1027 Claims Processing Jobs - Page 38

About the role : We are looking for a Dedicated Claims Specialist with a strong background in medical and health insurance, particularly in group medical corporate policies . The ideal candidate should have 2-4 years of experience in claims processing or CRM roles. Key Responsibilities: Handle end-to-end processing of reimbursement claims for group medical corporate policies. Provide excellent customer service by addressing claims-related queries via Freshchat, Ozontel, and Freshdesk. Analyze medical documentation, policy terms, and conditions to ensure accurate claim assessment and processing. Liaise with internal teams, insurers, TPA s, and hospitals to ensure seamless claims settlement and timely resolutions. Manage claims escalations, ensuring prompt resolution while maintaining a customer-centric approach. Required Skills: In-depth knowledge of corporate group medical insurance policies and claims processing. Ability to understand medical terminology, treatment procedures, and health-related documentation. Proficient in Ozontel, Freshdesk, or similar customer support and claims management tools. Strong communication and problem-solving skills to manage customer relationships and resolve issues effectively. Attention to detail to ensure accuracy in claim processing and documentation review. Ability to collaborate effectively with cross-functional teams, including insurance partners and hospital networks. Qualifications: Bachelor s degree in healthcare, insurance, or related field preferred. 2-4 years of experience in claims processing, CRM role preferably within group medical corporate policies.

About the role : We are looking for a Dedicated Claims Specialist with a strong background in medical and health insurance, particularly in group medical corporate policies . The ideal candidate should have 2-4 years of experience in claims processing or CRM roles. Key Responsibilities: Handle end-to-end processing of reimbursement claims for group medical corporate policies. Provide excellent customer service by addressing claims-related queries via Freshchat, Ozontel, and Freshdesk. Analyze medical documentation, policy terms, and conditions to ensure accurate claim assessment and processing. Liaise with internal teams, insurers, TPA s, and hospitals to ensure seamless claims settlement and timely resolutions. Manage claims escalations, ensuring prompt resolution while maintaining a customer-centric approach. Required Skills: In-depth knowledge of corporate group medical insurance policies and claims processing. Ability to understand medical terminology, treatment procedures, and health-related documentation. Proficient in Ozontel, Freshdesk, or similar customer support and claims management tools. Strong communication and problem-solving skills to manage customer relationships and resolve issues effectively. Attention to detail to ensure accuracy in claim processing and documentation review. Ability to collaborate effectively with cross-functional teams, including insurance partners and hospital networks. Qualifications: Bachelor s degree in healthcare, insurance, or related field preferred. 2-4 years of experience in claims processing, CRM role preferably within group medical corporate policies.

Check the medical admissibility of claim by confirming diagnosis and treatment details Verify the required documents for processing claims and raise an information request in case of an insufficiency Approve or deny claims as per T&C within TAT If candidates are interested please drop your update resume/CV on my WhatsApp no - 8951865563 Thanks & Regards Sarika Email - sarika.pallap@mediassist.in

Job Descriptions: Check the medical admissibility of claims by confirming the diagnosis and treatment details. Verify the required documents for processing claims and raise an information. Request a case of an insufficiency. Approve or Deny claims as per T&C witihin TAT. Required Qualification : B.Sc. Nursing, Msc Nursing, Interested candidates can share there profiles to sarika.pallap@mediassist.in or WhatsApp to 8951865563.

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 Days : Monday to Friday 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, Anushka- 8317044614/ Vishal-9560031640 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.

Managing CGHS, ECHS, CAPF and ESIC and All Government Portals: Medical file Audit Claim Processing Uploading Query Management Required Candidate profile Mandatory practical experience of government empanelment such as CGHS ECHS ESIC CAPF etc. and medical file audit and processing for Railways, CGHS, ECHS and other govt empanelment's.

