629 Health Claims Jobs - Page 7

TPAs, insurance companies, and corporate clients Pre-authorization and final approval process TPA desk operations Claims submission Discharge processes TPA tariff rates

Role & responsibilities Resolving customer queries within TAT and ensuring smooth claim process. Providing information to the customers and respond to their claim related queries. Supporting customers for cashless and reimbursement claims. Handling queries on both voice and non-voice process.

Job Description: Under direct supervision, the Associate is responsible for the timely and accurate posting and imaging of new claims. This includes accessing various systems, both internal and external, for eligibility. Other assignments can include managing incoming email inboxes, bulk uploading of claims and managing automated claims kick outs. The essential functions and responsibilities of this job position include, but are not limited to the following: Timely and accurately posts new claims in the Administrative System within established turnaround time Codes incomplete claims as appropriate Research claims eligibility to ensure the claim belongs to DRMS prior to posting. Reaches out t...

Role & responsibilities Short Paid Claim Contesting Executive-Drive timely and accurate contesting of short-paid claims across hospital-insurer interfaces, ensuring recovery yield and SOP compliance. Analyze short-paid claims and categorize by deduction type, insurer, and RCA triggers. Draft and submit contest letters with supporting documentation via IHX and insurer portals. Track contesting outcomes and escalate unresolved cases per SLA timelines. Collaborate with unit credit cells and central recovery team for RCA discipline and documentation hygiene. Maintain dashboards for contesting status, win-loss ratios, and financial impact. Ensure adherence to SOPs and flag deviation trends for go...

Role & responsibilities Maximize recovery of outstanding claims from TPAs and insurers through disciplined follow-up, documentation, and stakeholder coordination. Monitor aging reports and follow up on pending claims across TPAs and insurers. Coordinate with internal billing, credit cell, and finance teams for claim documentation and query resolution. Engage with insurer/TPA representatives to expedite settlements and resolve disputes. Maintain tracker for recovery status, escalations, and financial realization. Support RCA documentation and contesting for short-paid or denied claims. Prepare weekly MIS and recovery dashboards for leadership review. Preferred candidate profile Familiarity wi...

Skill required: HM- Utilization Management - Healthcare Management Designation: Customer Service 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...

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...

Process:- Helath care coach -any medical domain Salary: Upto 30,000 Location: Navi Mumbai Qualification :- Graduation 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 ...

Role & responsibilities Strong knowledge of Health Insurance and products Must have a minimum of 10 years experience in health claims management with over 5 years managerial experience. The candidate can be from health insurance, general insurance, reinsurance, or life insurance industries. Extensive experience in health claims processing and administration. Proficient in health claim fraud prevention & loss mitigation framework. Should have experience in managing large teams Understanding of Health Claims and claim related processes Lead a team handling claims, customer queries & complaints, risk & Loss mitigation team , Implement & monitor framework designed. Drive health claims policy for...

Primary Responsibilities: Claims adjudication/Adjustments/Rework by reviewing the policies, researching, investigating, negotiating, processing, and adjusting claims Consistently meet established productivity, schedule adherence and quality standards Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regard to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company ma...

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. Genpact's 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 that's shaping the future, this is your moment Genpact (NYSE: G) is an advanced technology services ...

About The Role Skill required: Claims Appeals - Claims Administration Designation: Health Admin Services Associate Qualifications: Any Graduation Years of Experience: 1 to 3 years What would you do? 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 tomorrowYou will be a part of the Healthcare Claims team which is responsible for the administration of health claims. This team is involved in core claim processing such as registering claims, editing & verification, claims evaluation, and examination & litigation.Includes the administration of...

About The Role Skill required: Claims Services - Claims Administration Designation: Health Admin Services New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 years What would you do? 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 tomorrowYou will be a part of the Healthcare Claims team which is responsible for the administration of health claims. This team is involved in core claim processing such as registering claims, editing & verification, claims evaluation, and examination & litigation.Includes the administrati...

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. Genpact's 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 that's shaping the future, this is your moment Genpact (NYSE: G) is an advanced technology services ...

Job Description Medical Billing Company Name: Anion Healthcare Services Job Openings for Freshers US Healthcare Process Interview Timings: 11:00 AM to 2:00 PM Qualification: B. Pharmacy and B.Sc. Computer Science Graduates Gender: Both Male and Female Work Days: 5 Days a Week Experience: Freshers Location: HMDA Maitrivanam, 8th Floor, Swarnajayanthi Complex, Adjacent to Ameerpet, Hyderabad, Telangana 500038 Note: Looking for local candidates only . Roles and Responsibilities: Excellent communication skills (verbal and written) Good typing speed Knowledge of Medical Billing / US Healthcare will be an added advantage Willingness to work in Day Shifts Strong verbal communication in English Cont...

ONLY CANDIDATES WITH WORK EXPERIENCE IN "HEALTHCARE INSURANCE CLAIM/DISABILITY CLAIM/CLAIM PROCESSING" TO APPLY FOR THIS ROLE. Job Title: Intake Specialist Location: Noida/Mumbai, India Job Type: Full-Time Reporting Manager: Manager About Impact Disability Law: At Impact Disability Law, the intake team is the heart of our client experience. We are often the very first point of contact for people navigating life-changing situations. Because first impressions last, our intake process has to be flawless . Every caller should hang up feeling cared for, confident they called the right firm, and ready to refer us to their family and friends. Position Summary: As an Intake Specialist , you are the ...

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. Genpact's 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 that's shaping the future, this is your moment Genpact (NYSE: G) is an advanced technology services ...

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. Genpact's 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 that's shaping the future, this is your moment Genpact (NYSE: G) is an advanced technology services ...

Santiniketan Medical College & Hospital seeks an experienced TPA Executive to manage cashless health insurance claims. Key duties include pre-authorization, patient coordination, and claims processing. Apply now to join our dedicated team.

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 and Hindi CTC – Upto 3.5 LPA

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 quality & documentation standards Contribute to operational improvements Compensation & Benefits 20,000 in-hand salary Night Shift Allowance: 1,500 3,000 Performance Incentives: 3,000 4,500 10-day v...

TATA AIG General Insurance Company Limited is looking for Deputy Manager - Health Claims to join our dynamic team and embark on a rewarding career journey Assist the Manager in the day-to-day operations of the business, including setting goals, developing strategies, and overseeing the work of team members Take on leadership responsibilities as needed, including managing team members and making decisions in the absence of the Manager Identify and address problems or challenges within the business, and develop and implement solutions Collaborate with other departments and teams to ensure smooth and efficient operations Maintain accurate records and documentation Contribute to the development ...

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. Genpact's 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 that's shaping the future, this is your moment Genpact (NYSE: G) is an advanced technology services ...

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. Claims Submission mandatory. Experience in RCM Education : Minimum Graduate in any field. Experience : Prior experience in Us Healthcare claims processing, medical billing, or a related field (2 years to 5 years). Knowledge : Familiarity with medical terminology. Process : Non-Voice Location- Gurgaon RCM(Revenue cycle management) Expe...

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 quality...