Claims Payment Assessor

Process all claims in each Level 1, 2 within 3 business day and maintain the turnaround time with in the specified global target - Discussed with market on age claims on weekly basis and take appropriate actions on the claims" - Claim Assessing based on Policy and provide suggestion to be implemented in policy - Do Claim Adjudication feedback analysis and...

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, of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits and exclusions, state variations -...

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...

What We'll Bring: We are seeking a highly skilled and experienced PCI Internal Security Assessor to join our team. As a PCI Subject Matter Expert, you will play a crucial role in ensuring our organization's compliance with the Payment Card Industry Data Security Standard (PCI DSS). Your expertise will be essential in working with key stakeholders to...

What We'll Bring: We are seeking a highly skilled and experienced PCI Internal Security Assessor to join our team. As a PCI Subject Matter Expert, you will play a crucial role in ensuring our organization's compliance with the Payment Card Industry Data Security Standard (PCI DSS). Your expertise will be essential in working with key stakeholders to...

**We Looking for Immediate joining** - Job profile: AR / RCM (international voice process) - Designation: Associate - Shift: Night Shift - Location: Chennai, Trichy - Qualification: Any degree (Backlog also welcome) - Salary: 2LPA to 2.80LPA (Conditions Apply) - Mode of Interview: Walk-in - Note: Fresher Recommended **Roles and Responsibilities Accounts...

**In this role you will be responsible for**: Life Claims: - Processing Death Claims and identifying the right beneficiary(s) to provide the Claims benefit - Setting up a claim and then following up for pending requirements (if any) - Examining the received documents, payment calculation and settlement - Perform additional review before cutting the check...

Life Claims: - Processing Death Claims and identifying the right beneficiary(s) to provide the Claims benefit - Setting up a clIn this role you will be responsible for:   Life Claims: - Processing Death Claims and identifying the right beneficiary(s) to provide the Claims benefit - Setting up a claim and then following up for pending requirements (if any) -...

ESB Claims Analyst Review ESP maintenance & mechanical claims and ensure claim is paid in accordance with the terms & conditions of the contract Utilize job aids and supporting systems to conduct claim research and determine the appropriate payment amount Involve in additional activities such as Post claim analysis, Duplicate claims analysis, Audit...

ESB Claims Analyst Review ESP maintenance & mechanical claims and ensure claim is paid in accordance with the terms & conditions of the contract Utilize job aids and supporting systems to conduct claim research and determine the appropriate payment amountInvolve in additional activities such as Post claim analysis, Duplicate claims analysis, Audit...

Thryve Digital Health LLP is an emerging global healthcare partner that delivers strategic innovation, expertise, and flexibility to its healthcare partners. Being a US healthcare conglomerate captive, we have direct access to deeper insights that help us accelerate our learning process and keeps us ahead of the curve. Thryve delivers next-generation...

Thryve Digital Health LLP is an emerging global healthcare partner that delivers strategic innovation, expertise, and flexibility to its healthcare partners. Being a US healthcare conglomerate captive, we have direct access to deeper insights that help us accelerate our learning process and keeps us ahead of the curve. Thryve delivers next-generation...

Hiring AR Callers - Chennai iSource IT Enabled Services Experience - 1 to 3 years Designation: AR/Sr AR Caller Chennai Job description Reviewing and analysing unpaid claims and denied payments from insurance companies. Contacting insurance companies, patients, and other parties to resolve billing issues and disputes. Identifying and resolving payment...

**In this role you will be responsible for**: Life Claims: - Processing Death Claims and identifying the right beneficiary(s) to provide the Claims benefit - Setting up a claim and then following up for pending requirements (if any) - Examining the received documents, payment calculation and settlement - Perform additional review before cutting the check...

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

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

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

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

Job description: Reviews the work order Follow-up with insurance carriers for claim status Follow-up with insurance carriers to check status of outstanding claims Receive payment information if the claims has been processed Analyze claims in case of rejections Ensure deliverables adhere to quality standards Job specifications: Good knowledge in Healthcare...

Calling the Insurance companies (in US) and follow up on the outstanding Accounts Receivables. Monitor customer account details for non-payments, delayed payments and other irregularities. Review and report on AR aging to ensure acquiescence.Address all the rejections, denials and unpaid claims in timely manner.Attending the patients/Insurance inbound calls...