Healthcare Insurance

2 days ago

Coimbatore Tamil Nadu, India 2COMS Full time

About The client A Fortune 500 global leader in technology services and digital business solutions this company delivers comprehensive Business Process Services BPS and IT-enabled solutions With a worldwide presence it serves diverse industries including banking healthcare retail manufacturing and communications The firm s expertise spans a broad spectrum of critical processes from finance and accounting to human resources customer service and supply chain management - enabling clients to enhance efficiency drive innovation and achieve business agility on a massive scale Job Title Healthcare Insurance Claims - Non-Voice Process Role Senior Process Executive SPE Subject Matter Expert SME Experience Minimum 2 Years SPE Minimum 4 Years SME Shift Hong Kong Shift Work Mode Work From Office WFO 5 Days Working Cab Provided Notice Period 0 - 45 Days Location Coimbatore Tamil Nadu Preferred candidates from here only About the Role We are seeking skilled professionals to join our Healthcare Insurance Claims - Non-Voice team This role involves end-to-end claims processing validation adjudication and denial management for healthcare insurance claims The position is purely non-voice and requires strong analytical skills healthcare domain knowledge and attention to detail to ensure accurate and timely claim resolution Key Responsibilities Process validate and adjudicate medical insurance claims electronic and paper-based as per payer rules and client guidelines Ensure claims are coded correctly using ICD-10 CPT and HCPCS standards before submission Identify and correct data or coding discrepancies to maintain clean claim rates and reduce rework Review and interpret EOBs Explanation of Benefits address denials and initiate re-submissions or appeals where necessary Perform claim follow-ups using payer portals and internal systems no outbound inbound calling required Maintain detailed documentation and update claim status notes in the claims processing system Escalate unresolved or complex issues to senior team members or team leads Ensure compliance with HIPAA regulations internal quality standards and SLA metrics Collaborate with cross-functional teams to identify process improvements and enhance claim accuracy Required Skills Qualifications Bachelor s Degree Diploma in Life Sciences Healthcare Commerce or related discipline Minimum 2 years SPE 4 years SME of hands-on experience in Healthcare Insurance Claims Processing Medical Billing Revenue Cycle Management RCM Good understanding of ICD-10 CPT HCPCS codes and medical terminology Familiarity with EDI 837 835 transactions ERA EOB reconciliation and payer portal workflows Strong analytical and problem-solving skills with attention to accuracy and turnaround time Proficient in MS Excel healthcare billing tools and claim adjudication systems Excellent written communication and documentation skills Preferred Added Advantage Certification CPC COC or CMRS Prior experience with systems such as Optum Trizetto Availity Epic or Cerner Experience in denial management AR follow-up or healthcare compliance auditing Key Performance Indicators KPIs Claims Accuracy Rate Clean Claim Rate First Pass Rate Denial Resolution Time Average Turnaround Time TAT per Claim Claims Processed per FTE per Day Interview Mode Online Virtual Requirements

  • Insurance Executive

    1 week ago

    Coimbatore, Tamil Nadu, India Karpagam Medical college and Hospital Full time

    Required Insurance Executive with 2 to 4yrs of experience in a reputed Hospital. Job Title : Insurance Executive Experience : 2-4 yrs (Healthcare Experience) Contact us : 9952611173 Pay: ₹10,000.00 - ₹15,000.00 per month Schedule: - Day shift **Education**: - Bachelor's (preferred) **Speak with the employer** +91 9952611173

  • Customer Relationship and Insurance Liaison

    2 weeks ago

    Siddhapudur, Coimbatore, Tamil Nadu, India Link K Insurance TPA Pvt Ltd Full time

    **Greetings from Link K Insurance TPA!** We are excited to announce that we are **hiring for the position of CRM and Insurance Liaison** at our **Coimbatore branch office.** **Position**:CRM and Insurance Liaison** **Location**:Coimbatore** **Experience Required**: 5 to 10 years in Sales/Business Development (preferably in TPA, insurance, or healthcare...

  • Healthcare and Insurance Operations Senior Representative

    1 week ago

    Coimbatore, Tamil Nadu, India NTT DATA Global Delivery Services Ltd Full time ₹ 9,00,000 - ₹ 12,00,000 per year

    HC & Insurance Operations Senior Rep. At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees are key factors in our company s growth, market presence and our ability to help our clients stay a step ahead of the competition. By hiring the best people and helping them grow both...

  • Healthcare Sales Representative

    1 week ago

    Mandaveli, Chennai, Tamil Nadu, India HELYXON Healthcare Solutions Full time

    Location: Chennai, Tamil Nadu Key Responsibilities Promote and sell medical diagnostic equipment, kits, and services to clinics, hospitals, and diagnostic centers. Demonstrate sample collection and testing procedures blood to clients. Conduct product training for healthcare staff. Build and maintain strong relationships with doctors, nurses, and lab...

  • Hc & Insurance Operations Associate

    5 days ago

    Coimbatore, Tamil Nadu, India NTT DATA Full time

    **In this Role you will be Responsible For** - Processing Medicare member enrollment and change forms, including data entry - Verifying proper completion of enrollment and change documentation. - Requesting and verifying information as needed to expedite enrollment. - Ensuring accurate and timely completion of transactions to meet or exceed client SLAs. -...

  • Front Office Health Insurance Executive

    5 days ago

    Vadapalani, Chennai, Tamil Nadu, India SEVEN SIGMA HEALTHCARE SOLUTIONS PVT LTD Full time

    We, Seven Sigma Healthcare Solutions Pvt Ltd is a leading Revenue Cycle Management company, dealing with various well known hospitals and helping them to process the health insurance in a faster and assured way. We require front office insurance executive to deal the walk in patients in our client hospital in Chennai. Graduates with experience in same field...

  • Healthcare Manager

    6 days ago

    Coimbatore, Tamil Nadu, India SARA INFOTECH Full time ₹ 66,00,000 - ₹ 1,50,00,000 per year

    Job Summary:We are seeking a highly motivated and experienced Healthcare Manager to lead and manage teams handling Voice-based patient/provider support and Accounts Receivable (AR) follow-up processes. The ideal candidate will have strong expertise in US healthcare RCM, excellent leadership skills, and a proven track record in driving operational excellence...

  • Health Insurance

    5 days ago

    Chennai, Tamil Nadu, India Unidos Technology Full time

    We are looking for -**Health insurance-Nungambakkam** Exp: 5-10 yrs Salary-As per company Norms **Key Responsibilities**: - **Claims Management**: Analyze and process insurance claims in line with policy terms and conditions. - **Customer Support**: Assist policyholders with inquiries about coverage, benefits, and claims. - **Policy Review**: Ensure...

  • Sales & Service Engineer for Healthcare Dealer Company

    6 days ago

    Nanmangalam, Chennai, Tamil Nadu, India VENS Healthcare Private Limited Full time

    We are looking for a dynamic and results-driven Sales and Service Engineer to join our team. The ideal candidate will be responsible for generating leads, building relationships with healthcare professionals, and driving sales and service of medical equipment and consumables.Key Responsibilities:Promote and sell VENS Healthcare's portfolio of medical...

  • Hc & Insurance Operations Associate

    4 weeks ago

    Coimbatore, Tamil Nadu, India NTT DATA Full time

    NTT Data Services is Hiring Position s Overview At NTT DATA we know that with the right people on board anything is possible The quality integrity and commitment of our employees are key factors in our company s growth market presence and our ability to help our clients stay a step ahead of the competition By hiring the best people and helping...