2028 Claims Processing Jobs - Page 7

Job Description: 1. Conduct insurance claim & valuation surveys of industrial, commercial & residential properties, prepare reports, handle correspondence, and assess losses as per policy coverage. Education: B.Tech (Civil/Mech/Elec), Freshers. Health insurance Provident fund

About Us: Medi Assist is India's leading Health Tech and Insure Tech company focused on administering health benefits across employers, retail members, and public health schemes. We consistently strive to drive innovation and participate in such initiatives, to lower health care costs. Our Health Benefits: Administration model is designed to deliver the tools necessary for a health plan to succeed, whether its our modular claims management system, our technology that unveils data to make important decisions, or our service solutions built around the voice of the customer. In short, our goal is to link our success to that of our members 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 deny the claims as per the terms and conditions within the TAT. Handle escalations and responding to mails accordingly. Work from Office only 4th floor, AARPEE Chambers, Off Andheri-Kurla Road Industrail Estate Marol, Andheri East, , Marol Cooperative Next To Times Square, Shagbaug, Gamdevi, Marol, Mumbai, Maharashtra 400059 Interested candidates can share their resumes to ronojoy.bagchi@mediassist.in

Greetings from Firstsource !!! HR Spoc - Madhubala Looking for US Healthcare Professionals !! Experience : 1- 4 Years Process : Non Voice - Skill : Claims Adjudication!! US Healthcare experience. Work location : Navalur Chennai Required : Minimum 1year Experience in US Healthcare BPO. Claims Adjudication!! Education - Any Graduates and Diploma(10+3)can apply. Immediate Joiners preferred!! Willing to work in Night Shift. Interested folks can directly Walk-in to Location: 5th floor, 4th block, Sandhiya Infocity(Bayline Infocity), OMR Rajiv Gandhi Salai, Navalur, near to AGS Bus Stop, Chennai, Tamil Nadu 603103. Walk - in time: 11:00 Am - 2:00 Pm Walk - in date: Monday to Friday Note: Bring your educational documents, Pan card, Aadhar card (both original and xerox) Contact person: Madhubala Mention HR name(Madhu) on top of your resume Refer your friends who are interested with similar experience. Share your resumes to Madhubala.suresh@firstsource.com Disclaimer: Firstsource follows a fair, transparent, and merit-based hiring process. We never ask for money at any stage. Beware of fraudulent offers and always verify through our official channels or madhubala.suresh@firstsource.com

Roles and Responsibilities Manage AR calls to resolve outstanding accounts receivable issues. Authorize claims processing, ensuring accurate payment posting and denial management. Identify and address authorization discrepancies, working closely with clients to resolve issues promptly. Utilize expertise in revenue cycle management (RCM) principles to optimize claim submissions and minimize denials. Collaborate with internal teams to ensure seamless communication and efficient resolution of customer queries. Desired Candidate Profile 3-5 years of experience in AR calling, RCM, or related field. Strong understanding of medical billing processes, including claims processing, denial management, and authorization procedures. Excellent communication skills for effective interaction with customers over phone calls. Ability to work independently with minimal supervision while maintaining high productivity levels. Required Candidate Profile Looking for Male Candidates Candidates with Own Transport preferred Ready to Work from office (Chennai) Immediate joiner

About Us: Medi Assist is India's leading Health Tech and Insure Tech company focused on administering health benefits across employers, retail members, and public health schemes. We consistently strive to drive innovation and participate in such initiatives, to lower health care costs. Our Health Benefits: Administration model is designed to deliver the tools necessary for a health plan to succeed, whether its our modular claims management system, our technology that unveils data to make important decisions, or our service solutions built around the voice of the customer. In short, our goal is to link our success to that of our members 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 deny the claims as per the terms and conditions within the TAT. Handle escalations and responding to mails accordingly. Work from Office only 4th floor, AARPEE Chambers, Off Andheri-Kurla Road Industrail Estate Marol, Andheri East, , Marol Cooperative Next To Times Square, Shagbaug, Gamdevi, Marol, Mumbai, Maharashtra 400059 Interested candidates can share their resumes to abhilasha.dutta@mediassist.in

