Claims Processing Executive

Hiring at Leading BPO at chennai Designation: Claim process executive Experience :Minimum 6 month to 5 years from voice process only Qualification: Any Degree Good communication skill and typing skill must **Job Description**: International medical and non medical claim process Prrior experience in customer services or claim processing preferably in...

**Requirements**: - 1-3 years of experience in processing claims adjudication and adjustment process - Experience in professional (HCFA), institutional (UB) claims (optional) - Both under graduates and post graduates can apply - Good communication (Demonstrate strong reading comprehension and writing skills) - Able to work independently, strong analytic...

Claims Processing Representative (US Night Shift) Includes insurance verification and retrieval of medical records and documents from various systems for the timely filing or re-adjudication of Workers compensation claims by the Revenue Specialists. Primarily interacts by phone with outside parties. **Responsibilities**: - Contacting Employers, Insurers...

**Position**:Health Care & Insurance Operations Associate **Experience**: 1 to 4 Years **Location**: Remote **Notice Period**:Immediate to 15 days **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...

Claims Processing Representative (US Night Shift) Includes insurance verification and retrieval of medical records and documents from various systems for the timely filing or re-adjudication of Workers compensation claims by the Revenue Specialists. Primarily interacts by phone with outside parties. **Responsibilities**: - Contacting Employers, Insurers...

**Position**:Health Care & Insurance Operations Associate **Experience**: 1 to 4 Years **Location**: Remote **Notice Period**:Immediate to 15 days **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...

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...

**Role**: HC & Insurance Operations Associate **Shift Timings**: 6 PM-4 AM IST (AR SHIFT) **Location**: Chennai/Coimbatore (Currently Remote) **Double vaccination required** **Roles and Responsibilities**: - Process Adjudication claims and resolve for payment and Denials - Knowledge in handling authorization, COB, duplicate, pricing and corrected claims...

Responsibilities - Review insurance claim forms and supporting documentation for accuracy and completeness - Verify policy information and coverage details - Conduct investigations and gather additional information when necessary - Evaluate claims based on policy terms and conditions - Determine the appropriate payment and process claims in a timely manner -...

**Position: Health Care & Insurance Operations Associate** **Experience: 1 to 4 Years** **Location: Remote** **Notice Period: Immediate to 15 days** **Requirements**: - **1-3 years of experience in processing claims adjudication and adjustment process**: - Experience of **Facets is an added advantage**. - Experience in **professional (HCFA),...

**Adjudication - Claim Examiner** - Review medical documents, policy documents, policy history, Claims history, and system notes - Ability to understand logic of standard medical coding (i.e., CPT, ICD-10, HCPCS, etc.) - Process Insurance Claims timely and qualitatively - Ability to resolve claims that require adjustments and adjustment projects. - Identify...

**Position: HC & Insurance Operations Associate** **Location: Chennai/Coimbatore** **Experience: 1 to 3 years** **Notice period: Immediate joiners** **Roles and Responsibilities**: -      Process Adjudication claims and resolve for payment and Denials -      Knowledge in handling authorization, COB, duplicate, pricing and corrected...

Opening: 5 Nos.- Job ID: 76412- Employment Type: Full Time- Reference: - Work Experience: 1.0 Year(s) To 3.0 Year(s)- CTC Salary: Not Disclosed by Recruiter- Function: ITES / BPO / KPO / Customer Service / Operations- Industry: ITES/BPO/KPO- Location: - Chennai , Remote Work AllowedPosted On: 06th Feb, 2024 **Job Title: US Medical Claims Processor (Night...

**Major Responsibilities**: - Claims assessing across the globe for the assigned commodity - Capacity utilization of 100% for the assigned commodity - Maintain claim mix proportionate to intake in the respective commodity - Maintain quality of 98% for the assigned commodity - Identify concerns during assessment to discuss with Leads for further improvement...

Educational Qualifications: Bachelors in Engineering (Civil or Equivalent) (Mandatory) PG in Contract Management and Quantity Survey / PGD ACM (or) PGP CM from NICMAR / MBA from RICS SBE (Preferred) Relevant Experience: 8 to 12 years of relevant work experience with minimum 5 years at site level Roles and Responsibilities: Experience in CPWD / FIDIC...

Educational Qualifications:Bachelors in Engineering (Civil or Equivalent) (Mandatory)PG in Contract Management and Quantity Survey / PGD ACM (or) PGP CM from NICMAR / MBA from RICS SBE (Preferred)Relevant Experience:8 to 12 years of relevant work experience with minimum 5 years at site levelRoles and Responsibilities:Experience in CPWD / FIDIC Contract...

Educational Qualifications:Bachelors in Engineering (Civil or Equivalent) (Mandatory)PG in Contract Management and Quantity Survey / PGD ACM (or) PGP CM from NICMAR / MBA from RICS SBE (Preferred)Relevant Experience:8 to 12 years of relevant work experience with minimum 5 years at site levelRoles and Responsibilities:Experience in CPWD / FIDIC Contract...

Auditing , Communication , Coaching , Healthcare , Hiring , Insurance , Leadership , Management , Nursing , Quality Management , Quality Control , Research , Training , A , AR , Accounts , Accounts Receivable , Accurate , Address , Analysis , Analyst , Assessment , Assessment Development , Audit Trail , Auditing , Authorization , Basis , Calling , Claim ,...

Full job description Freshers are also welcome Age below 35 Fixed salary+Incentive **Salary**: ₹12,000.00 - ₹25,000.00 per month **Benefits**: Cell phone reimbursement **Education**: Secondary(10th Pass) (preferred) Speak with the employer +91-9652793374 **Salary**: ₹12,000.00 - ₹25,000.00 per month **Benefits**: - Cell phone...

Requirements:Required Immediate Joiners with Excellent Communication in EnglishMODE OF INTERVIEW: F2F/TelephonicDomain : US Healthcare - Medical BillingShift Timing : Night Shift 6:30 PM - 3:30 AM (Sat & Sun fixed off)JOB LOCATION : ChennaiJob DescriptionCalling Insurance Company on behalf of Doctors / Physician for claim status.Follow-up with Insurance...