123 Healthcare Insurance Jobs - Page 5

We are looking for a highly skilled Group Manager with deep expertise in Property & Casualty Insurance operations, specifically in Chat/Back Office processes. This is a leadership opportunity for someone who thrives in dynamic environments, has a passion for process excellence, and has a proven record of managing large teams and driving KPIs. Your Future Employer - A leading multinational organization known for delivering customer-focused insurance solutions and operational excellence. Responsibilities - Manage day-to-day operations of a team of 80-100 employees in chat/back office P&C insurance processes. Lead and mentor a group of Assistant/Deputy Managers. Ensure delivery of SLAs, drive team performance, manage KPIs, absenteeism, and attrition. Handle escalations, conduct reviews with clients, and manage operational performance. Collaborate with HR, quality, and training functions to enhance process outcomes. Drive process transformation and improvement initiatives. Manage hiring needs and capacity planning. Be comfortable working in 24x7 rotational shifts. Requirements - Minimum 4 years of experience in general insurance or chat process. Experience in handling operations with 70+ employees. External certification in P&C/General Insurance is a plus. Strong leadership and stakeholder management skills. Excellent communication, problem-solving, and people management skills. Graduate degree is a must. What is in it for you - Opportunity to lead a large operations team in a high-growth environment. Engage with global stakeholders and gain cross-functional exposure. Be at the forefront of process transformation in the insurance domain. Reach us: If you think this role aligns with your career aspirations, kindly write to me at vasu.joshi@crescendogroup.in with your updated CV for a confidential discussion. Disclaimer: Crescendo Global is specializes in Senior to C-level niche recruitment. We are passionate about empowering job seekers and employers with an engaging memorable job search and leadership hiring experience. Crescendo Global does not discriminate on the basis of race, religion, colour, origin, gender, sexual orientation, age, marital status, veteran status or disability status. Note: We receive a lot of applications on a daily basis so it becomes a bit difficult for us to get back to each candidate. Please assume that your profile has not been shortlisted in case you don't hear back from us in 1 week. Your patience is highly appreciated. Scammers can misuse Crescendo Globals name for fake job offers. We never ask for money, purchases, or system upgrades. Verify all opportunities at www.crescendo-global.com and report fraud immediately. Stay alert! Keywords: Operations Manager Jobs, P&C Insurance, Chat Process, Back Office Insurance, General Insurance Careers, Insurance Process Management, Insurance Team Leader Jobs, Pune Jobs, Insurance Escalation Handling, BPO, BPM, US Process, US Insurance.

Hiring a Certified Medical Coder with strong expertise in both coding and auditing. Responsible for accurate code assignment, compliance, and detailed audits to ensure proper billing. Must be well-versed in ICD, CPT, HCPCS, and healthcare regulations

Job Title: Sales Advisor - Insurance Company : Enser Communications Limited Location : Enser Communications Pvt Ltd Plot No - 104 Udyog Vihar Phase 4, Sector 18 ,Near by Bharti Airtel Building Job Type : Full-Time Process: Insurance Sales Position Overview/ JD: As a Sales Executive for the Health/ Motor Insurance process, you will be responsible for driving the sales of motor and health insurance products. This role requires a passion for sales, a deep understanding of the insurance industry, and an ability to build relationships with customers. You will assist potential clients by educating them on insurance offerings, helping them select the right policies, and converting leads into successful sales. Preferred Candidates: Minimum 2 years of experience in Motor/ Health Insurance Sales. Excellent English Communication Skills Good Selling / Convincing Skills In-depth knowledge of motor or health insurance products and the ability to explain them clearly to customers. Excellent Incentives provided for performers. Candidates can also walk in to office (above address) for interview between 10-6 pm 20-May to 23-May-25

Managing CGHS, ECHS, CAPF and ESIC and All Government Portals: Medical file Audit Claim Processing Uploading Query Management Required Candidate profile Mandatory practical experience of government empanelment such as CGHS ECHS ESIC CAPF etc. and medical file audit and processing for Railways, CGHS, ECHS and other govt empanelment's.

