629 Health Claims Jobs - Page 8

Key Responsibilities 1. Claims Management Oversee end-to-end claims handling for Health (cashless and reimbursement) and Life Insurance. Ensure timely submission and processing of claim documentation. Liaise with insurers to expedite claims approvals and settlements. 2. Coordination & Communication Serve as the single point of contact for all internal and external stakeholders regarding claims. Coordinate with RMs, Partners, and clients to gather necessary claim documents and information. Work closely with the Product and Insurance Operations teams to resolve claim queries. 3. Process Excellence Monitor claim progress and proactively follow up with insurers to avoid delays. Maintain and upda...

Roles and Responsibilities Handle health claims from receipt to settlement, ensuring timely processing and quality service delivery. Conduct thorough audits on insurance claims, identifying areas for improvement and implementing corrective actions. Prepare accurate and detailed audit reports, highlighting key findings and recommendations. Manage email communication with clients, agents, and internal stakeholders regarding claim status updates and queries. Utilize MS Office skills to maintain efficient records management systems. Work location Vidal Health Insurance TPA PVT LTD 513-522, 5th Floor B Wing, Chintamani Plaza, Mohan Studio Compound, Andheri Kurla Road, Mumbai-400099 Contact No -86...

Urgent Hiring for medical Billing Salary: Up To 22k CTC (19k in-hand) Qualification: - Any Graduate - 12th + 3-year Diploma Cab facility + Meal facility Required Candidate profile Work Schedule: - 5 days working - Saturday & Sunday fixed off - Shift timing: 5:30 pm to 2:30 am Contact Us: Call/WhatsApp: 7696616371 HR Sanjna

Strong written and verbal communication skills. Excellent English Exp. in medical billing / AR Calling - Freshers are welcome Cab facility for female candidates Fixed night shifts and Sat-Sun off Contact now Allan - 9687676507 Required Candidate profile Ready to work from office. Immediate joiners Preferred. Should be willing to work in US Shift. Experience as an AR Caller in Healthcare Revenue Cycle Management process.

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

# Location- Ahmedabad # Shift Timing: US Shift (Night Shift) # Facilities - Cab Facility # Working- 5 days # Week - Fixed off # Fluent English # Saturday, Sunday fixed off # Freshers & Experienced both can apply

Mega Walk-in Drive US Healthcare (Claims Adjudication) Date: 19th & 20th September 2025 Time: 11:30 AM 4:00 PM Venue: Sagility, KCT Tech Park, Thudiyalur Rd, Saravanampatti, Coimbatore, Tamil Nadu 641049 We Are Hiring Experienced Professionals! Join our growing team in US Healthcare Claims Adjudication Minimum Requirement 4+ years of experience in US Healthcare (Claims Processing & Adjudication) Additional Opportunities in Sagility : We have openings for WFM & Training functions Also for Internal Contact Center Operations (Inbound calls) Open Positions Team Leader Operations Quality Specialist Subject Matter Expert (SME) Process Trainer Quality Team Leader Assistant Manager Operations Deputy...

Mega Walk-in Drive US Healthcare (Claims Adjudication) Date: 19th & 20th September 2025 Time: 11:30 AM 4:00 PM Venue: Sagility, KCT Tech Park, Thudiyalur Rd, Saravanampatti, Coimbatore, Tamil Nadu 641049 We Are Hiring Experienced Professionals! Join our growing team in US Healthcare Claims Adjudication Minimum Requirement 3.6+ years of experience in US Healthcare (Claims Processing & Adjudication) Additional Opportunities in Sagility : We have openings for WFM & Training functions Also for Internal Contact Center Operations (Inbound calls) Open Positions Team Leader Operations Quality Specialist Subject Matter Expert (SME) Process Trainer Quality Team Leader Assistant Manager Operations Depu...

Key Responsibilities 1. Claims Management Oversee end-to-end claims handling for Health (cashless and reimbursement) and Life Insurance. Ensure timely submission and processing of claim documentation. Liaise with insurers to expedite claims approvals and settlements. 2. Coordination & Communication Serve as the single point of contact for all internal and external stakeholders regarding claims. Coordinate with RMs, Partners, and clients to gather necessary claim documents and information. Work closely with the Product and Insurance Operations teams to resolve claim queries. 3. Process Excellence Monitor claim progress and proactively follow up with insurers to avoid delays. Maintain and upda...

Role & responsibilities The Program Specialist serves as the primary contact for patients and healthcare providers, helping them access prescribed therapies by resolving insurance and operational barriers. This role involves handling inbound/outbound calls, verifying insurance coverage, processing patient applications, coordinating prescriptions, and documenting all interactions. Specialists must communicate clearly, follow SOPs, and maintain a calm, professional demeanor while supporting multiple healthcare programs.

Management Profile: Provider Management/Healthcare Purchasing Roles & 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) Ma...

