44 Insurance Processes Jobs

As a Billing Head in the Hospital Industry at Areekode, you will be responsible for overseeing and managing all billing operations. Your role will involve supervising inpatient, outpatient, and insurance billing processes to ensure accuracy and compliance. You will coordinate with departments to resolve billing discrepancies and monitor revenue cycle performance to minimize claim rejections. Managing the billing team's performance, training, and scheduling will also be part of your key responsibilities. Additionally, you will prepare daily/monthly billing and revenue reports for management review. Key Responsibilities: - Supervise inpatient, outpatient, and insurance billing processes. - Ens...

Role Overview: As a full-time on-site Mediclaim Executive at the Baramati location, you will be responsible for processing insurance claims and ensuring the smooth functioning of insurance-related processes. Your main tasks will include verifying patient information, coordinating with insurance companies, resolving claim disputes, maintaining accurate records, and communicating with patients regarding their insurance coverage and benefits. Additionally, you will need to ensure compliance with relevant regulations and provide exceptional customer service. Key Responsibilities: - Verify patient information accurately - Coordinate with insurance companies - Resolve claim disputes - Maintain acc...

As a TPA Executive and Corporate Relations at CNS Hospital Patna, your role will involve managing Third Party Administrator (TPA) relationships, overseeing corporate relations, and coordinating with insurance agencies. You will be responsible for maintaining strong communication skills and building relationships with various stakeholders. Your experience in TPA management and corporate relations will be crucial in ensuring smooth operations. Knowledge of insurance processes and regulations is essential to excel in this role. Your problem-solving and decision-making skills will be put to test in resolving complex issues efficiently. The ability to work well in a team as well as independently ...

As a Life Insurance Process at Bimarkart in Mumbai, your role involves managing various tasks related to life insurance processes. Your responsibilities will include handling insurance sales, providing exceptional customer service, and dealing with the financial aspects of insurance. Additionally, you will be responsible for processing insurance claims, maintaining accurate records, and ensuring compliance with regulatory standards. Key Responsibilities: - Manage insurance sales effectively - Provide excellent customer service - Handle financial aspects of insurance - Process insurance claims efficiently - Maintain accurate records - Ensure compliance with regulatory standards Qualifications...

Role- Facility Executive Role Summary We are looking for a dedicated and organized Facility executive to handle end-to-end responsibilities across travel management, facilities administration, employee support, and front office operations. The ideal candidate will bring strong communication skills, attention to detail, and the ability to manage multiple priorities while ensuring seamless employee and visitor experiences. Key Responsibilities Travel & Accommodation Arrange domestic and international hotel bookings for employees and visitors. Prepare covering letters and invitation letters for visa and travel purposes. Manage domestic ticketing, liaising with travel partners for optimal option...

Role Overview: As a skilled Business Analyst with a strong background in the Life Insurance sector and excellent communication skills, you will play a key role in gathering business requirements, analyzing processes, and supporting the development of solutions. Your main responsibility will be to ensure that business needs are clearly understood and addressed, offering technical support and maintaining strong documentation throughout the project lifecycle. Key Responsibilities: - Work closely with clients and technical teams to gather business requirements - Analyze processes and support the development of solutions - Ensure that business needs are clearly understood and addressed - Offer su...

As an Occupational Health Coordinator at 5tekmedical in Mohali, you will be a vital member of the Revenue Cycle Management team. Your role involves managing corporate and patient billing processes, ensuring accurate coding, and maintaining effective communication with companies, patients, and insurance providers. Key Responsibilities: - Perform accurate coding for corporate accounts and post corporate checks. - Manage corporate accounts receivable and address any billing issues or discrepancies. - Respond to company inquiries regarding billing and account statements. - Post patient checks, handle NSF check returns, and initiate patient billing for returned checks. - Address patient billing i...

Role Overview: As a Senior Business Development Associate in the Healthcare industry, your primary role will involve developing B2B partnerships with insurance companies and Third-Party Administrators (TPAs). You will be responsible for building and maintaining strategic partnerships to expand the company's service reach. Key Responsibilities: - Establishing B2B partnerships with insurance companies and TPAs. - Driving collaboration efforts to integrate healthcare services into insurance plans and packages. - Conducting business negotiations and securing profitable agreements with insurance providers. - Developing and implementing strategies to engage corporates for wellness programs, group ...

As an Eligibility & Verification Specialist, your role will involve verifying patients" insurance coverage and eligibility for services. You will be responsible for ensuring that all necessary pre-authorization and insurance requirements are met before service delivery to reduce denials and optimize reimbursement. Your attention to detail, excellent communication skills, and solid understanding of insurance processes and regulations will be crucial for success in this role. Key Responsibilities: - Ensure required authorizations or referrals are obtained before services are rendered. - Accurately update insurance information and verification notes in the patient management system. - Collabora...

