2030 Claims Processing Jobs - Page 44

Candidates with 1 - 5yrs of working experience in demo entry, charge entry, cash posting can apply. Should have typing skills Should have typing skills Should Have Basic Knowledge of the Entire Revenue Cycle Management (RCM) Should have excellent communication skills. Candidates who can join immediately are preferred.

Minimum 1 - 4 yrs of working experience in calling the US health insurance companies. Minimum 1 - 4 yrs of working experience in calling the US health insurance companies. Should have in-depth knowledge in medical claims denial management. Should have in-depth knowledge in medical claims denial management. Should be open to work in night shift (US shift timings).

Minimum 1 -5 yrs of working experience in denial management and AR claims follow up. Minimum 1 -5 yrs of working experience in denial management and AR claims follow up. Should have end to end knowledge in US based medical billing. Should have end to end knowledge in US based medical billing.

Charge Entry Eligibility Candidates with 1 - 5yrs of working experience in demo entry, charge entry, cash posting can apply. Candidates with 1 - 5yrs of working experience in demo entry, charge entry, cash posting can apply. Should have typing skills Should Have Basic Knowledge of the Entire Revenue Cycle Management (RCM) Should have excellent communication skills. Candidates who can join immediately are preferred. Should have typing skills Should Have Basic Knowledge of the Entire Revenue Cycle Management (RCM) Should have excellent communication skills. Candidates who can join immediately are preferred.

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

Designation: Finance Assistant - Global Provider of Multimedia Platform Location: Mumbai Experience: CA Passed Out Working days: Monday Friday 9.00 AM 5.30 PM Job Purpose: To support the Financial Accountant in all aspects of management reporting, whilst ensuring that professional standards of financial accounts are maintained. The role includes liaison with local management, sales staff, and may sometimes require liaison with external accountants across the EMEA and India region. Responsibilities : Management and Financial Reporting To assist Financial Accountant in preparation of the monthly management accounts for the company, including purchase ledger, debtors ledger etc To assist Financial Accountant for updating and maintaining the month end reporting pack To ensure accurate recording of debtors invoices and payments. To ensure timely recording and depositing of cheques and receipts. Review and reconciliation of all debtor accounts at periodic intervals. To ensure accurate and appropriate recording of entries in books of accounts. To assist in working of TDS and Service Tax and filling timely challans that will act as an input for UBM. To assist in statutory and various other audits. Should have experience to manage overall all finance activities. Professional Skills Required - essential: Extensive experience in finance and tax Relevant Finance degree & CA Proven skills in financial accounting and reporting Good experience and expertise over Tax Return filing and record maintenance. Highly competent in English Written and oral Self-starter and good team player. Candidate must be prepared to engage in a wide spectrum of duties ranging from posting journals through to communicating results to FC and CFO Excellent communication and interpersonal skills required to work with the other accountants, business managers and external parties Strong analytical and numerical skills Ability to use Excel (intermediate to advanced) with a high level of numerical accuracy.

Healthcare KPO | Makarba, Ahmedabad We're hiring for: AR Caller Payment Posting Eligibility Verification Credentialing Dental Billing Min. 6 months experience required Fixed Night Shift Graduates only (No IT) Excellent English Communication must

Designation: Desktop Support Technician Location: Bangalore Experience: 3+ yrs Shift hours: 9AM 5:30PM Job Purpose: The Desktop Support Technician is responsible for receiving, tracking, documenting, resolving or escalating all internal or external customer identified application and hardware issues Primary Responsibilities: Provide first and second level application and hardware support to internal users and external clients Field incoming problem tickets from end users to resolve application and software issues within servers, databases, and other mission-critical systems. Document all pertinent end user identification information, including name, department, contact information, and nature of problem or issue. Maintain and enhance performance of all new and existing software and applications across the organization. Perform hands-on fixes at the desktop level, including installing and upgrading software, installing hardware, implementing file backups, and configuring systems and applications. Test fixes and perform post-resolution follow-ups to ensure problems have been adequately resolved. Manage the resolution of a trouble ticket from start to finish. Escalate to third level support as required. Perform preventative maintenance, including the installation of service packs, patches, hot fixes, anti-virus software, and so on. Participate in the development and deployment of desktop management standards. Knowledge & Experience: Knowledge of multiple operating systems, Microsoft Office applications and web browser tools. Understanding of LAN & WAN network topologies and practices. Familiarity with Macintosh. Qualifications : University/college degree or equivalent industry training in a related area. Hands-on system administration experience in an enterprise environment. Personal Attributes: Strong customer service orientation. Experience working in a team-oriented, collaborative environment Highly self-motivated and directed. Ability to balance and shift priorities and deadlines in a fast-paced, demanding environment. Strong written and oral communication skills. Strong interpersonal skills. Ability to present ideas in user-friendly language. Work Environment: Participate in on-call/standby rotation as required. Carry a company mobile phone as required.

