3165 Claims Processing Jobs - Page 40

To contact the insured for Underwriting referred proposals to procure the complete medical history using Audio and/or Video tools. To Follow up with customer for past medical records and/or relevant health documents Maintain end to end TAT / SLAs. Required Candidate profile Location – Bangalore Candidate must know to speak excellent English and Hindi CTC – Upto 3.5 LPA

SUMMARY Retail Staff Job Description Our client, a UAE-based multinational conglomerate headquartered in Dubai, is seeking freshers to join their retail staff team. The group is involved in the retailing of various products such as apparel, footwear, consumer electronics, cosmetics & beauty products, home improvement, and baby products. Additionally, the group focuses on hospitality & leisure, healthcare, and mall management. Responsibilities: Folding and stacking at a basic table. Timely display of received stocks. Upkeep of section. Ensuring a carton-free floor. Maintaining display standards, including signage. Merchandise clearance from the trial room. Ensuring the right product is displa...

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

We are The European Union (EU) is an economic and political partnership between 27 European countries It plays an important role in international affairs through diplomacy, trade, development aid and working with global organizations Abroad, the EU is represented through more than 140 diplomatic representations, known also as EU Delegations, which have a similar function to those of an embassy, The EU Delegation to Vietnam works in close coordination with the Embassies and Consulates of the 27 EU Member States We are a full-fledged diplomatic mission and represent the European Union in dealings with the Vietnamese government in areas that are part of the EUs remit, We offer The post of Offic...

???Job Title: Provider Credentialing Specialist ???? Location: Mohali (Remote/Hybrid) ???? Job Type: Full-time ????????Experience: 1-5 Years ???Company Description RevGroMD enables growth in healthcare practice by providing expert revenue solutions We navigate the complexities of provider enrollment, revenue cycle, and market dynamics so that you can focus on providing exceptional care Our trio of essential services includes Insurance Credentialing, Revenue Cycle Management, and targeted Marketing Services to fortify your healthcare practice or facility, ??? Role Description This is a full-time remote role for a Provider Credentialing Specialist based in Mohali The Provider Credentialing Spe...

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 ...

Key Responsibilities: 1 Process new insurance Quotations, renewals, customer services, and policy changes. 2 Review and enter data into systems accurately and quickly. 3 Support claims processing by collecting and verifying documents. 4 Communicate with internal teams (like sales, underwriting, and customer service) to resolve issues. 5 Ensure compliance with company policies and insurance regulations. 6 Help improve internal workflows and suggest ideas for more efficient processes. 7 Generate reports and summaries as needed. 8 Conduct fact finding to generate and follow up on insurance quotations and endorsements. 9 Deliver excellent service to all customers. 10 Handle customers' queries an...

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send cvs to shilpa.srivastava@orcapod.work Insurance claims Available locations Bengaluru,Gurugram, Mumbai,Pune,Chennai,Kolkata Hyderabad Role & responsibilities Mandatory: Accountable to Churn off policy count, Guidewire policy, Guidewire Integration is must Good to have: Guidewire knowledge, Insurance knowledge, policy center, Test Management tool JIRA Knowledge with good communication. Should be Proactive with tracker management, update data calls.

11) ____________________________________________________________________________ Position Title: DAMAGE SPECIALIST Tier: As a Damage Specialist, you will be responsible for reviewing images of the vehicle and comparing the vehicle's condition upon return to its original state to ensure accurate and efficient damage assessment and claim processing in the event of an accident. Key Responsibilities: Review images captured from vehicle inspections to verify and document damages. Document and photograph damages using company systems and ensure accurate record-keeping. Classify damages as wear & tear or chargeable based on company policies. Review and verify images and damage reports to ensure con...

Roles and Responsibilities: Check the medical admissibility of a claim by confirming the diagnosis and treatment details. Scrutinize the claims, as per the terms and conditions of the insurance policy. Interpret the ICD coding, evaluate co-pay details, classify non-medical expenses, room tariff, capping details, differentiation of open billing and package etc. Understand the process difference between PA and an RI claim and verify the necessary details accordingly. Verify the required documents for processing claims and raise an IR in case of an insufficiency. Coordinate with the LCM team in case of higher billing and with the provider team in case of non-availability of tariff. Approve or d...

WNS Gurgaon Hiring Associates for Healthcare -Claims and Medical Billing Skills - Good communication, experience in healthcare domain, claims processing Claim Review and Processing: Reviewing claims for accuracy, completeness, and adherence to insurance policies and regulations. Verification and Eligibility: Verifying patient eligibility and insurance coverage. Claims Submission mandatory. Experience in RCM Education : Minimum Graduate in any field. Experience : Prior experience in Us Healthcare claims processing, medical billing, or a related field (2 years to 5 years). Knowledge : Familiarity with medical terminology. Process : Non-Voice Location- Gurgaon RCM(Revenue cycle management) Expe...

Job Title: Executive AR Analysis (US Healthcare / Medical Billing/Physician Billing/Denial Management) Company: Maxenra Location and Shift: Tidal Park Chennai, Day Shift Job Location: Work From Office Job Summary: We are looking for an Executive AR Analysis to join our US Healthcare team at Maxenra. The role involves ensuring accurate billing, timely reimbursement, and effective denial management. If you have experience in medical billing, AR follow-up, and revenue cycle management (RCM) , we’d love to hear from you. Key Responsibilities: Ensure accurate billing and timely reimbursement for patients. Monitor late payments, investigate denied claims, and work on appeals. Maintain confidential...

