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1.0 - 3.0 years
0 Lacs
chennai, tamil nadu, india
On-site
Roles and Responsibilities: Process Adjudication claims and resolve for payment and Denials Knowledge in handling authorization, COB, duplicate, pricing and corrected claims process Knowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits and exclusions, state variations Ensuring accurate and timely completion of transactions to meet or exceed client SLAs Organizing and completing tasks according to assigned priorities. Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the team Resolving...
Posted 1 month ago
1.0 - 3.0 years
0 Lacs
coimbatore, tamil nadu, india
On-site
Roles and Responsibilities: Process Adjudication claims and resolve for payment and Denials Knowledge in handling authorization, COB, duplicate, pricing and corrected claims process Knowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits and exclusions, state variations Ensuring accurate and timely completion of transactions to meet or exceed client SLAs Organizing and completing tasks according to assigned priorities. Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the team Resolving...
Posted 1 month ago
1.0 - 3.0 years
0 Lacs
coimbatore, tamil nadu, india
On-site
Roles and Responsibilities: Process Adjudication claims and resolve for payment and Denials Knowledge in handling authorization, COB, duplicate, pricing and corrected claims process Knowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits and exclusions, state variations Ensuring accurate and timely completion of transactions to meet or exceed client SLAs Organizing and completing tasks according to assigned priorities. Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the team Resolving...
Posted 1 month ago
3.0 - 8.0 years
14 - 24 Lacs
chennai
Remote
• Development with T24 and TAFJ R23 or higher in a multi-company multi-application server set-up • Design Studio, Gitlab, JBOSS, SQL developer, Temenos Unit Test framework, JIRA, Job schedulers (AWA) • T24 COB and Services framework • Job schedulers Required Candidate profile • Tivoli, Dynatrace, Splunk • SWIFT messaging, interfacing patterns, STP processes • Indexes, SQL query design, Linux OS scripts Client • Interaction frameworks, Streaming solutions • IRIS, MQ, JBOSS
Posted 1 month ago
1.0 - 3.0 years
0 Lacs
chennai, tamil nadu, india
On-site
Roles and Responsibilities: Process Adjudication claims and resolve for payment and Denials Knowledge in handling authorization, COB, duplicate, pricing and corrected claims process Knowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits and exclusions, state variations Ensuring accurate and timely completion of transactions to meet or exceed client SLAs Organizing and completing tasks according to assigned priorities. Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the team Resolving...
Posted 1 month ago
1.0 - 3.0 years
0 Lacs
chennai, tamil nadu, india
On-site
Roles and Responsibilities: . Process Adjudication claims and resolve for payment and Denials . Knowledge in handling authorization, COB, duplicate, pricing and corrected claims process . Knowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits and exclusions, state variations . Ensuring accurate and timely completion of transactions to meet or exceed client SLAs . Organizing and completing tasks according to assigned priorities. . Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the te...
Posted 1 month ago
1.0 - 3.0 years
0 Lacs
coimbatore, tamil nadu, india
On-site
Roles and Responsibilities: . Process Adjudication claims and resolve for payment and Denials . Knowledge in handling authorization, COB, duplicate, pricing and corrected claims process . Knowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits and exclusions, state variations . Ensuring accurate and timely completion of transactions to meet or exceed client SLAs . Organizing and completing tasks according to assigned priorities. . Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the te...
Posted 1 month ago
1.0 - 3.0 years
0 Lacs
coimbatore, tamil nadu, india
On-site
Roles and Responsibilities: . Process Adjudication claims and resolve for payment and Denials . Knowledge in handling authorization, COB, duplicate, pricing and corrected claims process . Knowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits and exclusions, state variations . Ensuring accurate and timely completion of transactions to meet or exceed client SLAs . Organizing and completing tasks according to assigned priorities. . Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the te...
Posted 1 month ago
1.0 - 3.0 years
0 Lacs
coimbatore, tamil nadu, india
On-site
Roles and Responsibilities: . Process Adjudication claims and resolve for payment and Denials . Knowledge in handling authorization, COB, duplicate, pricing and corrected claims process . Knowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits and exclusions, state variations . Ensuring accurate and timely completion of transactions to meet or exceed client SLAs . Organizing and completing tasks according to assigned priorities. . Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the te...