Greetings From Scorelabs! To handle Inbound & outbound Calls. To handle Emails received from the customers. To handle Chats received from the customers. Required Candidate profile Fluent in English communication With Tamil Minimum 1 Year Of Experience In Any Insurance Voice Process Minimum Graduation Work Location Is Chennai & Hyderabad Call Hr Vandana - 8464822386

Join Our Team International Motor Insurance & HealthCare Insurance Location: Pune Salary: 4 LPA 6.5 LPA Shifts: Rotational Schedule: 5 working days with 2 rotational offs Transport: Complimentary two-way cab service Who Can Apply? Experienced Professionals Minimum 6 months to 1 year in international voice support Qualification: Undergraduate or Graduate Note: Candidates should not have a career gap of more than 6 months in the last 2 years For motor insurance (Gap will consider for HealthCare Insurance ) NO BACKEND CANDIDATE WILL CONSIDER Key Responsibilities: Deliver excellent customer support via voice Resolve customer queries promptly and professionally Ensure a high standard of service to enhance client satisfaction What Were Looking For: For Experienced Candidates: Strong verbal and written communication skills Prior experience in international voice processes Location- Magarpatta and VimanNagar (PUNE) *WE DON'T CHARGE * Note- No Virtual Rounds will be conducted (Immediate Joining) Interested Candidates Can call or share their updated CV on below mentioned details. Contact Person : HR AKANKSHA - 8956822344 akanksha.pardeshi@spes.in Reference Are Highly appreciated!!!!!

Job Title: MBBS Medical expert- Claim & Insurance (Claim Adjudication & Medical Auditor) Location: Delhi/NCR Key Responsibilities Review and adjudicate medical claims for accuracy, completeness, and compliance with established guidelines and protocols. Evaluate clinical documentation and medical necessity to ensure appropriate utilization and minimize fraudulent claims. Support the development and implementation of medical audit frameworks and tools. Collaborate with internal teams, insurers, and government stakeholders for scheme design and policy formulation. Analyze claim trends, identify irregularities, and propose corrective and preventive actions. Provide expert insights and recommendations on complex medical claims and health benefits adjudication. Contribute to the design and delivery of training programs related to claims processing, auditing, and compliance. Assist in drafting SOPs, process manuals, and operational guidelines for public health insurance schemes. Participate in healthcare policy evaluation, scheme monitoring, and audit assignments for state and national-level projects. Required Qualifications & Skills Essential: MBBS from a recognized university. Minimum 3 years and 7 years of post-qualification experience in the healthcare or health insurance sector. Health insurance or underwriting. Healthcare practice or claim processing/medical insurance services. Healthcare schemes or claims management/medical auditing. Strong analytical skills with an investigative approach to claim validation. Knowledge of ICD codes, medical billing, and healthcare regulations. Desirable: MD from a recognized university or institute. Proven experience in health insurance, medical underwriting, claims adjudication, or medical audit. Familiarity with government-sponsored health schemes (e.g., PM-JAY, state insurance programs). Strong analytical mindset with attention to detail and a structured investigative approach. Proficiency in using health claims management systems and audit tools. Excellent written and verbal communication skills. KPMG India has a policy of providing equal opportunity for all applicants and employees regardless of their color, caste, religion, age, sex or gender, national origin, citizenship, sexual orientation, gender identity or expression, disability, or other legally protected status. As an equal opportunity employer, KPMG is committed to fostering a culture where everyone feels welcomed and is treated fairly. If you have any reasonable accessibility or accommodation requirement that will make you more comfortable during the assessment and recruitment process, please let us know and our Talent Acquisition colleague will connect with you