Educational Requirements Bachelor of Engineering,BCA,BSc,MTech,MCA,MSc Service Line Enterprise Package Application Services Responsibilities A day in the life of an Infoscion As part of the Infosys consulting team, your primary role would be to actively aid the consulting team in different phases of the project including problem definition, effort estimation, diagnosis, solution generation and design and deployment You will explore the alternatives to the recommended solutions based on research that includes literature surveys, information available in public domains, vendor evaluation information, etc. and build POCs You will create requirement specifications from the business needs, define the to-be-processes and detailed functional designs based on requirements. You will support configuring solution requirements on the products; understand if any issues, diagnose the root-cause of such issues, seek clarifications, and then identify and shortlist solution alternatives You will also contribute to unit-level and organizational initiatives with an objective of providing high quality value adding solutions to customers. If you think you fit right in to help our clients navigate their next in their digital transformation journey, this is the place for you! Additional Responsibilities: Ability to work with clients to identify business challenges and contribute to client deliverables by refining, analyzing, and structuring relevant data Awareness of latest technologies and trends Logical thinking and problem solving skills along with an ability to collaborate Ability to assess the current processes, identify improvement areas and suggest the technology solutions One or two industry domain knowledge Technical and Professional Requirements: Primary skills:Domain->Banking->Products Preferred Skills: Domain->Banking->Products->FICO(SAP)

Walkin : Mon to Sat between 11am to 3pm - Siruseri Unit Job Title: Insurance Co-ordinator Role & responsibilities: List out the total Number Of credit patients (All Insurance). To send the Pre- Authorization form to the concern insurance company. Explain the Admission & Discharge procedure to the patient & attenders also. All data's and activities should be computerized. Watch the approval status and query reply to be update shortly. To Proper communication about the patient Admission, Approval, Enhancement procedure, Discharge, Payment, and cancellation process. The most common job duties for a health unit coordinator are clerical tasks like answering phones and processing paperwork, including discharge, transfer, and admittance forms. Health unit coordinators also often act as a liaison between patients, nurses, doctors, and different departments within the hospital or care facility. Other tasks can include scheduling procedures like tests and x-rays, transcribing doctors' orders, and ordering medical and office supplies. Health unit coordinators are a part of a broader medical team, and are expected to keep pace with the potentially hurried and stressful environments in which they work. Heath care coordinators work closely with patients on a one-on-one basis. They provide guidance, support, and advice to patients dealing with complex medical issues. These professionals can help their clients navigate through a medical care scenario that may involve a variety of different doctors and treatment methods. Duties can include scheduling appointments, assisting with major decisions, helping patients understand complex medical information, evaluating care quality, and working with other health care professionals to ensure that the correct path is being taken. To Properly Intimate the consultants about credit limits. To make sure the Surgery details, Summary follow ups with consultants. To maintain the good rapport with consultants. Follow ups for consultant Payments. Reporting to Head of the department. Job Title: Executive - Credit Recovery Role & responsibilities: Marking Despatch details & updating claim details in KMH Internals Combinedly doing OS reconciliations as required with TPA/Corporates Sending out monthly OS statements / letters to TPA. / Corporates as may be agreed from timeline Marking Despatch details & updating claim details in KMH Internals Delivering Doctor's cheque with in time line Receiving acknowledgements for cheques submission from doctor & closing the entry in KMH DERN Collecting our Hospital other unit bills & submitting at agreed corporates. Follow up with TPA/Corporates for refund of collectible disallowance Regular follow up for renewing for MOU with TPA/Corporates Submitting Hospital Revised Tariff list to TPA / Insurance Reporting to Senior Officer - Credit Recovery Preferred candidate profile: Any Degree Holder (UG/PG Arts & Science) A minimum of 2 to 10 years of experience in Insurance. Working knowledge of Insurance standards Proficient in Microsoft Office. Strong attention to details. Perks and benefits: ESI, EPF Gratuity Contact person: Naveenkumar - HR - omrhr@drkmh.com

Responsibilities: Register claims with complete, accurate details Update claims tracker regularly Collect and follow up on required documents Prepare monthly & quarterly claims reports Coordinate with teams for data accuracy & issue resolution

Responsibilities: * Manage credentialing process from application to approval. * Ensure timely submission of applications and follow-ups with payers. * Coordinate AR calls with providers and resolve billing issues.

