646 Health Claims Jobs - Page 26

Shift Window : 24*7 *Working Days : 5* Week Offs : Any two ( Rotational Week off) *Graduation Mandatory* Voice Selects : Only ( Excellent Communication in English) *Experience* - *Minimum 18 months International Voice* Rounds of Interview: HR Ops Chat Versant Note: *Its Work From Office* *Drug Test* *Immediate Joining* *All documents required* Roles and Responsibilities Conduct regular performance reviews, provide feedback, and coach team members to improve their skills. Manage a team of medical billing professionals to ensure efficient processing of health claims. Desired Candidate Profile 2-6 years of experience in Medical Billing or related field (US Healthcare). Excellent communication s...

WERE HIRING CUSTOMER SERVICE ASSOCIATE (Night Shift) Location: Mumbai (Airoli) Work from Office Shift: Rotational (Night shift allowance applicable) Joining: Immediate Joiners Preferred Role Customer Support – US Healthcare (International Voice Process) Eligibility Education: Graduate Freshers welcome | 12th Pass, BBA, BA, B.Com, BMS, BAMS, B.Pharma, MBA, B.Sc. (Chemistry/Biotech) Skills: Excellent English communication (mandatory) Experience: Freshers & candidates with 1+ year international voice experience Your Impact Handle US healthcare customer calls Deliver accurate resolutions in the first conversation Meet SLA targets (CSAT, Service Level, Handle Time, Customer Effort) Maintain quali...

Location: Ahmedabad Role: RECORDS RETRIEVER Night Shift 5-days working Salary for Freshers is 23K CTC Experienced in Records Retriever 32K CTC Increment after 3months Retention Bonus after 1 year 25K Attendance Bonus 1500

Hello All, Greetings for the day! We have an job opportunity with our client. Work Experience: 2-4 Years of Experience (1+ Years exp in US health experience or Recent experience in US Health care) Work Location: Bangalore (Preferred). Education: bachelors degree or a master’s Degree with all Documents from a regular College/University. Project: 6 months (Extension based on Performance) Shift: 6:00 PM - 03:00 AM (2 Ways Cab facility) Work model: Work From Home for initial Few Months, then Work From Office as per company’s requirement. Interview Round: 3 Rounds (Mettle Assessment - Online Screening Round - In Person Interview at Allegis Group) Experience: The Program Specialist ideally should ...

Location: Ahmedabad (On-Site) Shift Timing: US Shift Working Days: 5 Days Working Salary - Freshers: 25,000K CTC/month Experienced :35,000K CTC/month Benefits:- 1) Retention Bonus: 25,000K 2) One time Meal facility

Responsibilities:- Provide patients with the psychosocial support needed to cope with chronic, acute or terminal illnesses Communicate with patients suffering from various ailments post discharge to understand the status of their health and counsel them To enroll new patients into the system once they call in Skills:- Clarity in communication; Ability to articulate and talk to the patient in a clear manner without ambiguity Active Listening skills Passionate about the role and have patient care as priority Qualification:- Minimum Bachelors Degree in Clinical / Medico/ Biology background (Preferred Paramedics, Clinical Psychologists, Physiotherapist, Dietitian, Nutritionist, or such related f...

Job Title: Team Leader Call Centre operations Job Type: Full Time Function/Department: Health Plan and Healthcare Services Reporting to: Operations Manager / Senior Team Leader Location : Hyderabad Roles & Responsibilities Team Management & Coaching: Lead, mentor, and motivate a team of call centre executives to achieve KPIs (productivity, quality, resolution, satisfaction). Conduct regular performance reviews, one-on-ones, and skill-development sessions. Address agent concerns and escalate systemic issues to Operations Management. Operational Excellence: Monitor real-time call queues, manage schedules, and ensure optimal coverage for 24/7 healthcare inquiries. Audit calls for accuracy, comp...

GOOD KNOWLEDGE IN INSURANCE ,CASHLESS PROCESS INTO HOSPITAL

Job description We Are Hiring for International Semi voice Process Profile -: Claim Processing associate ( Semi voice) Languages req: Excellent English communication Requirement -: Good Communication Skills Exp-:2yrs- 5 yrs in claims Shifts:Rotational Location : Bangalore Immediate joiners only *** Only 2 rounds of interview Job description Document claim file by accurately capturing and updating claims data/information in compliance with best practices for low to moderate. exposure and complexity for Property and Content damage and Liability/Injury claims. Exercise judgement to determine policy verification and coverage determination by analysing applicable coverage for claims and determini...

Location: Ahmedabad (On-Site) # Medical Record Retrieval Process Shift Timing: US Shift Working Days: 5 Days Working Salary - Freshers: 25,000K CTC/month Experienced :35,000K CTC/month Good Communication Required

Job Title: Team Leader Call Centre operations Job Type: Full Time Function/Department: Health Plan and Healthcare Services Reporting to: Operations Manager / Senior Team Leader Location : Hyderabad Roles & Responsibilities Team Management & Coaching: Lead, mentor, and motivate a team of call centre executives to achieve KPIs (productivity, quality, resolution, satisfaction). Conduct regular performance reviews, one-on-ones, and skill-development sessions. Address agent concerns and escalate systemic issues to Operations Management. Operational Excellence: Monitor real-time call queues, manage schedules, and ensure optimal coverage for 24/7 healthcare inquiries. Audit calls for accuracy, comp...

