4 Insurance Terminology Jobs

The Insurance Eligibility and Benefit Verification Specialist is responsible for verifying patient insurance eligibility and benefits prior to medical services being provided. You will ensure that accurate insurance information is obtained and communicated to the medical providers, ensuring smooth billing processes and reducing the likelihood of claim denials or delays. Your role plays a critical role in the revenue cycle management for healthcare providers. As an Insurance Eligibility and Benefit Verification Specialist, your responsibilities and duties will include verifying patient insurance eligibility and benefits through online portals or direct communication with insurance carriers. You will collaborate with healthcare providers to obtain prior authorizations for medical procedures and treatments, resolve discrepancies in insurance information, and address coverage issues promptly. Effective communication with patients regarding their insurance coverage and financial responsibilities is also a key aspect of this role. Preferred skills for this position include a strong understanding of insurance terminology, medical coding (CPT, ICD-10, HCPCS), and insurance plans. Proficiency with medical billing software, Electronic Health Records (EHR) systems, and online insurance portals is highly desirable. Excellent written and verbal communication skills are necessary, with the ability to interact professionally with patients, insurance companies, and healthcare providers. Being detail-oriented, organized, and able to manage multiple tasks in a fast-paced environment is crucial. Knowledge of HIPAA and other healthcare privacy and compliance standards, as well as experience with Medicare, Medicaid, PPO, HMO, and commercial insurance plans, are advantageous. This is a full-time, permanent position with night shift and US shift schedules. The work location is in person. If you meet the qualifications and are interested in this opportunity, please share your resume on the provided contact number +91 6355320395.,

You will be joining BeeperMD as a Patient Calling Specialist in the US Healthcare Revenue Cycle Management team. Your primary responsibility will involve communicating with patients post-billing to address outstanding balances and resolve accounts receivable issues related to insurance coverage. Your key responsibilities will include investigating and resolving accounts delayed due to coverage issues such as coordination of benefits and eligibility denials. You will collaborate with internal teams including billing, coding, and AR follow-up to ensure accurate resolution of patient accounts. It is essential to document all interactions and follow-up actions in the patient management system while maintaining strict HIPAA compliance and handling patient data with utmost confidentiality. To excel in this role, you should possess 2 to 5 years of experience in US healthcare RCM focusing on patient collections and AR follow-up. A strong grasp of insurance terminology and common coverage-related denials is crucial. Excellent communication and negotiation skills with a patient-centric approach are necessary. Familiarity with EMR/EHR and billing systems such as Epic, Athena, NextGen, etc., will be advantageous. Additionally, the ability to multitask, prioritize in a fast-paced environment, demonstrate attention to detail, and exhibit strong problem-solving skills are highly valued qualities.,

Greetings from Infosys BPM Ltd., We are currently looking to hire a Senior Process Executive / Process Specialist for our Bangalore location. This is a full-time position where you will be responsible for performing simple to medium back-office transactions for insurance clients (Life/P&C). Additionally, you will handle customer queries via email and ensure the accuracy and timeliness of all transactions. You should be able to process complex transactions, interpret insurance policy documents, and audit work done by processors to improve quality. As a part of your role, you will work on MIS regarding operations handled, update SOPs periodically, and maintain knowledge of changing products, procedures, and industry trends. You will be expected to proactively identify and escalate any issues that may impact service delivery to your reporting manager. Preferred skills for this role include knowledge of insurance terminology, basic insurance principles, quota share and excess of loss reinsurance, insurance claims, and technical accounting. If you are interested in this opportunity, please share your resume along with the following details to cs.elakiyadhevi@infosys.com: - Name - Email & Mobile Number - Graduation - Date Of Birth - Post-Graduation (If applicable) - Total experience - Relevant experience - Current/Previous Company name - Current CTC - Expected CTC - Notice period Preference will be given to immediate joiners. Infosys BPM is an equal opportunity employer that celebrates diversity and is committed to creating an inclusive environment for all employees. Thank you and Regards, Talent Acquisition Team Infosys BPM Ltd,

We are seeking a Dutch Language Specialist to support our client, a UK-based company specializing in P&C Insurance. The role involves, interpreting insurance-related documents, processing in client systems and communicating with Dutch-speaking client stakeholders. The ideal candidate should be fluent in Dutch and English, preferably with a good grasp of insurance terminology. Key Responsibilities: Processing Submissions, Risk Entry and Endorsements in client application Support client communication and documentation for Dutch-speaking regions. Perform quality audits and checks with precision, ensuring adherence to internal and client quality standards. Maintain 100% productivity with complete focus and dedication to work, consistently exceeding expectations without deviation from work responsibilities. Provide swift and accurate responses to queries, showcasing a strong sense of responsibility and urgency in all communications. Exhibit consistent punctuality and professionalism in deliverables and interactions, serving as a role model for peers. B2 Certified in Dutch