Role : Subject Matter Expert (SME) Provider Management ( Healthcare Insurance)- InsuranceTech Location : Mumbai / Pune ( with International Project Travelling) Job Summary: Role Summary We are looking for a Provider Management SME with strong domain expertise and hands-on experience in configuring and implementing provider platforms for health insurers. This role supports requirement gathering, gap analysis, and configuration planning, working closely with product teams and senior SMEs. Key Responsibilities : Assist in requirement discovery sessions with hospitals, clinics, and payer stakeholders. Define and document provider onboarding workflows, credentialing processes, and tariff configuration. Support platform configuration and user story creation aligned with business needs. Provide input for provider contract management features and compliance needs. Collaborate with technical teams to validate data structures and interface specifications. Educational Qualification / Work Experience & Skills : PG / MBA / BE / B.Tech with 6+ years in health insurance or healthcare provider domain. Familiarity with provider contracting, credentialing, package/tariff management, and SLA compliance. Experience working with provider portals or network management systems. Understanding of regulatory considerations in APAC. Strong functional documentation skills and platform thinking.

MNC Role & responsibilities : 1. Complete Individual Targets Assigned 2. Build relationships with clients to encourage trust and loyalty. 3. Identify customer needs and recommend suitable insurance products. Contact Details: HR HARSH JEENA - 8130381069 HR KOMAL VERMA - 9311024437

Job Summary We are hiring for Customer Service International Voice Process focused on the US Healthcare domain . You will be responsible for resolving customer queries via calls, assisting with claims, benefits, authorizations, and billing inquiries, while ensuring compliance with US healthcare regulations and delivering an exceptional experience. Role & responsibilities Respond to inbound and outbound calls related to healthcare insurance, claims, billing, and eligibility. Assist US-based members and providers with accurate and timely information. Maintain a strong understanding of healthcare benefits, medical terminology, and insurance workflows. Accurately document customer interactions and transactions in the system. Ensure HIPAA compliance and protect patient privacy at all times. Meet and exceed key performance metrics including quality, customer satisfaction (CSAT), and Average Handling Time (AHT). Collaborate with internal teams for escalation resolution and process improvement. Help guide and educate customers about the fundamentals and benefits of consumer-driven health care topics to select the best benefit plan options, maximize the value of their health plan benefits and choose a quality care provider Contact care providers (doctor's offices) on behalf of the customer to assist with appointment scheduling or connections with internal specialists for assistance Assist customers in navigating the member website, and other websites while encouraging and re-assure them to become self-sufficient Preferred candidate profile Freshers graduated in 2022,23,24 & 25 are eligible for the role. Minimum 6 months to 3 years of experience in international voice process. Excellent verbal and written communication skills in English. Strong interpersonal skills with the ability to remain patient and empathetic. Comfortable working night shifts and rotational offs. Basic computer literacy and typing skills. Experience with international healthcare insurance processes (e.g., claims adjudication, EOB, authorizations). Knowledge of HIPAA regulations. Graduate in any stream (preferably Life Sciences, Healthcare, or related fields). Undergraduates with relevant BPO experience are eligible to apply Knowledge of billing practices and procedures preferred Proficiency with word processing and spreadsheet software and required Perks & Benefits Paid training and continuous development Cab Facility (Pick Up & Drop) or Transport Allowance Medical Insurance Life Insurance

It is transforming commercial underwriting through intelligent document processing. Our AI-powered platform automates data extraction and enrichment across loss runs, ACORDs, and other underwriting documents, helping insurers reduce time-to-quote.

