Claims Investigator

2 months ago


Ahmedabad Gujarat, India MDIndia Healthcare Services (TPA) Pvt. Ltd. Full time

It is a field job
- Acts as an interface between the TPA, Insurance Company and the hospital.
- Responsible for investigation of suspicious claims.
- Effective usage of Fraud control measures.
- Act as a backend support to the TPA.

**Job Types**: Full-time, Permanent, Fresher

**Benefits**:

- Provident Fund

Schedule:

- Day shift

Work Location: In person


  • Mbbs Intern

    6 months ago


    Ahmedabad, India Phoenix Assurance Claims Full time

    **Vacancy Alert | Urgent Requirement** - Medical Field Auditor - Ayushman Bharat - Ma Yojana **Hiring By**: Phoenix Assurance Pvt Ltd. **Background Of The Company**: we are the most preferred partner for majority of private insurance companies in majority parts of India for in the field of claim verification and investigation. **No Of Vacancies**: 16 - [...

  • Claims Executive

    6 months ago


    Alkapuri, Vadodara, Gujarat, India Paramount Healthcare Management Pvt Ltd. Full time

    Conduct thorough reviews of claims to identify and rectify any discrepancies or errors. - Implement quality assurance measures to enhance the accuracy and efficiency of the claims process. - Accurately enter billing information for claim files into the system. - Ensure that all necessary documentation is recorded and maintained for auditing purposes. -...

  • Field Investigator

    6 months ago


    Alkapuri, Vadodara, Gujarat, India Paramount Healthcare Management Pvt Ltd. Full time

    Investigate the Insurance Claims for Genuineness, as assigned. - Collect Insured Statement and records from the concerned hospitals. - Does proper vicinity check and collect evidences of fraud. - Meet all stake holders in the claim to collect and verify documents. - Must have two wheeler - Fresher Can Apply Pay: ₹14,000.00 - ₹25,000.00 per...

  • Front Desk Calling

    6 months ago


    Ahmedabad, Gujarat, India Integrity Healthcare Solutions Pvt Ltd Full time

    Prepare and submit medical claims to insurance companies accurately and in a timely manner. - Ensure that all required documentation, such as medical records and invoices, is attached to support the claims - Regularly follow up on unpaid or underpaid claims with insurance companies. - Use various communication channels, including phone calls and...

  • Ar Calling

    4 months ago


    Ahmedabad, Gujarat, India Integrity Healthcare Solutions Pvt Ltd Full time

    Prepare and submit medical claims to insurance companies accurately and in a timely manner. - Regularly follow up on unpaid or underpaid claims with insurance companies. - Ensure that all required documentation, such as medical records and invoices, is attached to support the claims - Use various communication channels, including phone calls and...


  • Ahmedabad, Gujarat, India Integrity Healthcare Solutions Full time

    Nope, we are not a call centre. We are a KPO providing outsourcing services to doctors in the USA. Our services include Revenue Cycle Management (RCM), reselling and implementation of a fully integrated Electronic Medical Record (EMR) software along with customised software solutions. About Job Role: - Prepare and submit medical claims to insurance...

  • Ar Caller

    6 months ago


    Ahmedabad, Gujarat, India The hire wings Full time

    We're hiring for the below position: Role: AR Caller (US Medical Billing Process) Experience: 1-2 yrs Location: Ahmedabad Mode: WFO, Night shift - Review and follow up on outstanding claims with insurance companies for medical services provided. - Initiate timely and effective communication with insurance companies to expedite claim processing and resolve...


  • Ahmedabad, Gujarat, India The Hire Wings Full time

    Hello Everyone, I Hope Everyone is Doing Great, Currently We are looking for RCM Executive - AR Caller, Experience: 1 to 2 Years Location : Ahmedabad Key Responsibilities: - Review and follow up on outstanding claims with insurance companies for medical services provided. - Initiate timely and effective communication with insurance companies to expedite...

  • Ar Caller

    6 months ago


    Ahmedabad, Gujarat, India The Hire Wings Full time

    Hello Everyone, I Hope Everyone is Doing Great, Currently We are looking for RCM Executive - AR Caller, Experience: 1 to 2 Years Location : Ahmedabad Key Responsibilities: - Review and follow up on outstanding claims with insurance companies for medical services provided. - Initiate timely and effective communication with insurance companies to expedite...

