Us Healthcare, Claim Adjudiation

Hi, Position: Health Care & Insurance Operations Associate Experience: 1 to 4 Years Location: Chennai& Coimbatore Currently WFH 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 -...

Position: BPO Claim Adjudication(US Healthcare) Experience: 1-4years Notice period: 0-45days Skills: Must have experience in Claims Adjudication Good Exposure on COB and HIPAA **Salary**: ₹100,000.00 - ₹300,000.00 per year **Benefits**: - Cell phone reimbursement - Health insurance - Provident Fund Schedule: - Night shift Supplemental pay...

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 -...

Job DescriptionReview the provider's claims that have not been paid by the insurance companies.Follow-up with Insurance companies to understand the status of the claim - Initiate telephone calls or verify through payer websites or otherwise request the required information from insurance companies. Contact insurance companies for further explanation of...

Job DescriptionReview the provider's claims that have not been paid by the insurance companies. Follow-up with Insurance companies to understand the status of the claim - Initiate telephone calls or verify through payer websites or otherwise request the required information from insurance companies.  Contact insurance companies for further explanation of...

Claims Business Analyst - 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...

Experience: 1-3 Years Notice Period: Immediate - 15 Days Joiners Location: Chennai,Coimbatore **Skills**: - 1-3 years of experience in processing claims adjudication and adjustment process - Experience of Facets is an added advantage. - Experience in professional (HCFA), institutional (UB) claims (optional) - Both under graduates and post graduates can...

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...

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

The OfferLeadership RoleAttractive Salary & BenefitsA role that offers a breadth of learning opportunitiesThe JobYou will be responsible for : Initiate contact with insurance companies requesting the status of claims for the outstanding balances on Providers' accounts and taking appropriate actions.Manage Account Receivable accounts by ensuring accurate and...

Hiring Guidewire Claim Center developer.5+ Years of ExperienceCertification in Guidewire is Preference.JD : -We are a technology-led healthcare solutions provider. We are driven by our purpose to enable healthcare organizations be future ready. We offer accelerated, global growth opportunities for talent that’s bold, industrious and nimble. With Indegene,...

**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...

Hiring Guidewire Claim Center developer. 5+ Years of Experience Certification in Guidewire is Preference. JD : - We are a technology-led healthcare solutions provider. We are driven by our purpose to enable healthcare organizations be future ready. We offer accelerated, global growth opportunities for talent that’s bold, industrious and nimble. With...

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...

**Healthcare (Medical) Claims Examiner** Smart Data Solutions (SDS) is a technology leader in healthcare process automation and interoperability. We are seeking to add an experienced Claims Examiner to our rapidly growing organization! A career at SDS is both challenging and rewarding. With over 500 colleagues across the globe, we've created an open and...

Hi Connections,TEKsystems is hiring for Project Manager for our US Healthcare clients. If you are someone who is looking out for opportunities, Please share your resume to nvaseemuddin@teksystems.comExperience Required: 7 - 14 yearsLocation: Chennai/Hyderabad – hybridDomain: US healthcareTimings: Willing to work in night shifts (3.00 PM to 12.00 AM)...

Hi Connections,TEKsystems is hiring for Project Manager for our US Healthcare clients. If you are someone who is looking out for opportunities, Please share your resume to nvaseemuddin@teksystems.comExperience Required: 7 - 14 yearsLocation: Chennai/Hyderabad – hybridDomain: US healthcareTimings: Willing to work in night shifts (3.00 PM to 12.00 AM)...

Hi Connections, TEKsystems is hiring for Project Manager for our US Healthcare clients. If you are someone who is looking out for opportunities, Please share your resume to Experience Required : 7 - 14 years Location: Chennai/Hyderabad – hybrid Domain: US healthcare Timings: Willing to work in night shifts (3.00 PM to 12.00 AM) Essential...

**Job Title: AR Caller (International Voice Process - US Healthcare Inbound)** **Responsibilities**: - **Inbound Call Handling**: Receive incoming calls from patients, insurance companies, and healthcare providers regarding billing inquiries, payment status, insurance coverage, and claim disputes. - **Patient Assistance**: Assist patients with...

Job description Experienced in Payment Posting Medical Billing (US healthcare) for DAY SHIFT process. Should have minimum 6 months to 2 yrs experience in Payment Posting Should have experience in doing Payment Posting in Medical Billing in both manual and ERA. Good Communication skills, Good MS office and Typing skills Excellent knowledge in Medical...