As a Manager/Sr. Manager in Mortgage Operations specializing in Foreclosure & Claims for US Residential Mortgages at Entra Solutions/BSI Financial Services in Gurgaon, you will play a crucial role in overseeing the end-to-end foreclosure and claims processes for defaulted mortgage loans. Your responsibilities will include supervising judicial and non-judicial foreclosure processes across multiple states, coordinating with attorneys, vendors, and internal stakeholders, and ensuring compliance with investor, insurer, and regulatory guidelines. You will be responsible for filing foreclosure advance claims for reimbursement from investors and insurers, reviewing and validating claim documentation, and ensuring timely submission of claims to various entities such as GSE, GNMA, MI companies, and other investors. Monitoring foreclosure timelines, maintaining accurate records, and ensuring compliance with federal, state, and investor regulations will be key aspects of your role. In addition to managing foreclosure and claims processes, you will lead and mentor a team of specialists in this area. Developing and implementing policies and procedures to enhance operational efficiency, ensuring the team meets performance metrics and service level agreements, and participating in audits and regulatory reviews will also be part of your responsibilities. To excel in this role, you should ideally possess a Bachelor's degree in business, Finance, or a related field, along with at least 5 years of experience in mortgage servicing, foreclosure, and default claims. Strong knowledge of guidelines from FHA, VA, USDA, FNMA, FHLMC, and private investors is essential, along with excellent analytical, organizational, and communication skills. Proficiency in MS Office and mortgage servicing platforms is also required. Moreover, having experience in managing vendor relationships and legal counsel, familiarity with credit bureau reporting and delinquency tracking, the ability to lead cross-functional teams, and experience with systems like Sagent, Tempo, Loansphere & PACER would be additional assets in this role.,

We are seeking a detail-oriented ECHS Claims Processing Specialist to join our team. In this role, you will be responsible for processing claims related to the Ex-servicemen Contributory Health Scheme (ECHS), ensuring accuracy and compliance with relevant policies and regulations. Your primary responsibilities will include reviewing and processing ECHS claims, verifying documentation for completeness and accuracy, collaborating with healthcare providers and beneficiaries, maintaining accurate records, and ensuring compliance with regulatory requirements and internal policies. Additionally, you will assist in developing and implementing claims processing workflows, provide training and support to team members, generate reports on claims processing metrics, and stay updated on changes to ECHS policies and procedures. To qualify for this position, you should have a Bachelor's degree in Business Administration, Healthcare Administration, or a related field, along with at least 2 years of experience in claims processing, preferably in a healthcare or insurance setting. You must have a strong understanding of ECHS policies and healthcare regulations, proficiency in claims processing software and Microsoft Office Suite, excellent attention to detail and organizational skills, strong analytical and problem-solving abilities, effective communication skills, and the ability to work both independently and as part of a team. If you are interested in this opportunity, please share your resume to hr@healspan.com. This is a full-time position in a general shift work location, requiring proficiency in Kannada and English.,

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. Education : Minimum Graduate in any field. Experience : Prior experience in healthcare claims processing, medical billing, or a related field (2 years to 3 years). Knowledge : Familiarity with medical terminology. Process : Non-Voice Location- Gurgaon Shifts-US shifts(Rotational)

Ready to work 24*7 Excellent English required Near Thane location only candidates required Excellent comms skills

Thane Location 100% Voice 24*7 rotational shifts 2 rotational week offs Hsc + minimum 6 months any exp Grad fresher (hard copy of final year marksheets mandate) Or Grad + min 6 months any exp Required Candidate profile Salary 20k- 24k in hand (based on qualification and/or experience) HR-amcat-ops Follow Thane IBU boundaries .

