3155 Claims Processing Jobs - Page 8

Non-Motor Claims Scrutiny and claims processing for settlement Coinsurance Claims Process, Reconciliation of Incoming Coinsurance Claims Branch Office / Other Insurers Claims Query handling Coordination with IT Department for Bugs and Developments Follow-up and Report Preparations and Co-ordination with MIS and Analytics Team Coinsurance Claims Scrutinizing the document/ survey report Verify the assessment of claims as per terms and condition of the policy Preparation of the Claim note & obtain necessary approvals. Review /Payment entry in system & approvals. Attending meeting with Stakeholders MIS Reports and Data Preparations Support Audit and Incidental Activities allocated by RA Location...

Dear Candidate, We are looking for experienced TPA Manager for our unit Rama Hospital at Noida sector 61, UP location . Eligibility: Must have proven experience in TPA related work end to end processing till the payment recovery and settlement. Should have good experience in TPA empanelment of various companies. Only candidates from same profile will be considered. Should have strong exposure in depth and experience of managing whole TPA department of any big hospital. What We Offer . Opportunity to work with one of the leading healthcare groups in the region with attractive salary package. How to Apply: Email your CV to: arshadhasan.hr@ramahospital.com WhatsApp your details to: 7275254108 R...

Description The Finance Operations organization works with every part of Amazon to provide operations accounting and operations excellence services with the highest level of controllership at the lowest cost to the company. We provide the backbone systems and operational processes which completely, accurately, and validly pay Amazon's suppliers, invoice our customers and report financial results. Amazon is quickly building the Finance Operations capabilities in the healthcare industry by creating the Healthcare Finance Operations Services. As part of the Amazon Healthcare Global Finance Operations Services team, you will find yourself working with exceptionally talented and determined people...

Weekend Drive - Date & Time: 1 Nov - Saturday & 7PM. (JOIN BEFORE 7:10PM) late comers are not allowed. MS Teams Link: Join the meeting now Meeting ID: 246 319 807 957 8 Passcode: 5ju9Ar7b HR: Sindhu.palanisamy@nttdata.com/ramkumar12.r@nttdata.com Role & responsibilities Candidate should have min 1 + years exp in Claim adjudication. Medicare Mediclaim - Facet. Location: Chennai & Coimbatore Immediate joiners are highly preferable. Mode of Work: Work from Home (Currently)

Medcare Hospitals Medical Centres is looking for Manager - Revenue Cycle Management to join our dynamic team and embark on a rewarding career journey Oversee the entire revenue cycle process, from patient registration to payment collection. Ensure accurate and timely billing and coding of medical services. Monitor and manage accounts receivable to optimize cash flow. Collaborate with clinical and administrative teams to resolve billing issues. Implement strategies to reduce denials and improve reimbursement rates. Stay current with regulatory changes and industry best practices. Prepare and present reports on revenue cycle performance and key metrics. Disclaimer: This job description has bee...

Medcare Hospitals Medical Centres is looking for Executive - Revenue Cycle Management to join our dynamic team and embark on a rewarding career journey Oversee the entire revenue cycle process, from patient registration to payment collection. Ensure accurate and timely billing and coding of medical services. Monitor and manage accounts receivable to optimize cash flow. Collaborate with clinical and administrative teams to resolve billing issues. Implement strategies to reduce denials and improve reimbursement rates. Stay current with regulatory changes and industry best practices. Prepare and present reports on revenue cycle performance and key metrics. Disclaimer: This job description has b...

Medcare Hospitals Medical Centres is looking for Executive - Revenue Cycle Management to join our dynamic team and embark on a rewarding career journey Oversee the entire revenue cycle process, from patient registration to payment collection. Ensure accurate and timely billing and coding of medical services. Monitor and manage accounts receivable to optimize cash flow. Collaborate with clinical and administrative teams to resolve billing issues. Implement strategies to reduce denials and improve reimbursement rates. Stay current with regulatory changes and industry best practices. Prepare and present reports on revenue cycle performance and key metrics. Disclaimer: This job description has b...