Job Title: Business Support Associate Location: Bangalore, India Job Summary: We are seeking a detail-oriented and tech-savvy Business Support Associate with excellent communication skills and proficiency in Excel for US healthcare process. Roles & Responsibilities: Insurance Eligibility & Verification: Through website portals and representatives. Claim Submission: Accurately submit dental and medical insurance claims. Claims Follow-up: Regularly follow up on pending claims for timely resolution. Payments Posting: Record payments from insurance companies and patients. Reporting: Summarize daily tasks, claims, and payments. Virtual Assisting: Assisting Admin related projects Skills: Good Communication Skills: Strong verbal and written communication. Proficient with Excel: Data entry, analysis, and report generation. Tech-Savvy: Comfortable with various software and technology tools. Qualifications: Experience in a US healthcare setting is preferred. Familiarity with US insurance procedures. Strong attention to detail and organizational skills. Bachelor's Degree in any Field. Shift Timings: Night Shift/ 6:30pm - 3:30am

Candidate should be working as a Team leader / Quality analyst / SME / Trainer on papers in US Healthcare for Claims adjudication process. Qualification - Graduate Shift - US rotational shifts Work Location - Chennai Required Candidate profile Immediate Joiners OR Max 1 month notice period candidates can apply Call HR Swapna @ 7411718707 for more details.

SUMMARY Job Title: Healthcare Claims Associate German Language Location: Powai, Mumbai Experience Level: 1 6 years Employment Type: Full-time Shift: UK shift Job Summary: We are looking for a detail-oriented and multilingual professional to join our healthcare operations team as a Healthcare Claims Associate with fluency in German . The ideal candidate will be responsible for processing, reviewing, and validating healthcare claims in accordance with company policies and healthcare regulations. Fluency in German is essential as the role involves interpreting and processing claims originating from German-speaking regions. Key Responsibilities: Review, verify, and process healthcare claims using internal systems. Analyze submitted medical documents and ensure compliance with insurance policies. Translate and interpret medical and insurance documents from German to English and vice versa. Communicate with German-speaking clients, hospitals, or insurance providers as required. Identify and flag any inconsistencies or fraudulent claims. Collaborate with internal teams to resolve claim issues and escalate when needed. Maintain accurate records and documentation of all claim activities. Ensure adherence to SLAs and quality metrics. Qualifications & Skills: Bachelor's degree in Healthcare, Business Administration, or a related field. Fluency in German (B2/C1 level or higher) verbal and written. 1 6 years of experience in healthcare claims processing or insurance domain preferred. Strong understanding of medical terminology and healthcare billing systems. Familiarity with ICD, CPT codes, and healthcare regulations is a plus. Excellent communication, analytical, and problem-solving skills. Ability to work in a fast-paced and deadline-driven environment. Experience with tools like Facets, QNXT, or other claims adjudication systems is a plus. Preferred: Certification in German language (Goethe, TestDaF, or equivalent). Experience working with European or German healthcare clients.

Job Summary We are seeking an experienced Architect with 12 to 15 years of experience to join our team. The ideal candidate will have strong technical skills in React JS and Java along with domain expertise in Medicare and Medicaid Claims Claims and Payer. This hybrid role requires a proactive individual who can drive technical solutions and contribute to the companys mission of improving healthcare systems. Responsibilities Lead the design and development of scalable and efficient software solutions using React JS and Java Oversee the implementation of technical solutions that align with business requirements and industry standards Provide technical guidance and mentorship to the development team to ensure best practices are followed Collaborate with cross-functional teams to gather and analyze requirements ensuring comprehensive understanding of project goals Develop and maintain technical documentation to support the development and deployment of software solutions Ensure the security performance and reliability of applications through rigorous testing and quality assurance processes Drive continuous improvement initiatives to enhance the development process and overall product quality Monitor and evaluate emerging technologies and industry trends to incorporate innovative solutions into the architecture Facilitate effective communication between stakeholders including business analysts project managers and developers Conduct code reviews to ensure adherence to coding standards and best practices Troubleshoot and resolve complex technical issues providing timely and effective solutions Contribute to the strategic planning and execution of technology roadmaps to support business objectives Ensure compliance with regulatory requirements and industry standards in all technical solutions Qualifications Possess a strong background in React JS and Java with proven experience in developing complex applications Demonstrate expertise in Medicare and Medicaid Claims Claims and Payer domains Exhibit excellent problem-solving skills and the ability to troubleshoot and resolve technical issues effectively Showcase strong communication and collaboration skills to work effectively with cross-functional teams Have a proactive approach to learning and staying updated with the latest industry trends and technologies Display a commitment to quality and a keen eye for detail in all aspects of software development Hold a bachelors degree in Computer Science Information Technology or a related field Preferably have a masters degree or relevant certifications in software architecture or related disciplines Show experience in leading and mentoring development teams to achieve project goals Demonstrate the ability to create and maintain comprehensive technical documentation Exhibit strong organizational skills and the ability to manage multiple tasks and projects simultaneously Have a solid understanding of regulatory requirements and industry standards in the healthcare domain Display a passion for improving healthcare systems and contributing to the companys mission.

