HC & Insurance Operations Senior Rep

Position's General Duties and TasksIn these roles you will be responsible for: Performing actions based on the EOB, Insurance wesbites to collect outstanding Accounts Receivables. Identify the outstanding claims with payers through the reports from clients and check website and imaging application with regard to outstanding claims and document the details in...

In this Role you will be Responsible ForProcessing member enrollment and change forms, including data entry Verifying proper completion of enrollment and change documentation. Requesting and verifying information as needed to expedite enrollment. Verifying payments, process adjustments, refunds and perform reconciliation of accounts Ensuring accurate and...

Experience in claims adjudication requiredKnowledge of Appeals & Adjustment process is mandatoryMinimum of 3 years of experience required

In these roles you will be responsible for: Performing actions based on the EOB, Insurance wesbites to collect outstanding Accounts Receivables. Identify the outstanding claims with payers through the reports from clients and check website and imaging application with regard to outstanding claims and document the details in the client software for claims...

Job Title :Process Executive and Senior Process ExecutiveJob Location :CoimbatoreNo of Openings : 15Qualification ;BE-CS,IT,MCA,BSCExperience :1 to 2 yrs of ExperienceSalary ;10K TO 15K (Negotiable for the right candidate)Job Description:Manage many inbound and few outbound calls in a dayProvide accurate, valid and complete information by using the correct...

Job Description : We are seeking a talented Senior Data Engineer with 3 to 5 years of experience to join the client's team. The ideal candidate will have strong expertise in SQL and ETL processes using tools such as Pentaho, Talend, Azure Data Factory (ADF), Databricks, or AWS Glue. Familiarity with event-driven architecture patterns such as Lambda,...

Senior Product SpecialistQualification:Science / Engineering graduateResponsibility:Design & Implementation: ' Create detailed design document/technical specifications for select projects. Create efficient and quality code based on given specifications. Follow product standards quality assurance norms and guidelines. Conduct peer reviews during coding and...

Company Description ABOUT KGiSL (KG information Systems Pvt Limited):"KGISL is a premier specialty Business Process Outsourcing Solutions/Services Company With over 1000 professionals, supported by technology and implementation experts, making our hybrid onshore/offshore model global in scope and scale."Job Description Skill sets required: Candidate should...

Project ManagerEmployment Type: Full-timeLegal Entity: Bosch Global Software Technologies Private LimitedCompany DescriptionBosch Global Software Technologies Private Limited is a 100 PERCENT owned subsidiary of Robert Bosch GmbH, one of the world's leading global suppliers of technology and services, offering end-to-end Engineering, IT, and Business...

NTT Data Services is Hiring! Grade 3 - HC & Insurance Operations Sr Rep **Position's Overview** At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees are key factors in our company’s growth, market presence and our ability to help our clients stay a step ahead of the...

NTT Data Services is Hiring! Grade 3 - HC & Insurance Operations Sr Rep **Position's Overview** At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees are key factors in our company's growth, market presence and our ability to help our clients stay a step ahead of the...

Job Description 1) Handling Claims2) Payer Vertical knowledge Apply from local Career site Listen to the story of Employee Voice Vijay Bhambri Operations Manager India Read more Alex Gruber Sales Executive United States Read more Alejandra Peralta Legal Services Mexico Read more Apply from local Career site Back to search results

Job Description 1) Handling Claims 2) Payer Vertical knowledge Apply from local Career site Listen to the story of Employee Voice Vijay Bhambri Operations Manager India Read more Alex Gruber Sales Executive United States Read more Alejandra Peralta Legal Services Mexico Read more Apply from local Career site Back to search...

**Roles and Responsibilities**: - Process Adjudication claims and resolve for payment and Denials - Knowledge in handling authorization, COB, duplicate, pricing and corrected claims process - Knowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits...

**Position's General Duties and Tasks** **In these roles you will **be responsible for**: - Review and process insurance claims. - Validate Member, Provider and other Claim’s information. - Determine accurate payment criteria for clearing pending claims based on defined Policy and Procedure. - Coordination of Claim Benefits based on the Policy &...

Job Description 1. Having experience in claims adjudication2. Appeals & Adjustment process knowledge is mandatory3. Minimum 3+ yrs of experience is needed Apply from local Career site Listen to the story of Employee Voice Vijay Bhambri Operations Manager India Read more Alex Gruber Sales Executive United States Read more Alejandra Peralta Legal...

Job Description 1. Having experience in claims adjudication 2. Appeals & Adjustment process knowledge is mandatory 3. Minimum 3+ yrs of experience is needed Apply from local Career site Listen to the story of Employee Voice Vijay Bhambri Operations Manager India Read more Alex Gruber Sales Executive United States Read more Alejandra...

In these roles you will be responsible for: - Review and process insurance claims. - Validate Member, Provider and other Claim’s information. - Determine accurate payment criteria for clearing pending claims based on defined Policy and Procedure. - Coordination of Claim Benefits based on the Policy & Procedure. - Maintain productivity goals, quality...

**Roles and Responsibilities**: - Process Adjudication claims and resolve for payment and Denials - Knowledge in handling authorization, COB, duplicate, pricing and corrected claims process - Knowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits...

**Roles and Responsibilities**: - Process Adjudication claims and resolve for payment and Denials - Knowledge in handling authorization, COB, duplicate, pricing and corrected claims process - Knowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits...

**Roles and Responsibilities**: - Process Adjudication claims and resolve for payment and Denials - Knowledge in handling authorization, COB, duplicate, pricing and corrected claims process - Knowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits...

Roles and Responsibilities: - Process Adjudication claims and resolve for payment and Denials - Knowledge in handling authorization, COB, duplicate, pricing and corrected claims process - Knowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits and...

**Position's General Duties and Tasks** **In these roles you will** **be responsible for**: - Review and process insurance claims. - Validate Member, Provider and other Claim's information. - Determine accurate payment criteria for clearing pending claims based on defined Policy and Procedure. - Coordination of Claim Benefits based on the Policy &...

**Roles and Responsibilities**: - 1-3 years of experience in processing claims adjudication and adjustment process - Experience in professional (HCFA), institutional (UB) claims (Optional) - Knowledge in handling authorization, COB, duplicate process - Knowledge of healthcare insurance policy concepts including in network, out of network providers,...

**In these roles you will be responsible for**: - Ensuring accurate and timely completion of transactions to meet our or client service deliverables - Organizing and completing tasks according to assigned priorities - Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes...

**In this Role you will be Responsible For** - Processing member enrollment and change forms, including data entry - Verifying proper completion of enrollment and change documentation. - Requesting and verifying information as needed to expedite enrollment. - Ensuring accurate and timely completion of transactions to meet or exceed client SLAs. - Processing...

1. Having experience in claims adjudication2. Appeals & Adjustment process knowledge is mandatory3. Minimum 3+ yrs of experience is needed

1. Having experience in claims adjudication 2. Appeals & Adjustment process knowledge is mandatory 3. Minimum 3+ yrs of experience is needed

1. Having experience in claims adjudication 2. Appeals & Adjustment process knowledge is mandatory 3. Minimum 3+ yrs of experience is needed