Role & responsibilities Processing of pre-authorization/cashless claim. Maintain processing TAT for pre-auth/cashless claim Must be able to analyze large amount of data, Identify patterns and draw conclusions from that data Must have previous experience of conducting audit, sampling and preparing reports Reviewing insurance policy documents to determine coverage limits, exclusions that may affect the claim. Reviewing medical bills, medical records, and other documentation to determine medical necessity and appropriate treatment. Preferred candidate profile Any Medical degree (Mandatory) Good communication skills Ability to multi-task Good interpersonal skills Should know internal systems Goo...

Roles and Responsibilities Manage insurance billing processes for patients, ensuring accurate and timely submission of claims. Coordinate with TPA (Third Party Administrator) teams to resolve any discrepancies or issues related to medical billing. Prepare and review discharge summaries, including patient care information, treatment details, and insurance coverage. Handle mediclaim cases by processing claims, resolving queries, and maintaining records. Desired Candidate Profile 2-5 years of experience in Insurance Billing or Medical Billing. Strong knowledge of IP (Insurance Policy), TPA, Patient Care, Claims Processing, Insurance Billing, Mediclaim. Excellent communication skills for effecti...

Roles and Responsibilities: Check the medical admissibility of a claim by confirming the diagnosis and treatment details. Scrutinize the claims, as per the terms and conditions of the insurance policy. Interpret the ICD coding, evaluate co-pay details, classify non-medical expenses, room tariff, capping details, differentiation of open billing and package etc. Understand the process difference between PA and an RI claim and verify the necessary details accordingly. Verify the required documents for processing claims and raise an IR in case of an insufficiency. Coordinate with the LCM team in case of higher billing and with the provider team in case of non-availability of tariff. Approve or d...

Claim registration On Daily Basis need to register the claims which has been assigned for processing , Scrutiny of the documents Reserve Setting :- Need to do the proper reserve setting on system based on the claim documents Technical processing claims which has been assigned for processing for health/ personal accident etc claims and deductions of Non-Medical charges, Standard deductions of co-payment as per the policy terms and conditions On Daily basis need to do technical Assessment of the claims post registration of the claim which include billing of the claim as per the respective heads, Data Entry as per the standard fields in system, Deductions of non-Medical Charges as per the stand...

We are looking for a skilled professional with 5-8 years of experience to lead our delivery team in Chennai. The ideal candidate will have a strong background in healthcare management services and excellent leadership skills. Roles and Responsibility Lead the delivery team to ensure successful project execution and client satisfaction. Develop and implement effective project plans, resource allocation, and risk management strategies. Collaborate with cross-functional teams to identify and prioritize project requirements. Provide guidance and mentorship to team members to enhance their skills and performance. Monitor and report on project progress, identifying areas for improvement and implem...

Summary: The Senior Claims Processing Specialist is responsible for overseeing all aspects of charge creation and capture, ensuring accurate and compliant billing practices. This role also acts as liaison for clinical areas and revenue cycle (physicians, nurses, and other clinical staff) on proper documentation, coding, and billing procedures. The Senior Specialist plays a critical role in maximizing revenue integrity, minimizing denials, and ensuring compliance with payer regulations. Key Responsibilities: Charge Creation and Capture Oversight: Oversee the process of charge creation, ensuring accurate and timely capture of all billable services. Review encounter documentation (e.g., progres...

Summary : The Senior Claims Processing Specialist is responsible for the accurate and timely processing of healthcare claims, with a primary focus on resolving clearinghouse rejections and claim edits within the core billing system. This role requires in-depth knowledge of medical billing, coding, payer regulations, and electronic claims submission processes. The Senior Specialist identifies and resolves complex claim issues, provides guidance to junior team members, and ensures claims are submitted cleanly and efficiently to maximize reimbursement. Key Responsibilities: Claims Processing: Review and process healthcare claims according to established policies and procedures. Verify patient d...

Calling Insurance companies (in US) and follow up on outstanding Accounts Receivable. Calls to insurances for claim status and eligibility verification Denial documentation and taking further action Required Candidate profile Get the status of the unpaid claims 1+ year experience in USA AR calling experience /US healthcare Ready to work in night shift Completes targets with speed and accuracy as per client SLAs

In this Role you will be Responsible For : Read and understand the process documents provided by the customer. Entry-level administrative operations support performing various basic tasks (mail, file services, reporting, project support, and general account support activities). Analyze the insurance request received from the customer and process as per standard operating procedures. Familiarize, navigate multiple client applications and capture the necessary information to process customer request. Provides basic-level of support on programs, projects, reporting, filing (electronic and hard-copy), confidential materials handling, and issue resolution. Scope of work is routine and decision ma...

Role Description As a Process Risk Senior Associate , you will play a key role in supporting our U.S.-based Risk, Compliance & Controls Practice. You will assist clients in identifying, assessing, and managing business and operational risks with a focus on operational audits, internal audit risk assessments, and enterprise risk management (ERM) projects, particularly within the healthcare , retail , and technology sectors. This role offers a unique opportunity to work closely with a dedicated U.S. team, participating in client engagements, attending virtual client meetings, and serving as a direct extension of their team. Youll gain valuable experience, mentorship, and growth opportunities i...

Verify patients insurance coverage and benefits Handle and submit insurance claims Communicate with insurance companies Resolve claim denials and issues Ensure accurate billing and coding Maintain up-to-date patient insurance records Assist patients with insurance-related questions

Summary: As an AR Executive, you will be responsible for managing accounts receivable by following up with insurance companies to resolve unpaid or denied claims. You will ensure timely collections and help reduce outstanding AR in alignment with revenue cycle goals. Key Responsibilities: Make outbound calls to insurance payers to check claim status and follow up on unpaid or underpaid claims. Investigate claim denials, underpayments, or rejections and take corrective actions including reprocessing or appeals. Interpret Explanation of Benefits (EOBs) and denial codes. Accurately document call notes, actions taken, and claim status in the billing system. Collaborate with team members or clien...