As a Cashless Claims Specialist in the healthcare industry, your main responsibility will be to manage and handle claims efficiently. Your daily tasks will include verifying and processing claims accurately, as well as coordinating with insurance companies. Your role will also involve analyzing claims thoroughly and communicating with clients and other stakeholders to resolve any issues related to claims. Key Responsibilities: - Manage and handle cashless claims in the healthcare sector - Ensure accurate and efficient processing of claims - Liaise with insurance companies for claim settlements - Analyze claims for proper evaluation - Maintain communication with clients and stakeholders to re...

You are eagerly looking for a meticulous Denial Coder to be a part of the team. Your responsibilities will include reviewing and analyzing denied claims to identify errors, assigning appropriate codes for resolution, documenting findings, maintaining records, and actively participating in audits to enhance processes. Your qualifications should ideally include a Bachelor's degree in health information management or a related field, certification as a Certified Professional Coder (CPC) or similar, a minimum of 5 years of experience in medical coding and claims denial management, proficiency in medical terminology, coding guidelines, and insurance processes, exceptional analytical skills, and e...

As a Medical Billing Clerk in Mumbai, your role will involve processing medical claims, ensuring accurate billing using correct medical codes, handling denials and appeals, and collaborating with insurance providers such as Medicare. You will manage patient billing records, verify insurance coverage, and maintain compliance with industry regulations. Key Responsibilities: - Process medical claims accurately - Utilize correct medical codes for billing - Handle denials and appeals efficiently - Collaborate with insurance providers, including Medicare - Manage patient billing records - Verify insurance coverage - Maintain compliance with industry regulations Qualifications Required: - Knowledge...

Role Overview: As a Referral & Loyalty RM/TL at Bonito Designs located in Mumbai, your primary responsibility will be to manage and maintain relationships with clients, oversee loyalty programs, and ensure customer satisfaction. You will handle customer inquiries, process prior authorizations, and coordinate with insurance providers. Your role will also involve using medical terminology and providing excellent customer service to enhance the client experience. Key Responsibilities: - Manage and maintain relationships with clients - Oversee loyalty programs - Ensure customer satisfaction - Handle customer inquiries - Process prior authorizations - Coordinate with insurance providers - Use med...

Job Description About KPMG in India KPMG entities in India are professional services firm(s). These Indian member firms are affiliated with KPMG International Limited. KPMG was established in India in August 1993. Our professionals leverage the global network of firms, and are conversant with local laws, regulations, markets and competition. KPMG has offices across India in Ahmedabad, Bengaluru, Chandigarh, Chennai, Gurugram, Jaipur, Hyderabad, Jaipur, Kochi, Kolkata, Mumbai, Noida, Pune, Vadodara and Vijayawada. KPMG entities in India offer services to national and international clients in India across sectors. We strive to provide rapid, performance-based, industry-focused and technology-e...

As an experienced AR Caller in Physician Billing, your role will involve executing the medical insurance claim denial appeal process and assisting in maximizing insurance reimbursement for the healthcare practice. Key Responsibilities: - Execute the medical insurance claim denial appeal process. - Help maximize insurance reimbursement for the healthcare practice. Qualifications Required: - Prior experience in accounts receivable or a related role in the healthcare industry. - Strong understanding of medical billing and insurance processes. - Excellent attention to detail and problem-solving skills. - Strong communication and customer service skills. - Proficiency in using healthcare billing ...

Role Overview: As an Insurance Coordinator in Daund, your primary responsibility will be managing insurance claims, liaising with health insurance providers, and overseeing patient insurance information. You will play a crucial role in providing exceptional customer service, addressing insurance-related inquiries, and ensuring the accurate and timely processing of insurance claims. Effective communication with patients and insurance companies will be key to resolving any issues or discrepancies that may arise. Key Responsibilities: - Manage insurance claims and ensure timely processing - Liaise with health insurance providers to facilitate smooth transactions - Oversee patient insurance info...

Role Overview: As a Relationship Manager in the Banca Channel team, your main responsibility will be to collaborate with bank branches, cross-sell life insurance products to existing customers, and achieve sales targets. If you are passionate about sales, customer relationships, and achieving targets, this role is a perfect fit for you. Key Responsibilities: - Collaborate with bank branches to identify potential customers. - Cross-sell life insurance products to existing bank customers. - Achieve and exceed sales targets. - Establish strong relationships with bank branch managers and staff. - Work closely with the bank to generate leads and referrals. - Provide excellent customer service and...