  • Rcm Executive

    3 months ago


    Ahmedabad, Gujarat, India The hire wings Full time

    We're looking for the below position on an immediate basis Position: Sr. RCM Executive _ AR Caller Experience: 06months - 4yrs Location: Thaltej, Ahmedabad **Skills**:Shift Timing: 05:30 PM to 02:30 AM (Monday to Friday) Position Overview: We are seeking a highly motivated and detail-oriented individual to join our team as an Accounts Receivable (AR)...

  • Field Executive

    6 months ago


    Ahmedabad, Gujarat, India MDIndia Healthcare Services (TPA) Pvt. Ltd. Full time

    It is a field job - Acts as an interface between the TPA, Insurance Company and the hospital. - Responsible for investigation of suspicious claims. - Effective usage of Fraud control measures. - Act as a backend support to the TPA. **Job Types**: Full-time, Permanent, Fresher **Benefits**: - Provident Fund Schedule: - Day shift Work Location: In...


  • Ahmedabad, Gujarat, India Bexcode Services Full time

    **Job description** ob description - AR follow up/Insurance calling - Medical billing company - Denial management - Appeal submission - VOB and Authorization Knowledge - Streamline the billing process by addressing potential issues related to benefits and authorization upfront. - Investigating and resolving claim denials by insurance companies. - Appealing...


  • Ahmedabad, Gujarat, India Zydus Group Full time

    Department - FINANCE - Job posted on - Aug 21, 2024 - Employment type - P-P8-Probationer-HO Executive **Job Description - Accounts Receivable** Handle all accounting activities around the customers allocated to the person Deduction Management - communicate with customers for back up details for unknown deductions, dispute incorrect deductions for payback...

  • Mis Executive

    4 weeks ago


    Surat, Gujarat, India Paramount Healthcare Management Pvt Ltd. Full time

    **Position Overview**: - **Job Title**: MIS Executive **Role Summary**:The MIS Executive will manage and analyze data related to health insurance claims, support the investigation process, and generate regular reports.**Key Responsibilities**: - Collect and maintain accurate data on health insurance claims. - Prepare detailed MIS reports. - Monitor the...

  • Billing Executive

    6 months ago


    Ahmedabad, Gujarat, India Acme Services Full time

    We are seeking a qualified and dedicated medical biller to join our administrative office. In this position, you will be responsible for a variety of tasks requiring data analysis, in-depth evaluation, and sound judgment. As our medical biller, your daily duties will include maintaining billing software, appealing denied claims, and recording late...

  • Billing Executive

    6 months ago


    Ahmedabad, Gujarat, India Acme Services Full time

    We are seeking a qualified and dedicated medical biller to join our administrative office. In this position, you will be responsible for a variety of tasks requiring data analysis, in-depth evaluation, and sound judgment. As our medical biller, your daily duties will include maintaining billing software, appealing denied claims, and recording late...


  • Ahmedabad, Gujarat, India Brainvire Infotech Pvt. Ltd Full time

    Having knowledge of Charge Posting and payment posting (Check/EFT/Patient Experience of minimum 1 year in AR Calling in any US Healthcare KPO (Voice Process).  Following Standard Operating Procedures (SOPs) and utilize Job Aides to execute the prescribed workflow for team and individual responsibilities.  Prioritizing daily tasks and...


  • Jagatpur, Ahmedabad, Gujarat, India Bexcode Services Full time

    **Job description** ob description - AR follow up/Insurance calling - Medical billing company - Denial management - Appeal submission - VOB and Authorization Knowledge - Streamline the billing process by addressing potential issues related to benefits and authorization upfront. - Investigating and resolving claim denials by insurance companies. - Appealing...


  • Jagatpur, Ahmedabad, Gujarat, India Bexcode Services Full time

    **Job description** **Job description** **Job description** ob description - AR follow up/Insurance calling - Medical billing company - Denial management - Appeal submission - VOB and Authorization Knowledge - Streamline the billing process by addressing potential issues related to benefits and authorization upfront. - Investigating and resolving claim...

  • Process Associate

    6 months ago


    Makarba, Ahmedabad, Gujarat, India Intelligent Medical Billing Solutions Full time

    **Claims Processing**: Review medical documentation and patient records to accurately code and process claims for healthcare services rendered. - **Insurance Verification**: Verify patients' insurance coverage, eligibility, and benefits to determine appropriate billing procedures and ensure accurate reimbursement. - **Billing and Invoicing**: Generate and...