Us Medical Claims Processor

**Job description**: **Sr Claim processor/Sr Claim adjudicator**Do quality check on the claims processed by Analysts/TraineesTrack the errors and provide feedback to the erring Analysts/traineesEnsure process guidelines are followed and met as documentedRaise process related issues / concerns on time with process and team leadsStay updated with the process...

Hi We are looking for a Sr. Claim Processor & Quality Analyst for one of our US-based client for their offshore office in Chennai. Job type: ONSITE, NIGHT SHIFT **Position : Claim Adjudication Executive** **Job Description**: Do quality check on the claims processed by Analysts/TraineesTrack the errors and provide feedback to the erring...

**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...

**Job Title**: Claims Executive **Location**: Chennai **Responsibilities**: - Process claims accurately and efficiently, verifying policy coverage and calculating payable amounts. - Complete training in claims software and understand system features. - Ensure accurate data entry of bills and verification of details. - Adhere to Standard Operating...

**Join Our Dynamic Team as a Charge Entry and Payment Posting Specialist** Are you ready to take your career to the next level in the healthcare industry? We are seeking motivated individuals with 1 to 3 years of experience to join our team for the Charge Entry and Payment Posting position. **Eligibility**: - Any degree or Diploma. - 1 to 3 years of...

Medical coding is the transformation of healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes. A medical coder is responsible for assigning the correct code to describe the type of service a patient will receive. They ensure the codes are applied correctly during the medical billing process, which...

Job Overview You will have an intermediary role between possible clients and our financial institutes. If you consider yourself suitable for this post, we would like to meet you. **Responsibilities**: - Experience: 3-5 years - The Loan Processor will ensure the timely and accurate packaging of all loans originated. - Review loans in process daily and...

**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...

MEDICAL BILLER AND AR (End to END RCM) - Specialist Would you like to join an organization that is experiencing rapid growth? You may be the person we are looking for! A reputed medical billing company is looking for experienced end to end Medical Biller - ( RCM ) Company was founded goal of revolutionizing health care by providing exemplary services to...

**MEDICAL BILLER AND AR (End to END RCM) - Specialist** **Would you like to join an organization that is experiencing rapid growth? You may be the person we are looking for!** NextGen Business Solution looking for experienced end to end Medical Biller - ( RCM ) NGBS was founded with the goal of revolutionizing health care by providing exemplary services...

**CLAIM EXAMINER ADJUDICATION** Claims examiners are confident decision-makers playing an important oversight role in the claims process. The role comes with the responsibility of overseeing the work of their colleagues and ensuring that high standards are always met. - Responsible for the coordination and resolution of the administrative denials and...

**Adjudication - Claim Examiner "Fresher or Experience"** - Responsible for the coordination and resolution of the administrative denials and appeals. - Ability to understand logic of standard medical coding (i.e., CPT, ICD-10, HCPCS, etc.). - Ability to resolve claims that require adjustments and adjustment projects, Identify claim(s) with inaccurate data...

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...

**Job Description** Position**: Credentialing TL - US Medical Billing **Compensation**: Depends on Experience & Qualification **Job Type**: Full Time, 8 hour shift with overlapping time with PST (California Time zone) **Location**: Remote / Chennai, TN Start Date: ASAP **Experience**: 5 years + Industry: Healthcare - Health Services Primary duties may...

**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...

JOB DESCRIPTION – AR CALLER/MEDICAL BILLINGPerform pre-call analysis and check the status by calling the payer or using IVR or web portal servicesMaintain adequate documentation on the client software to send the necessary documentation to insurance companies and maintain a clear audit trail for future referenceRecord after-call actions and perform...

We are hiring for Medical Coding ExecutivePayment IntegrityProcessMinimum2 years experience in MedicalcodingAAPC/AHIMA certification is a mandaterequirement.(CPC/COC/CIC/CPMA/CDEO/CHC/CCS)Salary : Upto5 LPAWork Location :ChennaiJobDescription:Regular review of claims data to identify areas of high utilizationprovider outliers newcode abuse upcodingmodifier...

We are hiring for Medical Coding ExecutivePayment IntegrityProcessMinimum2 years experience in MedicalcodingAAPC/AHIMA certification is a mandaterequirement.(CPC/COC/CIC/CPMA/CDEO/CHC/CCS)Salary : Upto5 LPAWork Location :ChennaiJobDescription:Regular review of claims data to identify areas of high utilizationprovider outliers newcode abuse upcodingmodifier...

: - Claim registration - On Daily Basis need to register the claims which has been assigned for processing, Scrutiny of the documents Reserve Setting: - Need to do the proper reserve setting on system based on the claim documents Technical processing claims which has been assigned for processing for health/ personal accident etc claims and deductions of...

DESIGNATION: Insurance Coordinator QUALIFICATION: Any Graduate KEY SKILLS: Exp in healthcare industry especially hospital industry YRS OF EXP: 3 to 5 Yrs SALARY: As per Industry Standards JOB DESCRIPTION: Ø Confirm insurance coverage with insurance companies by diagnostic and procedural codes Ø Schedule appointments and procedures and verify...