646 Health Claims Jobs - Page 10

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 admissibil...

Job Title: Duty Doctor + Customer Support (Claims Queries) Location: Jigani, Bangalore (HCL) Shift: Day Shift (8:30 hours minimum duty) Working Days: 6 days a week (including 2 Saturdays) Qualification : BAMS, BHMS ,BDS ,BPT & Pharm D Job Description: We are looking for a Duty Doctor with customer support skills to manage claims-related queries regarding insurance policies. The doctor will be stationed at the client premises and will provide medical assistance and guidance on policy norms, admissibility, and confirmation of treatment. Thanks Hariprasad

Claims Executive Responsibilities: Receiving and answering emails, telephone calls related to claims Advice policyholders on claim procedure Ensure fair settlement of a claim with TAT Manage all administration aspects of the claim

Responsibilities: * Manage health claims from submission to payment * Ensure compliance with regulatory requirements * Collaborate with medical providers on claim resolution * Review insurance policies and procedures

Position: Medical Officer (Doctor) - TPA for Insurance and Risk Analysis Location: Gurgaon Job Type: Full-time About Policybazaar For Business Policybazaar, the flagship platform of PB Fintech Ltd., is Indias largest online insurance marketplace, acclaimed by Frost & Sullivan. Established in 2008, Policybazaar has revolutionized insurance with unmatched awareness, choice, and transparency. Introducing Policybazaar for Business, a dedicated service designed to meet the unique insurance needs of enterprises. Launched in 2021, it offers a robust portfolio of 15+ business insurance products tailored to diverse sectors, scales, and risk profiles. Policybazaar for Business aims to fortify Indias f...

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). RCM Mandatory Knowledge : Familiarity with medical terminology. Process : Non-Voice Location- Gurgaon Shifts-US shifts(Rotational)

About The Role Skill required: Reinsurance - Collections Processing Designation: Claims Management Manager Qualifications: Any Graduation Years of Experience: 13 to 18 years What would you do? We help insurers redefine their customer experience while accelerating their innovation agenda to drive sustainable growth by transforming to an intelligent operating model. Intelligent Insurance Operations combines our advisory, technology, and operations expertise, global scale, and robust ecosystem with our insurance transformation capabilities. It is structured to address the scope and complexity of the ever-changing insurance environment and offers a flexible operating model that can meet the uniq...

Role & Responsibilities Handling TPA related all process from billing to co-ordinate with TPA companies. Responsible for counseling patient's family & pre-Auth process. Maintaining & uploading patient's files on the portal. Couriering the hard copy of patient's medical file to the Insurance companies. Responsible for all co-ordination activities from patient's admission to discharge. Handling billing Department, Implants bill updating & reconciliation. Daily co-ordination with the patient and Hospital staff. Outstanding follow-up with TPA. To obtain and review referrals and authorizations for treatments. Must be aware of norms of the insurance sector. Daily follow up with Insurance companies...

Role & 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 nonavailability of tariff. Approve or deny ...

Hiring for Medical Underwriters- Health Insurance For Bangalore & Kochi !! Only M.B.B.S - BPT, BDS, BMS, MPT Job Role- To assess the risk associated with insuring individuals or groups, evaluate medical history, and determine policy terms, coverage limits, and premiums, all while adhering to company policies and industry regulations. Experience Required - Minimum 2+Years of Experience Locations - Kochi & Bangalore Interested candidates can directly share their resumes on simranbagga@policybazaar.com or 9311501270

Please Note - We are looking B. Pharma for this profile. JOB RESPONSIBILITIES Applying medical knowledge in evaluating the medical claim files to ascertain the medical admissibility. Identifying and addressing the fraudulent claims amongst the live cases. Grievance redressal and handling escalations Must understand the policy wordings including Terms & conditions to adjudicate the Admissibility/Rejection. Processing of claims as per regulatory guidelines. Adhering to the TATs in processing. Quality review of processed files.