We are seeking a qualified and experienced Manager-Claims to join our dynamic team. The ideal candidate will be responsible for reviewing, analyzing, and auditing health insurance claims from a medical perspective to ensure accuracy, compliance, and appropriateness of billed services and also ensure that providers adhere to contract.This role requires a keen understanding of medical conditions, health insurance policies, and the ability to collaborate with both medical professionals and insurance teams. Key Responsibilities: Claims Review and Audit: Conduct comprehensive audits of health insurance claims to ensure they meet company guidelines, industry standards, and regulatory requirements....

As a customer service advocate, you will be assisting members with various questions on their health plan and ensuring all questions are answered accurately using tools provided. Questions will cover things such as plan benefits, claims inquiries, finding a provider, billing and payment inquiries. Roles and Responsibilities Agents will answer inbound calls for members and assist them with a variety of inquiries using tools provided and demonstrating a willingness to help, empathy when needed, and ensure issue resolution. Answer calls in a timely manner with friendly demeanor and willingness to assist Assist members with inquiries finding resolutions via the knowledge management system. Topic...

Skill required: Claims Services - Claims Administration Designation: Health Admin Services New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 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 e...

Knowledge of Claims processes: Indemnity (Cashless, Reimbursement), Fixed Benefit Products Understanding of Claims systems (process flow & System fields) Health, PA & Travel Experience in measurement of performance (TAT, accuracy in claims adjudication) Expectations management of the Claims team TAT & expectations management for specialized business handling. Ensure uniformity in quality & maintain TATs of Claims decisions Create & maintain standards/protocols for Claims team Audit claims decisions in adherence & compliance with the Claims guidelines, uniformity in decisions, and approval authority limits (In house and TPA claims) Periodic portfolio analysis: profitability (loss ratio / comb...

We are actively hiring for Health Admin Services Representative role to our MNC Client Looking Only for Freshers - Graduation is mandatory - 2024 passouts - Chennai Location Job Description: Embedding digital transformation in healthcare operations end-to-end, driving superior outcomes and value realization today, and enabling streamlined operations to serve the emerging health care market of tomorrow You will be a part of the Healthcare Management team which is responsible for the administration of hospitals, outpatient clinics, hospices, and other healthcare facilities. This includes day to day operations, department activities, medical and health services, budgeting and rating, research a...

Warm Greetings from RIVERA MANPOWER SERVICES!!!! Kindly Note : We are looking @ Minimum 4 Years of an experience into International Voice Process(Health Care/ US Insurance) Excellent Communication Skills. We are looking @ only Immediate Joiners! CHETHANA @ 7829336034 rivera.chethana@gmail.com Primary Responsibilities Act as the primary point of contact for the branch (US onshore), providing comprehensive support Understanding and implementation of US Health Insurance regulatory standards, guidelines, policies and procedures Ensure end-to-end support of the policy lifecycle services. Conduct end-to-end renewal activities as a US Health Insurance domain expert. Coordinate with internal operati...

Warm Greetings from RIVERA MANPOWER SERVICES!!!! Kindly Note : We are looking @ Minimum 4 Years of an experience into International Voice Process(Health Care/ US Insurance) Excellent Communication Skills. We are looking @ only Immediate Joiners! CHETHANA @ 7829336034 rivera.chethana@gmail.com Primary Responsibilities Act as the primary point of contact for the branch (US onshore), providing comprehensive support Understanding and implementation of US Health Insurance regulatory standards, guidelines, policies and procedures Ensure end-to-end support of the policy lifecycle services. Conduct end-to-end renewal activities as a US Health Insurance domain expert. Coordinate with internal operati...

Role & responsibilities:- HEAPS is a health tech platform and Software as a Service (SAAS) provider which leverages advanced data analytics, artificial intelligence and machine learning to revolutionize healthcare delivery and payments model by building a Healthcare Network and a Value Based Care model. Responsibilities:- Provide patients with the psychosocial support needed to cope with chronic, acute or terminal illnesses Communicate with patients suffering from various ailments post discharge to understand the status of their health and counsel them To enroll new patients into the system once they call in Role & responsibilities HR Contact Details:- HR Dhanashri Contact No:- 7796426785

Role & responsibilities:- HEAPS is a health tech platform and Software as a Service (SAAS) provider which leverages advanced data analytics, artificial intelligence and machine learning to revolutionize healthcare delivery and payments model by building a Healthcare Network and a Value Based Care model. Responsibilities:- Provide patients with the psychosocial support needed to cope with chronic, acute or terminal illnesses Communicate with patients suffering from various ailments post discharge to understand the status of their health and counsel them To enroll new patients into the system once they call in Role & responsibilities HR Contact Details:- HR Dhanashri Contact No:- 7796426785

TATA AIG General Insurance Company Limited is looking for Manager - Health Claims to join our dynamic team and embark on a rewarding career journey Delegating responsibilities and supervising business operations Hiring, training, motivating and coaching employees as they provide attentive, efficient service to customers, assessing employee performance and providing helpful feedback and training opportunities. Resolving conflicts or complaints from customers and employees. Monitoring store activity and ensuring it is properly provisioned and staffed. Analyzing information and processes and developing more effective or efficient processes and strategies. Establishing and achieving business and...