AR and the top denial reasons Process : International Voice process - AR Calling Qualification: Any Graduate Interview Process: Rounds off interviews: 1. HR screening 2. Online Assessment Test 3. Operational/Technical Round Shift Timing: 5.00 PM to 2.00 AM or 07:00 PM to 4:00 AM Night Shift (US Shift) - Should be flexible for both shifts. Transport: Two-way transport is available based on boundary limits. Location: Western Pearl, Kothaguda, Kondapur, Hyderabad Job Type: Full-time, Regular / Permanent Benefits: 5 days work Work from the Office PF ESI Health insurance Performance bonus Required Skills: Minimum 1 year of experience in AR calling Calling experience on Denial Management - Physician Billing/Hospital Billing Should be comfortable working with Night shifts Good Communication skills Looking for an aspirant who can join us immediately. Note: Immediate joiners preferred. Interested candidates can WhatsApp their resume to 9150092587 Regards, Shashank Rao HR- Talent Acquisition AGS Health

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1.0 - 6.0 years

1 - 3 Lacs

Prayagraj, Thane, Patna

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Role & Responsibilities Handling TPA related all process from billing to co-ordinate with TPA companies. Responsible for counseling patient's family & pre-Auth process. Maintaining & uploading patient's files on the portal. Couriering the hard copy of patient's medical file to the Insurance companies. Responsible for all co-ordination activities from patient's admission to discharge. Handling billing Department, Implants bill updating & reconciliation. Daily co-ordination with the patient and Hospital staff. Outstanding follow-up with TPA. To obtain and review referrals and authorizations for treatments. Must be aware of norms of the insurance sector. Daily follow up with Insurance companies to pass or clear the Health Insurance claims. Qualifications Bachelor's degree. Previous experience in TPA management or Banking. Good interpersonal and communication skills. Astha Saklani 7087994355 HRD

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