Vertical - Insurance/Claims Education - Only Graduates Experience - Min 2 Years experience into Claims/Insurance or Health Care Boundary Limits - 20Kms from Office location - Kundalahalli Process - Blended Shifts - Rotational Shifts with Rotational Weekoffs 2 Way Transport will be provided for all shifts Salary - 4.5LPA - 5LPA

Position Description Job Description Skills and Competencies The team of medical practitioner part of Pre-Authorization team will use their skills and expertise in authorizing the request received and they will ensure that the customers are attended on time by following the protocol of the policy defined by the insurer and the organization. Ensuring error free processing of preauthorisation within agreed TAT (Turnaround time) by way of following the following process, o By entering accurate information into the application defined by the organization. o Review structured clinical data matching it against specified medical terms and diagnoses or procedure codes and follow established procedur...

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. CTC – Upto 3.5 LPA

Location: Ahmedabad Role: Dental Voice Process Salary: Freshers 20K CTC, Experienced 35K CTC Shift: US FIXED NIGHT SHIFT Cab-facility provided 5 days working EXCELLENT ENGLISH COMMUNICATION REQUIRED Graduation must be completed Increment after 1 year

Ready to shape the future of work? At Genpact, we don't just adapt to change we drive it. AI and digital innovation are redefining industries and were leading the charge. Genpacts AI Gigafactory, our industry-first accelerator, is an example of how were scaling advanced technology solutions to help global enterprises work smarter, grow faster, and transform at scale. From large-scale models to agentic AI, our breakthrough solutions tackle companies most complex challenges. If you thrive in a fast-moving, tech-driven environment, love solving real-world problems, and want to be part of a team thats shaping the future, this is your moment Genpact (NYSE: G) is an advanced technology services an...

Salary: Up to 23,000 CTC + Incentives (5,000 – 7,000) Qualification: Minimum 12th Pass with Experience / Graduate fresher Shift Timing: 5:30 PM – 2:30 AM (Fixed Shift) Working Days: 5 Days/Week (Saturday & Sunday Fixed Off) Facilities: Cab + meal

EXL IS HIRING FOR Medical Indexing About EXL Service is a global analytics and digital solutions company serving industries including insurance, healthcare, banking and financial services, media, retail, and others. The company is headquartered in New York and has more than 37,000 professionals in locations throughout the United States, Europe, Asia, Latin America, Australia and South Africa.http://www.exlservice.com ELIGIBILITY- Candidate should have Minimum 12 months of Mandatory experience in US healthcare and medical Indexing would be considered. Candidates should be comfortable with Night Shifts. Candidates should be comfortable with Work from Office (sec- 144 NOIDA). NOTE - Candidates ...

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, includ...

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)

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

Skills should be from Clinical background Ability to understand the insurance claims process ( Domestic) Should be well aware of required treatment procedure to perform the claim adjudications. Required Candidate profile Role : Medical Officer Location : Bellandur , Bangalore Openings: 6 (WFO) Budget : 6 to 8lpa Notice Period : 30 to 45 days Exp : 1.5year

Hiring for US Healthcare Voice process -Thane Location - Work from office THANE LOCATION Rounds : HR-Amcat- Writex-Ops- Typing Quality: C2 HSC/Graduate with a minimum of 6 months or above of voice based customer service experience mandatory Required Candidate profile Comms skill - Excellent Assessments - Amcat - SVAR score of 69 mandatory Shifts: 24*7 rotational shifts (strictly follow IBU boundaries) Week offs: 5days of working. Any 2 Rotational week offs

Hiring for US Healthcare Voice process -Thane Location - Work from office HSC/Graduate with a minimum of 6 months or above of voice based customer service experience mandatory Assessments - Amcat - SVAR (Spoken English & Grammar) score of69 mandatory Required Candidate profile Comms skill - Excellent Salary - Upto 35k in hand Shifts: 24*7 rotational shifts (strictly follow IBU boundaries) Week offs: 5 days of working. Any 2 Rotational week offs