Open Positions (US Healthcare – Claims Adjudication Process_ Team Leader – Operations Quality Specialist Subject Matter Expert (SME) Quality Team Leader Process Trainer Assistant Manager Experience : 4 Years into US Health care Location : Coimbatore

- Monitors, evaluates and/or audits a sampling of inbound and/or outbound calls. - Participate in internal quality audits designed to improve overall contact quality. Please call/whatsapp @ 8453399504 / 9387861694 / 8723051470 / 6002281943 Required Candidate profile - Should have atleast 1 year experience as QA in International BPO. - Should have knowledge about 7 QC tools. - Healthcare Experience (Mandatory).

# Location- Ahmedabad # Shift Timing: US Shift (Night Shift) # Facilities - Cab Facility # Working- 5 days # Week - Fixed off # Fluent English # Saturday, Sunday fixed off # Freshers & Experienced both can apply

# Location- Ahmedabad # Shift Timing: US Shift (Night Shift) # Facilities - Cab Facility # Working- 5 days # Week - Fixed off # Fluent English # Saturday, Sunday fixed off # Freshers & Experienced both can apply

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

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

Ahmedabad #Salary: Up to 3.6 LPA #US Shifts #CareerGrowth #RecordRetrieval #MedicalRecords #USShifts(Night) #JobOpening #Manage medical/legal record requests, ensure timely retrieval #5 days #Fixed off #Fluent English

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

Immediate Hiring | US Healthcare (Night Shift) Location: Airoli, Mumbai (Work from Office) Shift: Night Shift | 5 Days Working We Offer Night-shift timing with one-side cab for safe commute 2.4 LPA salary perfect for fresh graduates Full on-site training learn and grow with us Eligibility Criteria Graduates in B.Com / B.A. / BBA / B.Pharma / B.Sc Excellent English verbal communication skills Basic computer skills (MS Office & typing) Eager to begin a career in BPO / Customer Care What Youll Do Answer inbound customer calls with warmth & clarity Resolve queries with focus on first-call resolution Maintain metrics: AHT, CSAT, compliance Document calls accurately and follow up when needed Sugge...

Management Profile: Provider Management/Healthcare Purchasing Roles & 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) Ma...

Greetings from Niva Bupa! Job Location- Noida Sector-59 Department- Customer Servicing 6 Days working Must be a BPT graduate. JOB SUMMARY: Answering customer who are disputing over claim rejection or claim related query, also able to provide relevant information to the customer, floor support for team for any query related medical documents, Walk-in customer for claims. KEY RESPONSIBILITIES: Handling of claim rejections/ claim related query over calls and emails Floor support Walk-in customers Interested candidate can share their CV on 7430802568 or consultant.anjalijha@nivabupa.com with a subject "CV for Claim Adjuticator"

Job Title: TPA Manager Location: Miri Piri Institute of Medical Science & Research, Shahabad Markanda, Kurukshetra (Haryana) Hospital Strength: 420+ bedded upcoming super-specialty hospital & upcoming medical college (100 MBBS seats) Position Overview We are seeking an experienced and detail-oriented TPA Manager to lead and manage all Third-Party Administrator (TPA), insurance, CGHS, ECHS, and Ayushman cases. The role involves overseeing pre-authorization, billing, claims settlement, and ensuring smooth coordination between patients, TPAs, and hospital departments while maintaining compliance and accuracy. Key Responsibilities Handle end-to-end TPA, Insurance, Ayushman, CGHS, and ECHS cases....

Role & responsibilities International healthcare Process. Requirements: Candidates with a minimum of 2 years of experience in Claims/Insurance/Health Care will be considered for the role Good English Communication Skills (Written & Verbal) Willingness to work in 24/7 rotational shifts Graduates/Postgraduates can apply Must be comfortable working from office Immediate joiners only No virtual interviews In-person interview process Outstation candidates are not eligible Transport Policy: Two-way cab facility provided only for night shifts Cab service available within 20 kms radius from office location Registration Link: https://smrtr.io/sCc_C Location Office: Sutherland Global Services, Centenn...

Mega Walk-in Drive US Healthcare (Claims Adjudication) Date: 19th & 20th September 2025 Time: 11:30 AM 4:00 PM Venue: Sagility, KCT Tech Park, Thudiyalur Rd, Saravanampatti, Coimbatore, Tamil Nadu 641049 We Are Hiring Experienced Professionals! Join our growing team in US Healthcare Claims Adjudication Minimum Requirement 3.6+ years of experience in US Healthcare (Claims Processing & Adjudication) Additional Opportunities in Sagility : We have openings for WFM & Training functions Also for Internal Contact Center Operations (Inbound calls) Open Positions Team Leader Operations Quality Specialist Subject Matter Expert (SME) Process Trainer Quality Team Leader Assistant Manager Operations Depu...