About Client Hiring for One of the Top most Prestigious Multinational Corporations!!! Job Title : Senior Process Analyst / Health care / RCM / Denial Management / Provider Side Qualification : Any Graduate Experience : 4+ years Skills Required : Good communication skills Healthcare AR Calling Denial Management Provider Side RCM Physician Billing / Ambulance Billing / Hospital Billing - Medical billing Roles and Responsibilities : 1. Act as the primary point of contact for the branch (US onshore), providing comprehensive support. 2. Understand and implement US Health Insurance regulatory standards, guidelines, policies, and procedures. 3. Ensure end-to-end support of the policy lifecycle services. 4. Assume the role of Client Associate (~35 accounts) at the branch. 5 . Conduct end-to-end renewal activities as a US Health Insurance domain expert. 6. Coordinate with internal operations teams to complete renewal activities on time. 7. Handle queries effectively to minimize rework at the service center. 8. Identify risks and issues and navigate them to successful resolution. 9. Maintain strong time management and organizational skills. 10. Foster a positive relationship with onshore branch staff to enhance the overall customer experience. 11. Understand and complete renewal activities documentation, including Census, SBC, SPD, Carrier Proposals, Enrollment Materials, Contracts, Certificates, and Policies. Location : Mumbai / Bangalore CTC Range : Upto 10 LPA (lakh per annum) Notice period : Immediate to 30 days Shift Timings : US Shift Mode of Interview : Virtual Mode of Work : Hybrid -- Thanks & Regards, Niveditha HR Analyst Black and White Business Solutions Pvt Ltd Bangalore, Karnataka, INDIA. Direct Number: 08067432479| Whatsapp : 9901039852 niveditha.b@blackwhite.in | www.blackwhite.in ************************PLEASE REFER YOUR FRIENDS***********************

About Client Hiring for One of the Top most Prestigious Multinational Corporations!!! Job Title : Senior Process Analyst / Health care Qualification : Any Graduate Experience : 4 to 8 years Skills Required : Good communication skills Healthcare AR Calling Denial Management Provider Side RCM Physician Billing / Ambulance Billing / Hospital Billing - Medical billing Roles and Responsibilities : 1. Act as the primary point of contact for the branch (US onshore), providing comprehensive support. 2. Understand and implement US Health Insurance regulatory standards, guidelines, policies, and procedures. 3. Ensure end-to-end support of the policy lifecycle services. 4. Assume the role of Client Associate (~35 accounts) at the branch. 5 . Conduct end-to-end renewal activities as a US Health Insurance domain expert. 6. Coordinate with internal operations teams to complete renewal activities on time. 7. Handle queries effectively to minimize rework at the service center. 8. Identify risks and issues and navigate them to successful resolution. 9. Maintain strong time management and organizational skills. 10. Foster a positive relationship with onshore branch staff to enhance the overall customer experience. 11. Understand and complete renewal activities documentation, including Census, SBC, SPD, Carrier Proposals, Enrollment Materials, Contracts, Certificates, and Policies. Location : Mumbai / Bangalore CTC Range : Upto 10 LPA (lakh per annum) Notice period : Immediate to 30 days Shift Timings : US Shift Mode of Interview : Virtual Mode of Work : Hybrid -- Thanks & Regards, Manasa HR Analyst Black and White Business Solutions Pvt Ltd Bangalore, Karnataka, INDIA. Direct Number: 08067432421| Whatsapp : 9535352972 manasa.s@blackwhite.in | www.blackwhite.in ************************PLEASE REFER YOUR FRIENDS***********************

