3165 Claims Processing Jobs - Page 32

Bpo Hiring For Health Care Domain Voice Process 6.5 LPA Location Gurugram Only Graduates. No B.E./Btech/UG''s Minimum 1 Year of Voice Experience With International BpO MUST Pls Cal Dipankar @ 9650094552 Email CV @ jobsatsmartsource@gmail.com

Role Overview: You are a passionate individual with 2+ years of experience in Gen AI Engineering, possessing at least 1 year of hands-on experience in building intelligent systems. Your role involves working at the intersection of Node.js, Generative AI, and automation to develop solutions in image parsing, billing automation, claims processing, and chatbot development tailored for the Gen Z user base. Key Responsibilities: - Develop and deploy automation solutions utilizing Node.js and AI frameworks. - Build and integrate conversational agents powered by ChatGPT. - Design and implement pipelines for image parsing and classification. - Automate billing processes and claims handling workflows...

Accounts Receivable & Denial Mgmt Specialist (3+ yrs US exp). Submit clean claims, review & resolve denials, analyze root causes, file timely appeals/reconsiderations, track trends & ensure compliance to boost reimbursements to prevent revenue loss

Job Title: Senior Credentialing Specialist Experience: 5 to 8 Years US Shift: 4:30 Pm to 1:30 Am Mode of Work: Work From Office Work Location: Chennai - Valasaravakkam Transportation: Cab Provided (Only for Female Employees) Interested candidates send your cv to shane@parkmedicalbilling.com Job Summary: We are seeking an experienced Credentialing Specialist with a strong background in Accounts Receivable (AR) calling . Credentialing Duties: Prepare, submit, and track applications for provider credentialing and re-credentialing with insurance payers and healthcare organizations. Maintain up-to-date provider files, licenses, certifications, and other required documents. Monitor credentialing d...

Role Objective: The accounts receivable follow-up team in a healthcare organization is responsible for looking after denied claims and reopening them to receive maximum reimbursement from the insurance companies. Essential Duties and Responsibilities Follow up with the payer to check on claim status. Identify denial reason and work on resolution. Save claim from getting written off by timely following up. Should have sound knowledge of working on Billing scrubbers and making edits. Work on Contractual adjustments & write off projects. Should have good Cash collected/Resolution Rate. should have calling skills, probing skills and denials understanding. Work in all shifts on a rotational basis...

TATA AIG General Insurance Company Limited is looking for Deputy Manager - Health Claims to join our dynamic team and embark on a rewarding career journey Assist the Manager in the day-to-day operations of the business, including setting goals, developing strategies, and overseeing the work of team members Take on leadership responsibilities as needed, including managing team members and making decisions in the absence of the Manager Identify and address problems or challenges within the business, and develop and implement solutions Collaborate with other departments and teams to ensure smooth and efficient operations Maintain accurate records and documentation Contribute to the development ...

Our client is a product-tech company, launched in 2016, solving real-world problems for customers, starting with insurance. And as a customer-first organization serving the digitally-savvy,our Client value proposition of Welcome Change focuses on offerings that make insurance simple and hassle-free! With features such as zero commission, zero paperwork, instant renewal, same-day claim settlements, and app-based updates on claims,our Client is a 'Welcome Change' from traditional insurers. Having said that, we are not just another conventional insurance firm, or the people consulted solely for "claims! Anchored in a tech-centric philosophy, our Client approach fuels innovation, empowering us t...

Max Life Insurance Company Limited is looking for Relationship Associate - Bancassurance to join our dynamic team and embark on a rewarding career journey A Relationship Associate in Bancassurance is a role within the banking sector that focuses on building and maintaining relationships with customers in relation to insurance products and services offered by the bank Bancassurance refers to the distribution of insurance products through banks, leveraging their existing customer base and distribution channels Here are the key responsibilities of a Relationship Associate in BancassuranceCustomer Relationship Management Relationship Associates in Bancassurance establish and maintain strong rela...