Posted 1 month ago
1.0 - 3.0 years
0 Lacs
chennai, tamil nadu, india
On-site
Roles and Responsibilities: . Process Adjudication claims and resolve for payment and Denials . Knowledge in handling authorization, COB, duplicate, pricing and corrected claims process . Knowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits and exclusions, state variations . Ensuring accurate and timely completion of transactions to meet or exceed client SLAs . Organizing and completing tasks according to assigned priorities. . Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the te...
Posted 1 month ago
1.0 - 3.0 years
0 Lacs
coimbatore, tamil nadu, india
On-site
Roles and Responsibilities: . Process Adjudication claims and resolve for payment and Denials . Knowledge in handling authorization, COB, duplicate, pricing and corrected claims process . Knowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits and exclusions, state variations . Ensuring accurate and timely completion of transactions to meet or exceed client SLAs . Organizing and completing tasks according to assigned priorities. . Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the te...
Posted 1 month ago
1.0 - 3.0 years
0 Lacs
coimbatore, tamil nadu, india
On-site
Roles and Responsibilities: . Process Adjudication claims and resolve for payment and Denials . Knowledge in handling authorization, COB, duplicate, pricing and corrected claims process . Knowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits and exclusions, state variations . Ensuring accurate and timely completion of transactions to meet or exceed client SLAs . Organizing and completing tasks according to assigned priorities. . Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the te...
Posted 1 month ago
1.0 - 3.0 years
0 Lacs
chennai, tamil nadu, india
On-site
Roles and Responsibilities: . Process Adjudication claims and resolve for payment and Denials . Knowledge in handling authorization, COB, duplicate, pricing and corrected claims process . Knowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits and exclusions, state variations . Ensuring accurate and timely completion of transactions to meet or exceed client SLAs . Organizing and completing tasks according to assigned priorities. . Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the te...
Posted 1 month ago
1.0 - 3.0 years
0 Lacs
coimbatore, tamil nadu, india
On-site
Roles and Responsibilities: Process Adjudication claims and resolve for payment and Denials Knowledge in handling authorization, COB, duplicate, pricing and corrected claims process Knowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits and exclusions, state variations Ensuring accurate and timely completion of transactions to meet or exceed client SLAs Organizing and completing tasks according to assigned priorities. Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the team Resolving...
Posted 1 month ago
1.0 - 3.0 years
0 Lacs
chennai, tamil nadu, india
On-site
Roles and Responsibilities: Process Adjudication claims and resolve for payment and Denials Knowledge in handling authorization, COB, duplicate, pricing and corrected claims process Knowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits and exclusions, state variations Ensuring accurate and timely completion of transactions to meet or exceed client SLAs Organizing and completing tasks according to assigned priorities. Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the team Resolving...
Posted 1 month ago
1.0 - 3.0 years
0 Lacs
coimbatore, tamil nadu, india
On-site
Roles and Responsibilities: Process Adjudication claims and resolve for payment and Denials Knowledge in handling authorization, COB, duplicate, pricing and corrected claims process Knowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits and exclusions, state variations Ensuring accurate and timely completion of transactions to meet or exceed client SLAs Organizing and completing tasks according to assigned priorities. Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the team Resolving...
Posted 1 month ago
1.0 - 3.0 years
0 Lacs
chennai, tamil nadu, india
On-site
Roles and Responsibilities: Process Adjudication claims and resolve for payment and Denials Knowledge in handling authorization, COB, duplicate, pricing and corrected claims process Knowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits and exclusions, state variations Ensuring accurate and timely completion of transactions to meet or exceed client SLAs Organizing and completing tasks according to assigned priorities. Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the team Resolving...