About Client Hiring for One of the Top most Prestigious Multinational Corporations!!! Job Title : Senior Process Analyst / Health care Qualification : Any Graduate Experience : 4 to 8 years Skills Required : Good communication skills Healthcare AR Calling Denial Management Provider Side RCM Physician Billing / Ambulance Billing / Hospital Billing - Medical billing Roles and Responsibilities : 1. Act as the primary point of contact for the branch (US onshore), providing comprehensive support. 2. Understand and implement US Health Insurance regulatory standards, guidelines, policies, and procedures. 3. Ensure end-to-end support of the policy lifecycle services. 4. Assume the role of Client Associate (~35 accounts) at the branch. 5 . Conduct end-to-end renewal activities as a US Health Insurance domain expert. 6. Coordinate with internal operations teams to complete renewal activities on time. 7. Handle queries effectively to minimize rework at the service center. 8. Identify risks and issues and navigate them to successful resolution. 9. Maintain strong time management and organizational skills. 10. Foster a positive relationship with onshore branch staff to enhance the overall customer experience. 11. Understand and complete renewal activities documentation, including Census, SBC, SPD, Carrier Proposals, Enrollment Materials, Contracts, Certificates, and Policies. Location : Mumbai CTC Range : Upto 10 LPA (lakh per annum) Notice period : Immediate to 30 days Shift Timings : US Shift Mode of Interview : Virtual Mode of Work : Hybrid -- Thanks & Regards, Chaitanya HR Analyst Black and White Business Solutions Pvt Ltd Bangalore, Karnataka, INDIA. Direct Number: 08067432422| Whatsapp : 8431371654 Chaitanya.d@blackwhite.in | www.blackwhite.in ************************PLEASE REFER YOUR FRIENDS***********************

Job Title : Senior Process Analyst/US Healthcare Qualification : Any Graduate Experience : 4 to 8 years Must Have Skills : Excellent Communication skills Good to Have Skills : US Healthcare AR Calling Denial Management Voice Process RCM Provider Side Physician Billing / Ambulance Billing / Hospital Billing - Medical billing Roles and Responsibilities : 1. Act as the primary point of contact for the branch (US onshore), providing comprehensive support. 2. Understand and implement US Health Insurance regulatory standards, guidelines, policies, and procedures. 3. Ensure end-to-end support of the policy lifecycle services. 4. Assume the role of Client Associate (35 accounts) at the branch. 5 . Conduct end-to-end renewal activities as a US Health Insurance domain expert. 6. Coordinate with internal operations teams to complete renewal activities on time. 7. Handle queries effectively to minimize rework at the service center. 8. Identify risks and issues and navigate them to successful resolution. 9. Maintain strong time management and organizational skills. 10. Foster a positive relationship with onshore branch staff to enhance the overall customer experience. 11. Understand and complete renewal activities documentation, including Census, SBC, SPD, Carrier Proposals, Enrollment Materials, Contracts, Certificates, and Policies. Location : Mumbai CTC Range : 10 LPA (lakh per annum) Notice period : Immediate to 30 days Shift Timings : US Shift Mode of Interview : Virtual Mode of Work : Hybrid -- Thanks & Regards, Lakshmi PS HR Analyst Black and White Business Solutions Pvt Ltd Bangalore, Karnataka, INDIA. Direct Number: 08067432469| WhatsApp : 7892150019 lakshmi.p@blackwhite.in | www.blackwhite.in ************************PLEASE REFER YOUR FRIENDS***********************

Position: Assistant Vice President Financial Planning & Analysis (FP&A) GPO Location: Noida, India Work Shift: NAM Shift Evening (06:30 PM to 02:30 AM) Role Type: Individual Contributor About the Organization Join a world-leading technology-driven professional services and solutions provider that partners with top global enterprises to transform business operations. Leveraging the power of AI, automation, and advanced analytics, we help organizations across industries achieve sustainable growth and operational excellence. Our teams of bold thinkers and innovators are shaping the future of work every day. Role Overview We are seeking a highly accomplished finance professional to lead the Analytics pillar within the corporate finance function. In this individual contributor role, you will partner with senior stakeholders across multiple functions to develop financial strategies, deliver actionable insights, and drive decision-making through advanced analytics. Extensive experience working with insurance or healthcare domain clients is essential. Key Responsibilities Partner with corporate finance, business finance, and controllership teams to synthesize financial data, generate insights, and deliver impactful analytics across P&L, balance sheet, sales metrics, and cash flows. Prepare and review operating plans, budgets, forecasts, and outlook reports. Lead management reporting, including MIS, revenue and cost analysis, and variance analysis with detailed commentary. Provide stakeholders with clear, fact-based narratives that support decision-making. Conduct scenario building, competition analysis, and what-if modeling to assess the financial impact of business decisions. Act as a strategic advisor, challenging assumptions and presenting insights that improve business performance. Qualifications Chartered Accountant (CA), Cost Accountant (CMA), Chartered Financial Analyst (CFA), or MBA Finance from a recognized institution. Proven experience in FP&A, preferably in the insurance or healthcare domain. Strong expertise in analytics and management reporting. Proficiency with tools such as Power BI, Excel (including macros), and presentation frameworks. Excellent storytelling ability, executive presence, and stakeholder management skills. Commercial acumen and attention to detail. What We Offer Opportunity to work on high-impact projects at the intersection of AI, analytics, and finance. Exposure to global business leaders and strategic decision-making processes. Career growth supported by mentorship and continuous learning. A collaborative, values-driven culture that celebrates innovation, courage, and curiosity.