Max Life Insurance Company Limited is looking for Relationship Associate - Bancassurance to join our dynamic team and embark on a rewarding career journey A Relationship Associate in Bancassurance is a role within the banking sector that focuses on building and maintaining relationships with customers in relation to insurance products and services offered by the bank Bancassurance refers to the distribution of insurance products through banks, leveraging their existing customer base and distribution channels Here are the key responsibilities of a Relationship Associate in BancassuranceCustomer Relationship Management Relationship Associates in Bancassurance establish and maintain strong rela...

Retail Claims - Automation & ProjectsKey Responsibilities1 Automate Claims Processes- Design anddevelop automated workflows and business rules to streamline claims processing Integrate with Existing Systems- Integrateautomated claims processing solutions with existing systems and technologies Testing and UAT - Test and validateautomated claims processing solutions to ensure accuracy and efficiency Daily production issue - Troubleshootissues and resolve problems related any day-to-day production issues across allclaim systems for death and health claims5 Collaborate with IT stakeholders, claim team and other requiredstakeholders to understand requirements and implement solutions6 Strong techn...

We are seeking an experienced Senior Business Analyst to lead the requirements gathering, analysis, and design of insurance portals for policy management, claims processing, and self-service functionalities . The ideal candidate will have 7+ years of experience , preferably in P&C insurance (Commercial Lines) , with strong expertise in portal solutions, integrations, and security features . Key Responsibilities: Requirement Gathering & Analysis Collaborate with stakeholders (business, IT, UX/UI, and development teams) to define and document business and technical requirements. Conduct gap analysis to identify areas of improvement in existing insurance portals . Translate business needs into ...

* Review AR claims, understand the denial reason, call the payers if required resolve the issue. *Research and interpret from the available data in billing software, EOB, MR, authorization & understand the reasons for denial/underpayment/no response. Required Candidate profile * All kinds of Denials * Strong Technical Knowledge * RCM * Authorization * Timely Filed Limit * Phyician Billing/Hospital billing * Commercial/Federal Payers * AR CALLER Contact Info - 9384813917

Entero Healthcare Solutions About us : Did you know that India has 8 Lakh+ chemists, more than 60k+ distributors and still more than 30% of prescriptions go unfulfilled or partially fulfilled in our country every day. We at Entero has been trying to change that by building a robust tech driven supply chain which helps chemists in stocking better and improving the prescription fill rates. We have scaled up from zero to 5000 Cr annual revenue (Actual Revenues, Not GMV) in last 5 years, we are a trusted supply chain partner to more than 84k+ chemists and 3500+ hospitals across 540+ districts as on today. We are also healthcare supply chain partner for more than 1900 healthcare companies both MN...

Bpo Hiring For Health Care Domain Voice Process 6.5 LPA Location Gurugram Only Graduates. No B.E./Btech/UG''s Minimum 1 Year of Voice Experience With International BpO MUST Pls Cal Dipankar @ 9650094552 Email CV @ jobsatsmartsource@gmail.com

As a Process Associate for Insurance Claims at Genpact, you will be responsible for understanding and comprehending customer needs with a focus on providing excellent customer service. You will handle varied workloads efficiently, meet targets and deadlines, and cultivate a customer-centric approach along with teamwork, accountability, initiative, and innovation. Key Responsibilities: - Handle claims and queries related to insurance - Demonstrate good customer service attitude and articulate resolutions clearly - Maintain a high level of personal integrity and possess strong investigation/negotiation skills - Show self-motivation, energy, and flexibility in work approach - Utilize working kn...

Position: Ar Caller Experience: 4 to 7 years Shift Timings: 4:30 PM to 1:30 AM IST Mode of Work: Work From Office Work Location: Chennai - Valasaravakkam Transportation: Cab Provided (Only for Female Employees) Interested candidates send your cv to shane@parkmedicalbilling.com Job Summary: We are looking for a motivated AR Caller to join our medical billing team. The AR Caller will be responsible for following up with insurance companies in the US to resolve unpaid or underpaid claims, ensuring timely collections, and maintaining accurate records. Preferred Skills: Should have good Verbal and Written communication skills Candidates should have strong knowledge of Denial management. Key Respo...

