646 Health Claims Jobs - Page 17

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...

Hiring Clinical Doctors for Medical coding role in Mohali !! Job Location - Mohali Role : Auditor I (IPDRG) Eligibility Criteria: Education BHMS,BAMS,MBBS,BPT Candidates with prior US Healthcare or Clinical experience will be preferred. Fresher Physicians can also apply with good clinical knowledge. Noncertified Physicians can apply however should be ready to complete the same within specified timeline. (CIC) Good communication skills. Candidates with corporate experience will be preferred. Immediate joiners preferred. Should be ready to work from office. Should be ready to work in night shift. Interested candidates can share resume - abdul.rahuman@cotiviti.com Regards, Abdul Rahuman 9080276...

Positions, General Duties and Tasks: Process Insurance Claims timely and qualitatively Meet & Exceed Production, Productivity and Quality goals Review medical documents, policy documents, policy history, Claims history, system notes and apply the trained client level business rules to make appropriate Claims decisions, call out claims trends and flag fraud activities Analyze customer queries to provide timely response that are detailed and ordered in logical sequencing Cognitive Skills include language, basic math skills, reasoning ability with excellent written and verbal communication skills Stay up to date on new policies, processes, and procedures impacting the outcome of Claims processi...

We are seeking a dynamic and detail-oriented Insurance Professional for the Legal Department to manage end-to-end insurance policy administration, claims processing, and risk management across multiple sites. The ideal candidate will have experience in insurance handling, preferably in the solar sector, and the ability to manage and coordinate across teams and insurance partners. COMPENSATION & BENEFITS: Medical Insurance Performance Incentives Cool Work Environment Travel Reimbursement (as per company policy) Exposure to challenging legal and insurance portfolios Supportive team and professional development ABOUT SADBHAV FUTURETECH LIMITED: Company Size - ~100 employees Headquarters - Gurga...

We are looking for a highly skilled and experienced AR Associate to join our team at Omega Healthcare Management Services Pvt. Ltd., Location - Omega Healthcare - F2 Airport Bengaluru, Karnataka Rustam Bagh Layout, Bengaluru, Karnataka 560017 https://lnkd.in/gKk48dh5 Date - 28-Jun-2025 ( 2 PM ) - Saturday Roles and Responsibility Manage and process accounts receivable transactions with high accuracy and attention to detail. Develop and implement effective strategies to improve cash flow and reduce outstanding balances. Collaborate with cross-functional teams to resolve billing discrepancies and ensure timely payments. Analyze and report on key performance indicators, such as delinquency rate...

Voice hiring for AR calling and health insurance International Voice. Location :- Bangalore Shift :- US shift (Rotational) Pick and drop available, Food available. We are seeking a Patient Support Service Representative (Voice) to handle customer queries and provide assistance related to healthcare services. The role requires eective communication skills, attention to detail, and the ability to work in a fast- paced environment. What job duties can I expect to perform as a Customer Support Representative? Handle inbound and outbound calls related to healthcare services. Service customers seeking support with their monthly healthy benet package. This monthly benet can be used in pharmacies an...

Prepare ILAs, Final Survey Reports, and requirement letters. Maintain records of claim intimation, surveyor visits, document status, and report. Follow up with insured and internal teams to minimize TAT Update data in CMS software Health insurance Provident fund

Clients business problem to resolve : At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees are key factors in our companys growth, market presence and our ability to help our clients stay a step ahead of the competition. By hiring the best people and helping them grow both professionally and personally, we ensure a bright future for NTT DATA and for the people who work here.Clients Business problem to solve?Our Client is one of Leading Health Plan in US providing services in Florida state , NTT are getting into contract with Client to manage End to End Claims Administration services. Our NTT Business Process O...

Description: JD for Investigations Manager, Claims Job Position Manager, Investigation - Claims based out of Corporate Office, Mumbai Job Brief Manager to oversee investigations for claims (Legal-TP Claims/ WC claims/ OD claims, PA Claims, Theft Claims & Health Claims, Commercial claims) of our GI business. The successful candidate will effectively ensure investigation conformity and minimize probability of exposure Academic Qualification Must be a graduate from a recognized institution or university. Law Graduate (LLB or LLM) + III pass out will be the first choice Required Experience / Key responsibilities Candidate must be experienced with 5 to 7 yrs in General Insurance Industry - specia...

Manage insurer & client coordination, handle policies, endorsements, and claims, resolve escalations, build strong broker/client relations, lead servicing team, ensure seamless delivery & represent company in insurer meetings. Provident fund

Skill required: Claims Appeals - Claims Administration Designation: Health Admin Services Associate Qualifications: Any Graduation Years of Experience: 1 to 3 years About Accenture 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 countries. Visit us at www.accenture.com What would you do Embedding digital transformation in healthcare operations end-to...

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

Role & responsibilities Tariff Negotiations and cost management Conducting surprise audits and checks of the claims and case to case negotiations Manage workload of both field and office effectively Experience in dealing with providers (Hospitals/Diagnostics & OPD Clinics) Understanding of Health Claims and claim related processes Good understanding of Health Insurance and related products Managing relationship with the providers Flexible to travel across locations based on the organizational requirements Managing internal (Claims Team, Sales and Central Teams and external stakeholders (Brokers, Channel partners & Corporates) Managing and controlling of cost for the portfolio assigned Timely...