As a Used Car Loan Officer at Nxcar, you will play a crucial role in assisting customers with used car loan applications, guiding them through the loan process, and ensuring accurate completion of all loan documentation. Your responsibilities will include evaluating loan applications, conducting customer credit checks, providing exceptional customer service, and collaborating with sales and insurance departments. Additionally, you will have the opportunity to train new team members and ensure compliance with regulatory requirements. Key Responsibilities: - Assist customers with used car loan applications - Guide customers through the loan process - Ensure thorough and accurate completion of ...

As a Business Process Outsourcing company specializing in transcription, billing, and document management services for medical clinics and physicians, your role at Macro Outsourcing will involve handling various responsibilities related to medical billing and coding. Your main duties will include: - Coding patient records using ICD-10 - Managing insurance claims and addressing denials - Ensuring compliance with Medicare guidelines - Verifying the accuracy of medical terminology - Coordinating with other departments to ensure smooth workflow processes To excel in this role, you will need to possess the following qualifications: - Knowledge of Medical Terminology - Experience with Denials and ...

Join Our Team as a Health Insurance Claims Representative! We are seeking a dedicated Health Insurance Claims Representative to join our team in Vadodara. As a Health Insurance Claims Representative, you will play a crucial role in ensuring smooth claim experiences for our customers. Your responsibilities will include processing and evaluating health insurance claims with accuracy and fairness, verifying policy coverage and supporting documents, and coordinating with hospitals, third-party administrators (TPAs), and policyholders for seamless claim settlement. You will be responsible for maintaining records, following up on pending claims to ensure timely resolution, and communicating effect...

We are seeking passionate individuals to join our team in Chennai, Ahmedabad, and Jodhpur as Retail Associates in Sales. As a Retail Associate, your responsibilities will include assisting with daily operations and sales execution, supervising and guiding a team of 10-15 Field Sales Executives to meet sales targets, engaging customers and recommending vehicles, coordinating deal closures, maintaining inventory, and supporting cross-selling and up-selling efforts. Additionally, we are looking for Retail Store Managers in Sales for our Chennai, Ahmedabad, and Jodhpur locations. As a Retail Store Manager, you will be responsible for managing the store's P&L, leading a team of 10-20 employees, a...

You are invited to apply for the position of Principal Consultant- Data Engineer Reporting (Insurance Domain) at Genpact. As a motivated Data Engineer, you will be responsible for building and maintaining data pipelines, transforming complex insurance data, and delivering high-quality datasets for analytics and reporting. Your role will require technical expertise, a deep understanding of insurance processes such as underwriting, claims, and premiums, as well as hands-on experience with data visualization tools like Power BI. Key Responsibilities Data Integration & Transformation: Design and develop ETL/ELT pipelines for processing insurance data, ensuring data integrity, accuracy, and timel...

Line of Service Advisory Industry/Sector Not Applicable Specialism Data, Analytics & AI Management Level Senior Associate Job Description & Summary At PwC, our people in data management focus on organising and maintaining data to enable accuracy and accessibility for effective decision-making. These individuals handle data governance, quality control, and data integration to support business operations. In data governance at PwC, you will focus on establishing and maintaining policies and procedures to optimise the quality, integrity, and security of data. You will be responsible for optimising data management processes and mitigate risks associated with data usage. *Why PWC At PwC, you will...

Company Description CombineHealth specializes in AI-powered revenue cycle transformation for healthcare providers. Our enterprise-grade AI solutions are designed for end-to-end revenue cycle management, automating workflows, enhancing team productivity, and improving cash flow. We serve hospitals, physician groups, and healthcare service providers, all while maintaining SOC 2 & HIPAA compliance. Our clients report a 30-50% improvement in turnaround and collections with our custom-built AI agents. Role Description This is a full-time on-site role for a Medical Biller located in Bengaluru. The Medical Biller will be responsible for handling medical billing tasks, including processing insurance...

You will be responsible for developing and analyzing Guidewire applications in a fast-paced environment. The ideal candidate should have at least 5 years of experience and be able to start immediately or within 10 days. Your main responsibilities will include working on Guidewire Policy Center, Claim Center, and Billing Center applications. For the Guidewire Policy Center Developer role, you should have expertise in Gosu, configurations, workflows, and integrations. As a Guidewire Policy Center Business Analyst, you will focus on requirements gathering, documentation, and insurance processes. For the Guidewire Claim Center Developer position, you should be proficient in FNOL, claims flow, bu...