Position: Assistant Vice President Record to Report (R2R) GPO Location: Noida, India Work Shift: NAM Shift - Evening (06:30 PM to 02:30 AM) Role Type: Individual Contributor About the Organization Join a world-leading technology-driven professional services and solutions provider that partners with top global enterprises to transform the way they work. Harnessing the power of AI, automation, and deep domain expertise, we help organizations across industries work smarter, scale faster, and achieve sustainable growth. Our teams are bold thinkers and innovators who shape the future of work every day. Role Overview We are seeking an accomplished finance leader to head our Record to Report (R2R) operations within the Global Process Owner (GPO) framework. This high-impact, individual contributor role requires driving operational excellence, implementing transformative solutions, and building strong client relationships while influencing large-scale finance operations across multiple geographies. Extensive experience working with clients in the insurance or healthcare domain is a must. Key Responsibilities Manage and oversee R2R operations including General Accounting, Fixed Assets, Intercompany, and Account Reconciliation. Lead month-end, quarter-end, and year-end close activities, ensuring accuracy and timeliness. Drive process improvement initiatives leveraging Lean Six Sigma, automation, and digital tools. Collaborate with global leaders to develop and commercialize innovative service offerings. Own client service delivery and P&L accountability, ensuring client satisfaction and sustainable growth. Participate in solutioning, pricing, due diligence, transition, and stabilization for new deals. Identify performance gaps, develop actionable improvement strategies, and ensure successful execution. Partner with cross-functional teams including Operations, Digital, Transformation, and Transitions. Qualifications Qualified Chartered Accountant / Master's in Finance / MBA from premier institutes. Proven track record in R2R operations within the services industry. Extensive experience working with insurance or healthcare domain clients. Strong ERP and workflow tool expertise. Executive presence with outstanding stakeholder engagement capabilities. Analytical mindset with intellectual agility. Preferred: Experience in transformation projects, robotics/automation implementation, and global process ownership. What We Offer Opportunity to work at the cutting edge of AI, automation, and digital innovation. Collaborative environment with global leaders and industry experts. Career acceleration through mentorship and continuous learning. Inclusive, values-driven culture that celebrates innovation, courage, and curiosity.

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 fields) Languages:- English & Hindi would be mandatory. Telugu, Kannada, Tamil, Malayalam would be a plus Salary:- Upto 25k inhand HR Contact Details:- HR Mahek Contact No:- 7559401618

Business Analyst 1. Proven work experience as a Business Analyst for a minimum of 3-4 years. 2. Healthcare Application knowledge or work experience in the Healthcare business are added advantage. 3. Leading reviews of business processes and developing optimization strategies. 4. Formulate ways for businesses to improve, based on previous research. 5. Effectivity in communicating the insights and plans to team members, management and the client. 6. Prioritizing initiatives based on business needs and requirements. 7. Exceptional analytical and conceptual thinking skills. 8. Ability to influence stakeholders and work closely with them to determine acceptable solutions 9. Competency across Microsoft applications including Word, Excel, Presentations and other architectural tools used in Analysis Skills: Basic Knowledge of Health Care workflow is mandatory. Experience in Product implementation is desirable. In-depth expertise in healthcare insurance.