Key Responsibilities Counsel students through inbound and outbound calls, emails, or in-person meetings. Understand student requirements and suggest suitable academic or professional courses. Provide detailed information on course structures, eligibility criteria, admission procedures, and career outcomes. Follow up with potential leads to convert inquiries into enrollments. Maintain student databases and track communication history. Assist students with application forms, documentation, visa procedures (if applicable), and scholarship guidance. Coordinate with internal departments (faculty, marketing, admin) for smooth onboarding. Participate in seminars, open houses, and education fairs as needed. Meet monthly/quarterly admission/enrollment targets.

SUMMARY Job Opening: Retail Staff Location: Jaipur Our client, a UAE-based multinational conglomerate headquartered in Dubai, is seeking freshers to join their retail staff team in Jaipur. This is an excellent opportunity for individuals looking to kickstart their career in the retail industry. Responsibilities: Folding and stacking at 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 displayed on the right browser. Providing customers with shopping bags. Requirements Requirements: Minimum qualification of 10th/12th/Graduate. Age between 18-30 years. 6 months contract period. 6 days working (week off between Monday to Thursday, any day). Open for male candidates. If you are enthusiastic, dedicated, and meet the above requirements, we encourage you to apply for this exciting opportunity in the retail industry. Must Have - Minimum qualification of 10th/12th/Graduate. Age between 18-30 years. --- Note: The original job description did not specify any additional requirements. If there are specific requirements, please provide them for inclusion. Benefits Salary- 10600 NTH + Incentives

Hiring Clinical Doctors for Medical coding role in Mohali !! Eligibility Criteria: Education BHMS,BAMS,MBBS,BPT, MPT,BUMS Candidates with prior US Healthcare or Clinical experience will be preferred. Fresher Physicians can also apply with good clinical knowledge. Noncertified Physicians can apply however should be ready to complete the same within specified timeline. (CPC/CIC) Good communication skills. Candidates with corporate experience will be preferred. Immediate joiners preferred. Should be ready to work from office. Should be ready to work in rotational shift (Including night). Job Location - Mohali Interested candidates can share resume - karthickumar.sekar@cotiviti.com Regards, Karthick 8754142459

Policy document dispatch portfolio with stakeholder’s management Implementation of the Digital Policy Bond dispatch, Bitly Link, email communications and Digi Locker System developments of NB and Dispatch New product UAT Testing w.r.t to NB Required Candidate profile He /She will be good in communication & interpersonal skills Carry 6-8 yrs of Insurance operations (NB exp will be preferred) Good exposure in handling transactions Internal Audit exp is a must

Responsible for overseeing end-to-end revenue cycle operations including billing, claims processing, payment posting, and denial management. Ensures accuracy and compliance in revenue transactions and supports audit readiness. Coordinates with internal departments and insurance providers to minimize revenue leakage and optimize collections. Mentors team members and supports training initiatives.

Responsible for overseeing end-to-end revenue cycle operations including billing, claims processing, payment posting, and denial management. Ensures accuracy and compliance in revenue transactions and supports audit readiness. Coordinates with internal departments and insurance providers to minimize revenue leakage and optimize collections. Mentors team members and supports training initiatives.

Special Skills : 1.Abide by and display BMH core values in all aspects of work 2.Flexible approach to work demands3.Ability to work in teams and collaborate with staff at all levels4.Willingness to learn, change and adapt5.Organized with the ability to multitask6.Leadership and mentoring capability Additional Skills/ Professional Characteristics : 1.Good knowledge with regard to ESIECHS rules and regulations 2.Proficient with the computer applications Job Description Responsible for overseeing InsuranceESIECHS Claims section under the guidance of the management in accordance to the statutory rules and regulations and hospital norms and to provide speedy results and increase the comfort of the patients who under the ESI cover

Responsible for overseeing end-to-end revenue cycle operations including billing, claims processing, payment posting, and denial management. Ensures accuracy and compliance in revenue transactions and supports audit readiness. Coordinates with internal departments and insurance providers to minimize revenue leakage and optimize collections. Mentors team members and supports training initiatives

1.Oversee claims process - commercial insurance products (Fire, Marine, Property) 2.Interpret insurance policy language to determine coverage 3.Conduct investigations to establish facts and assess damages. 4.Identify potential fraudulent claims. Required Candidate profile Handles the process of managing commercial insurance claims, from initial notification to settlement.