Job Summary ( 2 to 3 years experience) We are seeking a diligent and detail-oriented Medical Biller to join our team in the Medical billing. The successful candidate will play a vital role in ensuring the accuracy of medical billing and coding processes, which are essential for the smooth operation of healthcare services. As a Medical Biller, you will be responsible for managing billing cycles, reviewing patient records, and submitting claims to insurance companies. You will work closely with healthcare providers, insurance agencies, and patients to address billing inquiries and resolve discrepancies and payment posting. The ideal candidate will possess strong analytical skills, proficiency in medical billing software, and a comprehensive understanding of US healthcare regulations and reimbursement methodologies. Roles and Responsibilities Review and validate medical records and patient information for accuracy. Prepare claim (UB-04 and CMS-1500) and timely submit claims to insurance companies. Follow up on outstanding claims and resolve any billing issues or disputes. Review and analyze billing data to identify inconsistencies or errors. Maintain updated knowledge of medical billing codes, insurance guidelines, payment posting and regulatory requirements. Communicate effectively with healthcare providers, patients, and insurance representatives regarding billing inquiries. Generate regular reports on billing activities and outstanding claims for internal review. Qualifications Graduate with 2 to 3 years experience as a Medical Biller or in a similar billing role in the US healthcare sector. Complete RCM cycle knowledge. Knowledge of medical billing software and electronic health record systems. Familiarity with ICD-10, CPT, and HCPCS coding standards. Strong attention to detail and exceptional organizational skills. Excellent verbal and written communication abilities. Ability to analyze data and problem-solve efficiently. Knowledge of US healthcare insurance processes and regulations.

Skill required: Property & Casualty - Property and Casualty Insurance Designation: Insurance Operations Associate Qualifications: Any Graduation Years of Experience: 2 to 3 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 model that can meet the unique needs of each market segment.Experience in Property & Casualty Core Underwriting or Underwriting support serving Commercial Insurance Carriers or Brokers out of Shared Service centers or Third Party BPO Companies Extensive knowledge of end-to-end spectrum of services offered under the suite of General Insurance Underwriting Support and tasks doneSkills required:Rating, Quote, Policy Booking, Issuance, Mid-term endorsements, Renewals and an overview of ReinsuranceShould be able to collaborate well with Underwriters, Underwriting Assistants and Brokers as needed to be able to get closures on outstanding documentation Must have excellent communication both written and oral skills In this role, you will be managing workflow process and inventory handle policy maintenance inclusive of, contract amendments, customer & policy maintenance, broker of record changes. You will be managing terminations as needed in internal systems issuance of policy certificates to agents within desired timelines for Property, Auto, Workers Comp, Inland Marine, Travel and Marine Insurance (Commercial & Personal lines in the English Language) What are we looking for? Agility for quick learning Problem-solving skills Detail orientation Prioritization of workload Written and verbal communication Customer Service attitude 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 shiftsRoles & Responsibilities - Policy Servicing Experience and Mid Term Policy EndorsementsExperience of Mid term endorsements supporting Commercial Lines business NAM region preferred UK or EMEA can be subject to evaluationPreferably supported Workers Compensation and Auto Endorsements Primary lines Types of Endorsements mentioned below:-Name Insured Changes Loss PayeePayroll ChangesExperience ModDriver Updates/Auto Id CardCertificate of InsuranceOut of Sequence endorsementsPremium AuditsBureau CritsBureau - NCCI Fillings Premium FinanceCancellations & ReinstatementsWaiver of Subrogation Qualifications Any Graduation