Medcare Hospitals Medical Centres is looking for Executive - Revenue Cycle Management to join our dynamic team and embark on a rewarding career journey Oversee the entire revenue cycle process, from patient registration to payment collection. Ensure accurate and timely billing and coding of medical services. Monitor and manage accounts receivable to optimize cash flow. Collaborate with clinical and administrative teams to resolve billing issues. Implement strategies to reduce denials and improve reimbursement rates. Stay current with regulatory changes and industry best practices. Prepare and present reports on revenue cycle performance and key metrics. Disclaimer: This job description has b...

Medcare Hospitals Medical Centres is looking for Deputy Manager - Revenue Cycle Management to join our dynamic team and embark on a rewarding career journey Oversee the entire revenue cycle process, from patient registration to payment collection. Ensure accurate and timely billing and coding of medical services. Monitor and manage accounts receivable to optimize cash flow. Collaborate with clinical and administrative teams to resolve billing issues. Implement strategies to reduce denials and improve reimbursement rates. Stay current with regulatory changes and industry best practices. Prepare and present reports on revenue cycle performance and key metrics. Disclaimer: This job description ...

Medcare Hospitals Medical Centres is looking for Deputy Manager - Revenue Cycle Management to join our dynamic team and embark on a rewarding career journey Oversee the entire revenue cycle process, from patient registration to payment collection. Ensure accurate and timely billing and coding of medical services. Monitor and manage accounts receivable to optimize cash flow. Collaborate with clinical and administrative teams to resolve billing issues. Implement strategies to reduce denials and improve reimbursement rates. Stay current with regulatory changes and industry best practices. Prepare and present reports on revenue cycle performance and key metrics. Disclaimer: This job description ...

Medcare Hospitals Medical Centres is looking for Deputy Manager - Revenue Cycle Management to join our dynamic team and embark on a rewarding career journey Oversee the entire revenue cycle process, from patient registration to payment collection. Ensure accurate and timely billing and coding of medical services. Monitor and manage accounts receivable to optimize cash flow. Collaborate with clinical and administrative teams to resolve billing issues. Implement strategies to reduce denials and improve reimbursement rates. Stay current with regulatory changes and industry best practices. Prepare and present reports on revenue cycle performance and key metrics. Disclaimer: This job description ...

Medcare Hospitals Medical Centres is looking for Assistant Manager - Revenue Cycle Management to join our dynamic team and embark on a rewarding career journey Oversee the entire revenue cycle process, from patient registration to payment collection. Ensure accurate and timely billing and coding of medical services. Monitor and manage accounts receivable to optimize cash flow. Collaborate with clinical and administrative teams to resolve billing issues. Implement strategies to reduce denials and improve reimbursement rates. Stay current with regulatory changes and industry best practices. Prepare and present reports on revenue cycle performance and key metrics. Disclaimer: This job descripti...

Medcare Hospitals Medical Centres is looking for Assistant manager - Insurance to join our dynamic team and embark on a rewarding career journey Manage insurance policies and claims for the organization. Develop and implement insurance strategies to mitigate risks. Collaborate with insurance providers to negotiate terms and coverage. Monitor and analyze insurance performance and make improvements as needed. Provide training and support to staff on insurance policies and procedures. Prepare and present reports on insurance activities and outcomes to senior management. Ensure compliance with regulatory requirements and industry standards. Disclaimer: This job description has been sourced from ...

3+ Yrs in End to end claims, P&C, Claims Adjudication, General & Property Liability. (Voice) Salary: Upto 10 LPA Location: Viman Nagar, Pune Only graduates. Connect: 9049866622 // shweta@talentams.com Required Candidate profile End to end claims, P&C, Claims Adjudication, General & Property Liability. Insurance Support Only Voice experience. Perks and benefits Good Salary Bracket. Both way Cabs. Hybrid.

Firstsource Solutions Ltd is looking for Senior Analyst - Underwriting to join our dynamic team and embark on a rewarding career journey Analyze and assess insurance applications and risks. Develop and implement underwriting policies and guidelines. Monitor and analyze underwriting performance and make improvements. Collaborate with sales and claims teams to ensure underwriting alignment. Prepare and present underwriting reports to management. Provide training and support to junior underwriters. Ensure compliance with regulatory requirements and industry standards. Disclaimer: This job description has been sourced from a public domain and may have been modified by Naukri.com to improve clari...