Role Objective:To bill out medical accounts with accuracy within defined timelines and reduce rejections for payers.Essential Duties and Responsibilities: Process Accounts accurately basis US medical billing within defined TAT Able to process payer rejection with accuracy within defined TAT. 24*7 Environment, Open for night shifts Good analytical skills and proficiency with MS Word, Excel, and PowerPointQualifications: Graduate in any discipline from a recognized educational institute. Good analytical skills and proficiency with MS Word, Excel, and PowerPoint. Good communication Skills (both written & verbal)Skill Set: Candidate should have good healthcare knowledge. Candidate should have knowledge of Medicare and Medicaid. Ability to interact positively with team members, peer group and seniors.

Roles and Responsibility Manage accounts receivable, including processing payments and resolving outstanding balances. Coordinate with patients, insurance companies, and other healthcare providers to ensure timely payment. Analyze and resolve billing discrepancies and denials. Maintain accurate records of patient information and payment history. Collaborate with the healthcare team to ensure seamless communication and coordination. Identify and implement process improvements to increase efficiency and reduce errors. Job Requirements Strong understanding of healthcare billing and payment processes. Excellent communication and interpersonal skills. Ability to work in a fast-paced environment and meet deadlines. Proficient in using computer software applications, particularly CRM systems. Strong analytical and problem-solving skills. Ability to maintain confidentiality and handle sensitive information. Experience working in a BPO or IT-enabled services company is preferred.

Work timings : Monday to Friday : 8am -4:30 pm/10am-6:30pm /11:30am-8 pm (Shifts) Reports to: Head of Operations Mumbai Overall Role Objective: To provide the skills to handle the processing of tasks generated by PRNs Operations Job Purpose: Processing, proofing and distributing copy to domestic and international circuits via wire, for Journalists web service, Internet, fax and email, ensuring a timely and accurate transmission. Quality checking all orders and distributions to guarantee a high standard of service delivery. Account managing the successful completion of orders Providing clients with an excellent service that exceeds their expectations and is in line with corporate strategy. Adhering to all departmental Standard Operating Procedures at all times. Providing a high standard of ROI reporting to add value to our products. Key Result Areas: 1 . Distribution: Output clients copy in timely fashion Ensure accurate distribution to correct circuit at specified time Monitor and chase return of requested translations for onward distribution Ensure that all information uploaded to us for Journalists is uploaded with relevant industry, subject and geography coding Upload graphics and linked documents onto us for Journalists, and the PR Newswire websites 2. Editorial: Ensure accuracy, attribution and acceptability of clients copy Ensure regulatory headline and content accuracy of clients copy Assist with formatting or document conversion queries 3. Client Relations Promote a client-focused culture at all times Instigate initiatives and processes to build, develop and maintain excellent business relationships Understand clients needs and objectives Attend meetings and social evenings with clients where necessary Act as initial contact and take responsibility for all client queries and complaints. Follow standard escalation procedures at all times Maintain an excellent knowledge of all our products and services. Liaise with Secondary Information Providers (SIPs) to ensure accurate and expedient transmission Liase with regulatory bodies Provide consultative service - advise clients on available and appropriate circuits Provide editorial advice to maximise potential pick-up of press release copy Maintain and develop relations with internal clients to achieve excellent service delivery 4.Quality and Administration: Ensure all jobs are assigned, distributed and fulfilled correctly Ensure all jobs and related correspondence/activities are accurately logged in the workflow management system Focus on quality standards and timelines to achieve team targets and objectives, and to maintain high visibility for the team within the company Maintain company websites ensuring incoming service feeds are accurately mapped 5 Client/Affiliate Liaison Liaise between translation agencies and client to ensure customer satisfaction with translation service Advise on distribution receipt and clear times Look for any up-selling opportunities Liaise with affiliates to ensure accurate and expedient transmission Provide consultative service - advise clients on available and appropriate circuits Maintain and develop relations with internal clients to achieve excellent service delivery 6.Competencies, Attributes, Knowledge: Experience in an editorial/proof-reading role Excellent inter-personal skills with all levels of company personnel and clients Ability to closely follow all policies and procedures Good team player. Self-motivated, disciplined and able to remain corporately focused Have the energy and drive to work under pressure to hit tight targets Excellent organisation and time-management skills with a high attention to detail Flexibility around team shift patterns An excellent standard of spoken, written and reading English At least one other Indian language written and oral other than Hindi, is also considered highly desirable Well presented and businesslike High level of ability on communicating verbally with clients