Coding profile Indent- 6 Location- Thane Eligibility criteria- HSC/Graduate - minimum 1 year coding experience mandatory Routine - 5 days, 2 rotational week offs 24*7 rotational shifts CTC - 5 LPA In hand - 35k Follow Thane IBU boundaries

Completely Night Shifts. 100% Voice 24*7 rotational shifts 2 rotational week offs HSC/Graduate only with minimum 6 months or above experience as AR - Medical billing Salary - up to 25k in hand (based on experience) Rounds. HR-amcat-ops Required Candidate profile Kindly fill the google form for the same Job Interview for Quick Response https://docs.google.com/forms/d/e/1FAIpQLSdfn9wchrJQj-Wt7ZrmCRhBv9r3Lix-38ILJS7Vja9dOfTIUg/viewform?usp=sf_link

WE ARE HIRING AUTHORIZATION Process Indent- 50 Authorization Batch date - Immediate joiner looking Location- Thane Eligibility criteria- HSC/Graduate - Experience minimum 1 year Authorization experience for Authorization profile Required Candidate profile Requirement 50 for Authorization Routine - 5 days, 2 rotational week offs 24*7 rotational shifts CTC - 5 LPA In hand - up to 35k based on last drawn Follow Thane IBU boundaries

Thane Location 100% Voice 24*7 rotational shifts 2 rotational week offs Hsc + minimum 6 months any exp Grad fresher (hard copy of final year marksheets mandate) Or Grad + min 6 months any exp Required Candidate profile Salary 20k- 24k in hand (based on qualification and/or experience) HR-amcat-ops Follow Thane IBU boundaries .

Hiring for Ar and medical billing *50% candidates with any experience on paper and 50% candidates from AR - medical billing experience required. AR - Medical Billing experience mandatory for this Thane Location Blended process- voice and chat Required Candidate profile 24*7 shifts 2 offs Hsc/Graduate with minimum 6 months of any experience on paper Minimum 6 months AR - Medical billing experience or above - 25k in hand Graduate freshers - 21k in hand HR-amcat-ops

*50% candidates with any experience on paper and 50% candidates from Authorization - medical billing experience required. Date of joining- 9th December, 2024 Blended process- voice and chat 24*7 rotational shifts 2 rotational week offs HR-amcat-ops Required Candidate profile Hsc/Graduate with minimum 6 months of any experience on paper - 23k in hand Graduate Freshers - 21k in hand HSC/Graduates with experience in AR- Medical Billing or Pre-Authorization - 25k in hand

Our Client is hiring for Claim Handler at Mumbai Location. Role type - Dedicated claims handler Work location - Work from office Mumbai, Vikhroli. Timings - 10 am - 7 pm. Monday to Saturday - Acko, Digit, Care TPA - Medi assist, Vidal Health, FHPL Required Candidate profile Preferred roles - Client Servicing, CRM, Claims handler, Customer support (If they understand claims terminology. Comms expectation - Interaction with Customers and Partners TPA/insurers

Our Client is hiring for Claim Handler at Mumbai Location. Role type - Dedicated claims handler Work location - Work from office Mumbai, Vikhroli. Timings - 10 am - 7 pm. Monday to Saturday - Acko, Digit, Care TPA - Medi assist, Vidal Health, FHPL Required Candidate profile Preferred roles - Client Servicing, CRM, Claims handler, Customer support (If they understand claims terminology. Comms expectation - Interaction with Customers and Partners TPA/insurers

Indent- 5 DOJ - Immediate Requirement- Excellent comms (C2) Hsc/ Grad - Minimum 6 months to 1 year of AR medical billing bpo experience is mandate Comms skill - Excellent Required Candidate profile Rounds of Interview: HR - Amcat - Ops Work from office - Thane Shift: rotational 24/7 Week Off- 2 rotational week offs Follow Thane IBU transport boundaries

Indent- 5 DOJ - Immediate Requirement- Excellent comms (C2) Hsc/ Grad - Minimum 6 months to 1 year of AR medical billing bpo experience is mandate Comms skill - Excellent Required Candidate profile Rounds of Interview: HR - Amcat - Ops Work from office - Thane Shift: rotational 24/7 Week Off- 2 rotational week offs Follow Thane IBU transport boundaries

US Voice process HSC/Graduates with minimum 1 year specifically in denial managment/AR collections Salary - 25k in hand Follow IBU transport boundaries Regards, Recruitment Team Required Candidate profile Excellent communication skills Rounds of Interview- HR, Amcat,typing,Ops Amcat SVAR - 55 Typing speed- 40 words per minute; 90% accuracy 24*7 rotational shifts; 5 days working, 2 rotational week offs