Preferred candidate profile Candidate should be from Property and Casualty Claims Process Immediate Joiners Only Good English Communications

We Have Urgent Requirement of TPA Manager

Basic Section No. Of Openings 2 Grade 1B Designation SENIOR CODER Closing Date 21 May 2025 Organisational Country IN State TAMIL NADU City CHENNAI Location Chennai-I Skills Skill Medical Coding Healthcare HIPAA CPT ICD-9 EMR Medical Billing Healthcare Management Revenue Cycle ICD-10 Education Qualification No data available CERTIFICATION No data available About The Role Role Description Overview: Coder is accountable to manage day to day activities of coding the Patients chart & Diagnosis report. Responsibility Areas: Coding or auditing charts, based on requirements Updating/Clearing the production/pending reports To work closely with the team leader. To review emails for any updates Identify issues and escalate the same to the immediate supervisor Strict adherence to the company policies and procedures. Sound knowledge in Medical Coding concept. Should have 6 months to 3 Yrs of Coding Experience. Understand the client requirements and specifications of the project. Meet the productivity targets of clients within the stipulated time (Daily & Monthly) Applying the instructions/updates received from the client during production. Coding or auditing charts, based on requirements. Prepare and Maintain reports

About The Role - Grade Specific Guidewire Developer guidewire Policy integration /guidewire Policy configuration OR guidewire billing integration / guidewire billing configuration OR guidewire claims integration /guidewire claims configuration OR PC/CC/BC/Integration/Configuration PCPolicyCenter CCClaimCenter BCBillingCenter About The Role Guidewire Developer guidewire Policy integration /guidewire Policy configuration OR guidewire billing integration / guidewire billing configuration OR guidewire claims integration /guidewire claims configuration OR PC/CC/BC/Integration/Configuration PCPolicyCenter CCClaimCenter BCBillingCenter Skills (competencies) (SDLC) Methodology Verbal Communication Inclusive Communication Written Communication Policy Development

About The Role Design, develop, and configure Policy Center, Claim Center, and Billing Center applications in Guidewire. Customize Guidewire applications to meet specific business needs, including creating and modifying workflows, rules, and integrations. Develop and maintain integrations between Guidewire applications and other systems using APIs and web services. Develop and execute test plans, perform unit testing, and ensure the quality of the solutions delivered. Provide ongoing support and troubleshooting for Guidewire applications, addressing any issues that arise in production. Create and maintain technical documentation, including design specifications, user guides, and process flows. Work closely with business analysts, project managers, and other stakeholders to gather requirements and ensure alignment with business objectives. 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. primary skills Extensive experience with configuring and improving Policy Center, including workflows, rules, and integration points. Proficiency in developing and configuring Claim Center, including claim processing and integration with external systems. Strong background in Billing Center configuration and customization, including payment processing and billing rules. Expertise in using Guidewire Studio for application development and debugging. Equal Opportunities at frog Frog and Capgemini Invent are Equal Opportunity Employers encouraging diversity in the workplace. All qualified applicants will receive consideration for employment without regard to race, national origin, gender identity/expression, age, religion, disability, sexual orientation, genetics, veteran status, marital status, or any other characteristic protected by law.

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

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.

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.

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.

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.

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.

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

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.