Our Client is the premier global provider of multimedia platforms that enable marketers, corporate communicators, sustainability officers, public affairs and investor relations officers to leverage content to engage with all their key audiences. Job Profile Work towards and achieve daily, weekly and monthly business salestargets and set KPIs To achieve agreed call targets by being a self-starter who is motivated to consistently pick up the phone, engage with clients, build relationships and close sales To hit agreed revenue targets by converting sales opportunities through making outbound calls to new B2B clients across India Ensure you are quickly able to understand a clients structure and the key decision makers within the organisation Develop and sustain relationships with potential and existing clients Creating customer call-backs and following up on referrals Advise clients on all products to educate and generate leads Pass on any Domestic leads to the relevant BDM Candidate Profile 1-4 years of prior experience in sales phone based environment Ability to cross-sell, up-sell and identify international opportunities Target driven and ability to work under sales pressure environment Highly developed communications skills to work directly with customers, employees and management. Excellent English Communication Oral and Written. Additionally sound knowledge of Hindi. Excellent listening Skills Strong negotiation and influencing skills If interested, please share your updated profile

Reports to (level of category) : Manager - Operations Role Objective AR is the most essential part in the RCM cycle. It is usually the last step. After Denial management (AR), again the cycle starts till the payment is made by the insurance company. Essential Duties and Responsibilities Establishes and assures compliance with departmental policies and procedures in conformance with corporate policies and procedures. Should be able to manage a team of 25-30 FTEs FTEs will be directly reporting to AM Will be responsible to resolve queries, account reviews and provide training in case required Drive production and quality to the expected level Responsible to identify production and quality issues and to put plans in place for improvement Analyze data to identify payer issues & challenges and fixes Should work towards team engagement and retention/absenteeism Will be responsible to lead internal and external calls. Performance management. First level of escalation. Work in all shifts on a rotational basis. Need to be cost efficient with regards to processes, resource utilization and overall constant cost management. Must operate utilizing aggressive operating metrics. Skill Set Candidate should be good in Denial Management Candidate should have knowledge of Medicare, Medicaid & ICD & CPT codes used on Denials Good domain knowledge Ability to interact positively with team members, peer group and seniors. Demonstrated ability to exceed performance targets Ability to effectively prioritize individual and team responsibilities Communicates well in front of groups, both large and small. Qualifications Graduate in any discipline from a recognized educational institute (Except B.Pharma, M.Pharma, Regular MCA, B.Tech & Freshers') Good analytical skills and proficiency with MS Word, Excel and PowerPoint (Typing speed of 30 WPM) Good communication Skills (both written & verbal)

This role involves reviewing insurance documentation for newly booked loans to ensure compliance with loan, closing, and investor requirements. Responsibilities include resolving missing or inconsistent insurance data, coordinating with agents, borrowers, and internal teams, and managing annual insurance reviews. The role also entails handling insurance payments, loss draft/claims processes, and force-placed insurance, while maintaining strong stakeholder relationships.

Job Title: Trainer Healthcare Voice Process Location: Bangalore, India Job Type: Full-Time Shift: Fixed Night Shifts We are seeking an enthusiastic and skilled Trainer to join our healthcare contact center team in Bangalore This role is ideal for candidates with excellent voice and communication skills, a passion for training, and a strong understanding of healthcare voice processes As a Trainer, you will be responsible for preparing and upskilling agents to deliver exceptional service to healthcare members and providers In This Role You Will Conduct training sessions for new hires and existing team members on healthcare voice processes, customer service skills, and compliance protocols Develop and deliver training materials, including presentations, role-plays, and workshops, to enhance communication, problem-solving, and customer handling abilities Focus on improving voice modulation, clarity, pronunciation, and overall communication skills of agents Ensure trainees are well-versed in healthcare terminology, claims processes, and HIPAA compliance Monitor and evaluate trainee performance during and after training sessions, providing constructive feedback and guidance for improvement Collaborate with operations and quality teams to identify training needs and implement customized learning programs Maintain training records and prepare reports on training effectiveness, attendance, and assessments Stay updated on healthcare industry trends and best practices to enhance training content We Are Looking For Someone Who Has Education: Graduate in any discipline Experience: 2+ years of experience in a healthcare voice process or as a trainer in a BPO environment Candidates with less experience but exceptional voice and communication skills are encouraged to apply Strong understanding of healthcare voice processes and customer engagement Excellent verbal and written communication skills with a focus on voice clarity and modulation Ability to design and deliver engaging training sessions Basic knowledge of healthcare processes, and claims is preferred Comfortable working fixed night shifts to align with international client requirements Required Skills Training delivery and facilitation Voice and communication coaching Presentation and interpersonal skills Attention to detail and adaptability Time management and organizational abilities Why join our ResultsCX team Competitive salary package Transport facility for night shifts Comprehensive training and development opportunities Health insurance and other employee benefits Collaborative and supportive work environment About ResultCX ResultsCX is a premier customer experience partner to Fortune 100 and 500 companies We design, build, and deliver digitally influenced customer journeys that achieve the satisfaction and loyalty brands need to thrive and grow, while improving efficiency and reducing costs ResultsCXs 30+-year track record for reimagining the customer experience to meet consumersevolving expectations has driven growth to more than 20 geographic hubs and approximately 20,000 colleagues worldwide Our core expertise extends to actionable analytics, contact center as a service (CCaaS), and our own SupportPredict AI-powered digital experience platform Our strength lies in exceptional individuals working together in a high-performing, fun culture to deliver next-generation customer experiences on behalf of our clients ResultsCX is an equal opportunity and affirmative action employer and will consider all qualified applicants without regard to race, color, religion, national origin, sex, sexual orientation, gender identity, age, disability, veteran status, or any other protected factors under federal, state, or local law