Non-Motor Claims Scrutiny and claims processing for settlement Coinsurance Claims Process, Reconciliation of Incoming Coinsurance Claims Branch Office / Other Insurers Claims Query handling Coordination with IT Department for Bugs and Developments Follow-up and Report Preparations and Co-ordination with MIS and Analytics Team Coinsurance Claims Scrutinizing the document/ survey report Verify the assessment of claims as per terms and condition of the policy Preparation of the Claim note & obtain necessary approvals. Review /Payment entry in system & approvals. Attending meeting with Stakeholders MIS Reports and Data Preparations Support Audit and Incidental Activities allocated by RA Location...

All Risk Claims Management Implement Claims SOP within the team and service network and ensure adherence of the same in region Monitoring day to day claims activities and ensure claim settlement as per agreed TAT at region Guide and direct the team member in handling critical claims End to End claims processing, approving/repudiating claims considering policy terms and conditions Ensure up to date data entry in Claims Module by ASPs/Self and team members and document collections required for claims processing Interact with Service Providers /logistic partners for timely service delivery and monitor service providers payments Updating customers about the claim s status ACS Control and Loss Mi...

Responsibilities: Coordinate across all departments to ensure optimal support for customers and beneficiaries. Register and track customer grievance cases accurately in the system. Handle and resolve customer grievances related to claims efficiently and with professionalism. Conduct regular follow-ups with customers regarding their registered cases and ensure timely resolutions. Maintain detailed records of grievances, resolutions, and escalations for reporting and analysis. Organize and manage relevant information and documentation from customers to support their cases. Collaborate with internal experts to develop solutions for customer complaints and queries. Requirements: Excellent commun...

Keyboard teacher required for a music school in Noida. Staff Notation knowledge would be appreciated. Freshers are most welcome. Interested People can mail us @ zikrrschoolofmusic@ gmail.com Job Type: Full-time Salary: 180,000.00 to 200,000.00 /year Required experience: work: 1 year Required education: Master s

Your key responsibilities Lead the design and execution of fraud detection methodologies using forensic analytics, AI/ML tools, and structured investigative frameworks. Oversee data integrity checks and validation processes across claims datasets in large-scale public health programs. Develop actionable insights and dashboard visualizations for early detection and prevention of fraudulent transactions. Guide cross-functional teams in implementing compliance controls and protocols across multiple components of the health Ensure adherence to regulatory frameworks and data privacy standards while handling sensitive scheme information. Provide subject-matter expertise to build fraud-resilient op...

Your role and responsibilities About the team - Engineering at HashiCorp On the HashiCorp engineering team, we build the Infrastructure Cloud which allows enterprises to take a unified approach to Infrastructure and Security Lifecycle Management: Infrastructure Lifecycle Management: Build / Deploy / Manage Terraform allows you to use infrastructure as code to provision and manage any infrastructure across your organization. Packer standardizes image workflows across cloud providers, allowing teams to build, govern and manage any image for any cloud. Waypoint makes infrastructure easily accessible at scale, enabling platform teams to deliver golden patterns and workflows with an internal deve...

We are looking for an Insurance Desk Executive with 1 year of hospital experience in handling cashless and reimbursement claims. The candidate will be responsible for coordinating with insurance companies and TPAs to ensure smooth claim processing.

Hiring for Medical Billing -AR Caller Job Location: Mohali/ Chandigarh Salary Range: 20,000-22,000 Qualification: 12th+ 6 month experience with letter Graduate Fresher can also apply 5 Days working with Night shift Cab facility available Required Candidate profile Can Contact@ 7696111291

1. Ensure customer satisfaction of the highest order for all medical projects and services as assigned by the organization. 2. Maintain and continually improve the quality of medical service delivery. 3. Ensure that there is alignment and cooperation between medical team and operations team for seamless execution of designated projects and services. 4. Scrutiny of medical documents and adjudication of the international travel insurance policy holders. 5. Assess the eligibility of international travel insurance related medical claims and determine financial outcomes. 6. Determine accuracy of medical documents. 7. Processing the case as per policy terms & condition of the respective insurance ...

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