641 Health Claims Jobs - Page 11

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

About The Role Skill required: Claims Services - Payer Claims Processing Designation: Health Admin Services New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 years About Accenture Accenture is a global professional services company with leading capabilities in digital, cloud and security.Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song all powered by the worlds largest network of Advanced Technology and Intelligent Operations centers. Our 699,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more t...

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

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

Job description * 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. Discrepancy Resolution:Investigating and resolving any discrepancies or issues related to claims. Documentation and Record Keeping: Maintaining accurate and up-to-date records of processed claims and documentation. Education : Minimum Graduate in any field. Experience : Prior experience in healthcare claims processing, medical billing, or a related field (2 years to 3 years) Salary - 4.75 LPA Location - Gurgaon ( Work from Office ) Shifts - 24*7 *Immediate joiner Onl...

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 ...

UK Health Care Process Nature of Work : Claim Processing/ Backend Candidates should have their own system and internet connection Configuration required Windows 10 Processor - i3/i5 RAM - 4 GB Speed - 10mbps rotational shifts, 5 days working Required Candidate profile Rounds of Interviews - HR - Medical Test - Email Test - Amcat - Ops

About The Role Skill required: HM- Utilization Management - Healthcare Management Designation: Customer Service Associate Qualifications: Any Graduation Years of Experience: 1 to 3 years About Accenture Accenture is a global professional services company with leading capabilities in digital, cloud and security.Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song all powered by the worlds largest network of Advanced Technology and Intelligent Operations centers. Our 699,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more t...

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

Requirement- Excellent comms English (C2/C1 only) Hsc/ Grad - Minimum 6 months - 1 year international Bpo experience is mandate . FOR DJO AR - 6 months or above experience in AR - medical billing or BPO based voice customer service experience Required Candidate profile Rounds of Interview: HR - Amcat - Operations round Work from office - Thane location Shift: Any 9hrs btwn 5.30pm-6.30am shift Week Off- 2 Rotational week offs Date of joining - Immediate

UK Health Care Process Nature of Work : Claim Processing/ Backend Candidates should have their own system and internet connection Configuration required Windows 10 Processor - i3/i5 RAM - 4 GB Speed - 10mbps rotational shifts, 5 days working Required Candidate profile Rounds of Interviews - HR - Medical Test - Email Test - Amcat - Ops

About The Role Skill required: Claims Appeals - Claims Administration Designation: Health Admin Services Associate Qualifications: Any Graduation Years of Experience: 1 to 3 years About Accenture Accenture is a global professional services company with leading capabilities in digital, cloud and security.Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song all powered by the worlds largest network of Advanced Technology and Intelligent Operations centers. Our 699,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120...

About The Role Skill required: HM- Utilization Management - Healthcare Management Designation: Customer Service Associate Qualifications: Any Graduation Years of Experience: 1 to 3 years About Accenture Accenture is a global professional services company with leading capabilities in digital, cloud and security.Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song all powered by the worlds largest network of Advanced Technology and Intelligent Operations centers. Our 699,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more t...

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...

Role & responsibilities The Underwriter is responsible for evaluating and analysing the risks involved in Health insurance proposals- Group Mediclaim; Group Personal Accident; Workmen Compensation; Group Term Insurance etc. They ensure sound underwriting practices while working closely with insurers and clients to secure optimal coverage and terms. Key Responsibilities: Evaluate and assess insurance proposals as per IRDA underwriting guidelines and documentation for Health insurance proposals- Group Mediclaim; Group Personal Accident; Workmen Compensation; Group Term Insurance. Recommend suitable products, terms, and comparative premiums to internal sales team/customers. Coordinate with insu...

Role & responsibilities: Outline the day-to-day responsibilities for this role. Preferred candidate profile: Specify required role expertise, previous job experience, or relevant certifications.

Hiring for International Insurance Voice Process Location - whitefield Education - Graduation is Mandatory ( NO B.tech ) Salary -28k - 30k Need minimum 1 year of international voice experience 5 days of working Sat & sun fixed off

A hospital billing executive manages a healthcare facility's billing operations, focusing on accurate claim submission, patient invoicing, and insurance coordination to ensure timely payments and regulatory compliance . Key duties include patient registration, medical coding (ICD-10/CPT), submitting insurance claims, resolving payment discrepancies, and maintaining patient billing records. This role requires strong attention to detail, proficiency with medical billing software, knowledge of healthcare regulations, and excellent communication skills to work with patients, insurance providers, and hospital staff. Role & responsibilities **Healthcare Experience is Must. PMC Card preparation &vi...

International Process Associate - US Healthcare Process - Night Shift - HR Sanskrity Company Name - Sun Knowledge Inc (KPO) About Company - We are into Healthcare medical billing. No SALES/MARKETING involved. Interview Reference Code - " HR Sanskrity " - 9046450266 - WhatsApp/Call. Applicants need to write "HR SANSKRITY" on the top of their Resume/CV. Dress Code: Formals/ Smart Casuals Documents to Carry: your hard copy CV and Aadhaar Xerox should be attached to it. Roles and Responsibilities: This is the US Healthcare process. Candidates have to resolve queries and issues of Doctors and hospitals regarding medical Billing and Insurances. Desired Candidate Profile : Must have Excellent Commu...

Prepare and submit clean claims (electronic & paper) to insurance companies within specified timelines. Verify claim accuracy, coding, modifiers, and patient/payer details before submission. Ability to work in US Shift Timings (Night Shift).

Job Description Acts as an interface between the TPA, Insurance Company and the hospital. Responsible for investigation of suspicious claims. Effective usage of Fraud control measures. Act as a backend support to the TPA. Responsible for data mining and analytics related to Fraud and Investigation (IFD) Field visit for investigation purpose. Open to travel. Desired Candidates Profile Qualification Any Graduate Experience Fresher - 2 Years Exp. Profile Executive If interested kindly share your resume to recruitment1@mdindia.com