Work timings : Monday to Friday : 8am -4:30 pm/10am-6:30pm /11:30am-8 pm (Shifts) Reports to: Head of Operations Bangalore Overall Role Objective: To provide the skills to handle the processing of tasks generated by PRNs Operations Job Purpose: Processing, proofing and distributing copy to domestic and international circuits via wire, PR Newswire for Journalists web service, Internet, fax and email, ensuring a timely and accurate transmission. Quality checking all orders and distributions to guarantee a high standard of service delivery. Account managing the successful completion of orders Providing clients with an excellent service that exceeds their expectations and is in line with corporate strategy. Adhering to all departmental Standard Operating Procedures at all times. Providing a high standard of ROI reporting to add value to PRNs products. Key Result Areas : 1 . Distribution: Output clients copy in timely fashion Ensure accurate distribution to correct circuit at specified time Monitor and chase return of requested translations for onward distribution Ensure that all information uploaded to PR Newswire for Journalists is uploaded with relevant industry, subject and geography coding Upload graphics and linked documents onto PR Newswire for Journalists, and the PR Newswire websites 2. Editorial : Ensure accuracy, attribution and acceptability of clients copy Ensure regulatory headline and content accuracy of clients copy Assist with formatting or document conversion queries 3. Client Relations Promote a client-focused culture at all times Instigate initiatives and processes to build, develop and maintain excellent business relationships Understand clients needs and objectives Attend meetings and social evenings with clients where necessary Act as initial contact and take responsibility for all client queries and complaints. Follow standard escalation procedures at all times Maintain an excellent knowledge of all PR Newswire products and services. Liaise with Secondary Information Providers (SIPs) to ensure accurate and expedient transmission Liase with regulatory bodies Provide consultative service - advise clients on available and appropriate circuits Provide editorial advice to maximise potential pick-up of press release copy Maintain and develop relations with internal clients to achieve excellent service delivery 4.Quality and Administration: Ensure all jobs are assigned, distributed and fulfilled correctly Ensure all jobs and related correspondence/activities are accurately logged in the workflow management system Focus on quality standards and timelines to achieve team targets and objectives, and to maintain high visibility for the team within the company Maintain company websites ensuring incoming service feeds are accurately mapped 5 Client/Affiliate Liaison Liaise between translation agencies and client to ensure customer satisfaction with translation service Advise on distribution receipt and clear times Look for any up-selling opportunities Liaise with affiliates to ensure accurate and expedient transmission Provide consultative service - advise clients on available and appropriate circuits Maintain and develop relations with internal clients to achieve excellent service delivery 6.Competencies, Attributes, Knowledge: Experience in an editorial/proof-reading role Excellent inter-personal skills with all levels of company personnel and clients Ability to closely follow all policies and procedures Good team player. Self-motivated, disciplined and able to remain corporately focused Have the energy and drive to work under pressure to hit tight targets Excellent organisation and time-management skills with a high attention to detail Flexibility around team shift patterns An excellent standard of spoken, written and reading English At least one other Indian language written and oral other than Hindi, is also considered highly desirable Well presented and businesslike High level of ability on communicating verbally with clients.