Job Responsibilities: US Recruitment End to End Life Cycle of recruitment from requirement to on boarding of candidates. Sourcing the candidate from various sources like Portals, Database, references etc. Evaluation of the candidate for the requirements based on Skills, functionality, domain, experience, qualifications. Build & sustain the network of potential candidates. Negotiate compensation, extend offers, facilitate the placement of candidates, and solicit referrals of other qualified consultants. Submit qualified candidates to open job requirements. Meet or exceed weekly goal expectations. Would be responsible for effective usage of Internal Systems/Database for recording different stages in recruitment process. Above all that mentioned in the job description we are looking for someone with good communication skills & a committed team player. Working days: Monday to Friday (Saturday and Sunday fixed off) Other Benefits & Perks Both Side Cabs (No cabs in Vadodara) Medical + Accidental insurance Recurring incentives Rewards & Recognition Programs- monthly, annually International Trips for TOP PERFORMERS

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 operations teams to complete renewal activities on time. Handle queries effectively to minimize rework at the service center. Identify risks and issues and navigate them to successful resolution. Maintain strong time management and organizational skills. Foster a positive relationship with onshore branch staff to enhance the overall customer experience. Strong time management and organizational skills; ability to work independently and effectively managing multiple tasks at once Preferred candidate profile : Skills and Competencies • Excellent Written and Oral communication skills • Advanced computer skills (Outlook, Word, Excel, PowerPoint). • Interpersonal skills to foster strong relationships. • Insurance domain knowledge. • Proactive and self-reliant approach to problem-solving. • Strong organizational and time-management skills Perks and benefits : Night Shift Allowance 2 ways cabs

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 operations teams to complete renewal activities on time. Handle queries effectively to minimize rework at the service center. Identify risks and issues and navigate them to successful resolution. Maintain strong time management and organizational skills. Foster a positive relationship with onshore branch staff to enhance the overall customer experience. Strong time management and organizational skills; ability to work independently and effectively managing multiple tasks at once Preferred candidate profile : Skills and Competencies • Excellent Written and Oral communication skills • Advanced computer skills (Outlook, Word, Excel, PowerPoint). • Interpersonal skills to foster strong relationships. • Insurance domain knowledge. • Proactive and self-reliant approach to problem-solving. • Strong organizational and time-management skills Perks and benefits : Night Shift Allowance 2 ways cabs

Job Summary: We are seeking a skilled and detail-oriented Subject Matter Expert with experience in handling insurance denials and AR follow-up. The ideal candidate will be proficient in using health insurance portals, EHR systems, and have hands-on experience with Advanced MD software. A strong background in healthcare billing and collections is essential for success in this role. Responsibilities: Utilize Advanced MD software to manage and process accounts receivable for healthcare services. Charge posting and payment posting. Ensure accurate and timely billing submissions to insurance companies and patients. Follow up on outstanding claims and denials to maximize collections. Review and reconcile payments received against outstanding accounts. Generate reports from Advanced MD to analyze billing and collection trends. Work closely with the billing team to resolve any discrepancies or issues in billing. Maintain compliance with healthcare regulations and standards. Identify and implement process improvements to streamline billing and collection procedures. Communicate effectively with patients, insurance companies, and internal stakeholders regarding billing inquiries. Requirements: 3-5 years of experience in insurance denial and insurance calling. In-depth knowledge and hands-on experience with Advanced MD software is preferred. Strong understanding of medical billing processes, including insurance claims and reimbursements. Excellent analytical and problem-solving skills. Ability to work independently and as part of a team in a fast-paced environment. Detail-oriented with a commitment to accuracy. Effective communication skills, both verbal and written.