Roles and Responsibilities Conduct thorough analysis of insurance claims data to identify trends, patterns, and areas for improvement. Develop and maintain complex reports using SQL queries to track key performance indicators (KPIs) related to claims processing times, costs, etc. Stay up-to-date with industry developments in healthcare payer analytics and adjust business strategies accordingly. Provide expert guidance on claims adjudication processes to internal stakeholders, ensuring compliance with regulatory requirements. Collaborate with cross-functional teams to develop and implement process improvements that enhance claim processing efficiency and accuracy. Desired Candidate Profile 2-...

We are looking for a highly skilled and experienced Clinical Safety Analyst to join our team in the IT Service & Consulting industry. The ideal candidate will have 29 years of experience in clinical safety, preferably in the medical device sector. Roles and Responsibility Conduct thorough analysis of clinical trial data to identify potential safety risks and trends. Develop and implement effective safety protocols and procedures to mitigate identified risks. Collaborate with cross-functional teams, including regulatory affairs, quality assurance, and product development. Review and approve safety-related documentation, such as clinical study reports and investigational reports. Provide train...

Roles and Responsibility Collaborate with cross-functional teams to design and implement solutions for clients in the IT Service & Consulting industry. Provide expert guidance on airlines domain-related projects, ensuring timely completion and high-quality results. Develop and maintain strong relationships with clients, understanding their needs and providing tailored solutions. Conduct thorough analysis of client problems, identifying root causes and implementing effective solutions. Stay up-to-date with industry trends and developments, applying this knowledge to improve client outcomes. Work closely with stakeholders to ensure seamless project execution, meeting deadlines and exceeding ex...

Job Summary We are seeking a proactive and customer-focused Customer Success Executive to enhance client relationships and ensure seamless service delivery in the health insurance domain. This role involves managing customer queries, assisting with policy-related concerns, and ensuring a positive customer experience throughout the policy lifecycle. Key Responsibilities Act as the primary point of contact for policyholders, addressing queries related to policy coverage, claims, and benefits. Guide customers through the onboarding process and ensure they fully understand their insurance policies. Proactively engage with clients to enhance satisfaction, resolve issues, and retain business. Coor...

Greetings from ACP Billing Services! We are hiring for the following roles - Work from Office Charge Posting - Near Madhavaram Location preferred - Immediate Joiners needed. Candidates who are willing to work in Day shifts - 11AM to 8 PM (Mon to Sat) Experience & Requirements: Minimum 4+ years of experience in US Medical Billing. Candidates who worked in charge entry process for at least 3 years completely are eligible. Good verbal and written communication skills. Charge 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 needed. Responsibilities: Process medic...

Handling reinsurance contracts- Treaty, FAC set-up Perform cession calculations and validate, ceded premium and loss results from the reinsurance system Preparing

About The Role Skill required: Talent Development - Learning Operations Designation: Learning Operations Analyst Qualifications: Any Graduation Years of Experience: 3 to 5 years What would you do? Improve workforce performance and productivity, boosts business agility, increases revenue and reduces costsTalent Development process.Personal organization to ensure work is monitored and completed in priority order and on time.Data collation / AnalysisDSM / Onshore interactionAbility to work on own InitiativeManage learning solutions, including activities such as registration, vendor management, product support, learning management system.Respond to incoming mail in the Scheduling mailbox and res...

About The Role Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 years What would you do? We help insurers redefine their customer experience while accelerating their innovation agenda to drive sustainable growth by transforming to an intelligent operating model. Intelligent Insurance Operations combines our advisory, technology, and operations expertise, global scale, and robust ecosystem with our insurance transformation capabilities. It is structured to address the scope and complexity of the ever-changing insurance environment and offers a flexible operating mod...

About The Role Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 years What would you do? We help insurers redefine their customer experience while accelerating their innovation agenda to drive sustainable growth by transforming to an intelligent operating model. Intelligent Insurance Operations combines our advisory, technology, and operations expertise, global scale, and robust ecosystem with our insurance transformation capabilities. It is structured to address the scope and complexity of the ever-changing insurance environment and offers a flexible operating mod...