Posted 1 month ago
1.0 - 3.0 years
0 Lacs
chennai, tamil nadu, india
On-site
Roles and Responsibilities: Process Adjudication claims and resolve for payment and Denials Knowledge in handling authorization, COB, duplicate, pricing and corrected claims process Knowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits and exclusions, state variations Ensuring accurate and timely completion of transactions to meet or exceed client SLAs Organizing and completing tasks according to assigned priorities. Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the team Resolving...
Posted 1 month ago
1.0 - 3.0 years
0 Lacs
chennai, tamil nadu, india
On-site
Roles and Responsibilities: Process Adjudication claims and resolve for payment and Denials Knowledge in handling authorization, COB, duplicate, pricing and corrected claims process Knowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits and exclusions, state variations Ensuring accurate and timely completion of transactions to meet or exceed client SLAs Organizing and completing tasks according to assigned priorities. Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the team Resolving...
Posted 1 month ago
1.0 - 3.0 years
0 Lacs
chennai, tamil nadu, india
On-site
Roles and Responsibilities: Process Adjudication claims and resolve for payment and Denials Knowledge in handling authorization, COB, duplicate, pricing and corrected claims process Knowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits and exclusions, state variations Ensuring accurate and timely completion of transactions to meet or exceed client SLAs Organizing and completing tasks according to assigned priorities. Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the team Resolving...
Posted 1 month ago
1.0 - 3.0 years
0 Lacs
coimbatore, tamil nadu, india
On-site
Roles and Responsibilities: Process Adjudication claims and resolve for payment and Denials Knowledge in handling authorization, COB, duplicate, pricing and corrected claims process Knowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits and exclusions, state variations Ensuring accurate and timely completion of transactions to meet or exceed client SLAs Organizing and completing tasks according to assigned priorities. Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the team Resolving...
Posted 1 month ago
1.0 - 3.0 years
0 Lacs
chennai, tamil nadu, india
On-site
Roles and Responsibilities: Process Adjudication claims and resolve for payment and Denials Knowledge in handling authorization, COB, duplicate, pricing and corrected claims process Knowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits and exclusions, state variations Ensuring accurate and timely completion of transactions to meet or exceed client SLAs Organizing and completing tasks according to assigned priorities. Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the team Resolving...
Posted 1 month ago
1.0 - 3.0 years
0 Lacs
coimbatore, tamil nadu, india
On-site
Roles and Responsibilities: . Process Adjudication claims and resolve for payment and Denials . Knowledge in handling authorization, COB, duplicate, pricing and corrected claims process . Knowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits and exclusions, state variations . Ensuring accurate and timely completion of transactions to meet or exceed client SLAs . Organizing and completing tasks according to assigned priorities. . Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the te...
Posted 1 month ago
1.0 - 3.0 years
0 Lacs
coimbatore, tamil nadu, india
On-site
Roles and Responsibilities: . Process Adjudication claims and resolve for payment and Denials . Knowledge in handling authorization, COB, duplicate, pricing and corrected claims process . Knowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits and exclusions, state variations . Ensuring accurate and timely completion of transactions to meet or exceed client SLAs . Organizing and completing tasks according to assigned priorities. . Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the te...
Posted 1 month ago
1.0 - 3.0 years
1 - 2 Lacs
hyderabad
Work from Office
Dear Candidate, We have a Virtual Mega drive on Monday (10th Nov 2025) please share the below link with your team members to their referrals. Timings: 01.30 PM 03:30 PM POC : Addepalli Manasa Ganti Sri Ramya Link for Virtual Drive : https://teams.microsoft.com/l/meetup-join/19%3ameeting_MDNhN2M1ZjktYTgwNC00NTc2LThiMDUtMDAyNjUyYmIxMzc5%40thread.v2/0?context=%7b%22Tid%22%3a%2225c1df4b-00ea-4e39-98bd-5f1143c5c5df%22%2c%22Oid%22%3a%22bbc2852b-7870-437a-ab90-f7a691437818%22%7d Below is the requirement detail, Note :We have openings for AR RCM (Experience only), Medical Billing & Payment Posting(RCM -8 Months and above Experience only) Note: PF deduction is Mandatory AR Follow up | Hyderabad Under...
Posted 1 month ago
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