1. Looking after the corporate client & their empanelment’s 2. Preparing bills of TPA, ESIC, ECHS, CGHS and other Private clients Independently. 3. Handling all queries related to patients. Call me on +91 97739 85718

Job Description 1 Graduate Medical background, MR (B pharma), BHMS, BAMS/ MBA in Hospital Adminstration 2 2+ Years working experience in health insurance/health insurance TPA at Hospital handling/audit 3 Candidate must have excellent knowledge of health insurance / Health TPA domain. 4 Candidate must have excellent bill/medical negotiation skills & customer handling skills. 5 Good communication skills in Hindi/English and regional language of the state/region. 6 Ready to relocate himself/herself at location within India as may be required according to the job requirement 7 Candidate must own vehicle to travel in various hospital assigned to him 8 Candidate must be computer literate and shall...

Role Description: As a Revenue Cycle Management (RCM) Associate / Senior Associate at PDA E-Services Pvt Ltd , you will be an integral part of our US healthcare operations team, responsible for managing the end-to-end revenue cycle process for dental practices in the United States. Your primary focus will be to ensure accurate billing, efficient payment processing, timely insurance follow-ups, and effective resolution of revenue-related discrepancies. Company Profile: PDA E-Services Pvt Ltd is a dynamic and fast-growing Global Capability Centre (GCC) for Piccadilly Dental Alliance (PDA) , a leading dental healthcare organization in the United States. Established in 2022 , we provide operatio...

• 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...

Resolve customer queries over calls, chat Address and resolve customer complaint or issues related to healthcare services Inform customers about health plans, insurance coverage, and healthcare service connect Hr Harshita - 84450 22026 Required Candidate profile Excellent communication skills in English Only B.Pharma/ M.Pharma/ D.Pharma passed Freshers or Experienced can apply Strong understanding of medical terminology Immediate Joiners Rotational shifts Perks and benefits Incentives Health Insurance

Roles and Responsibilities Provide health coaching services to patients, focusing on patient care and counseling. Assist doctors in managing patient relationships and ensuring effective communication between patients, families, and medical professionals. Support healthcare operations by coordinating with various departments to ensure seamless delivery of healthcare services. Collaborate with health management teams to develop strategies for improving patient outcomes through data-driven decision making.

"Get a exposure to work in Top Notch Global Health care organization as a intern" * Only BCOM,BBA , BA, BSC,BBM Graduates can apply ( NO BE/BTECH AND MBA/ POST GRADUATES * Only 2023,2024,2025 GRADUATES CAN APPLY ( Provisional certificate is mandatory) Position Requirements & Key Details: Contract Duration: 6-month contract with potential for conversion to a permanent role based on performance Rotational Shifts: Which include night shift( Candidate must open to work night shift based on business requirement) Transportation: Two-way company-provided transportation for all shifts Training: Comprehensive 3-week training covering domain knowledge and essential Excel skills Opening is for one of t...

Wipro hiring for Insurance US insurance profile in Kolkata location. We are hiring Any Under Graduate/Graduate fresher OR Experienced. Candidate must be comfortable with WORK FROM OFFICE. *Must BE* The candidate must have good verbal communication skills. The candidate must be staying or ready to relocate to Kolkata. As it is WORK FROM OFFICE. Roles and Responsibilities Candidate will take care of Insurance claims of International customers. Desired Candidate Profile Any Grad fresher- 3 Lakhs Experienced- 3 Lakh + Inc.+ Cabs Other Details- Fixed Shift time- US shifts Complete Inbound Voice Profile Cabs in odd hours only If you are meeting the above requirements. Then please please call our r...

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 Adhere to legal requirements, industry regulations and customer quality standards set by the company. Handle any complaints associated with a claim Claims Executive Requirements: A bachelor's degree in any discipline. At least 2-4 years' experience as a claims handler or a similar role. Excellent time management skills and organizational abilities. Top-notch client interaction skills. Ability to work in a high-pressure environment. A general understanding of insura...

You are seeking fresher to gain experience in Health Claims. You will be required to go through a few days of training and will be responsible for accurately processing and adjudicating medical claims in accordance with company policies, industry regulations, and contractual agreements. Your responsibilities will include reviewing and analyzing medical claims submitted by healthcare providers for accuracy, completeness, and compliance with insurance policies and regulatory requirements. You will need to verify patient eligibility, insurance coverage, and benefits to determine claim validity and appropriate reimbursement. Additionally, you will be assigning appropriate medical codes (e.g. ICD...

Job Title: Sr Manager Health Insurance Claims Location: Bangalore (Hybrid) Company: Pazcare Type: Full-time About Pazcare Pazcare is transforming employee healthcare and wellness for 2000+ companies including Mamaearth, Chaayos, Mindtickle, and more. We simplify health insurance and wellness benefits, giving HR teams superpowers through real-time claim tracking, analytics, and stellar employee experiences. Role Overview As a Claims Manager, you will be the frontline owner of ensuring claims are settled within the agreed turnaround time (TAT) across TPAs. You will play a critical role in driving TPA performance, resolving escalations, and advocating on behalf of our clients to ensure no valid...

Role & responsibilities - manage risk across claims and underwriting processes. This leadership role requires close collaboration with multiple internal teams, including Claims, FWA, Retail Underwriting, Sales and Actuarial departments, to drive business performance, ensure regulatory compliance, and maintain effective governance. Monitor overall claims and underwriting portfolio performance by analyzing trends throughout Channels. Collaborate with Channel Heads and ground teams to define actionable plans for addressing unproductive or loss-making claims segments, fraud identification and prevention; etc. Lead initiatives to reduce claims costs, mitigate losses in unprofitable cohorts, and i...