Healthcare Insurance

4 weeks 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 Officer

    2 weeks ago


    Coimbatore, Tamil Nadu, India Vedanayagam Hospital pvt ltd Full time

    **Job Title: Medical Insurance Officer** **Job Overview**: As a medical insurance officer, you will be responsible for managing all aspects of medical insurance claims, billing, and reimbursement processes within our organization. Your role will ensure that medical claims are processed accurately and efficiently, following all relevant regulations and...

  • Insurance Executive

    5 days 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


  • 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...


  • Avadi, Chennai, Tamil Nadu, India Levo Healthcare Full time

    HIRING!!!! LEVO HEALTHCARE is hiring for Insurance Coordinator **(CM Scheme)** **Key Responsibilities**: Manage and coordinate insurance-related processes, including claims, approvals, and documentation under CM Insurance Scheme. Ensure compliance with the CM Insurance Scheme guidelines and procedures. To ensure accurate and timely submission of...


  • 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...


  • 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...

  • Ar Caller

    1 week ago


    Guindy, Chennai, Tamil Nadu, India AaNine Healthcare Solutions Full time

    **Job Vacancy**: Account Receivable Callers **Shift Timing**:06:00 PM to 03:00 AM **Immediate Joiners Preferred** **Work Environment: Office-based only** **About AaNine Healthcare**: As a leading healthcare business process service provider, AaNine Healthcare is dedicated to delivering high-quality, cost-effective solutions to our clients. With over two...


  • Coimbatore, Tamil Nadu, India NTT DATA Full time

    **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...


  • Coimbatore, Tamil Nadu, India NTT DATA Full time

    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 exclusions state...


  • Coimbatore, Tamil Nadu, India Sara Infotech Full time ₹ 12,00,000 - ₹ 36,00,000 per year

    Responsibilities:* Lead healthcare operations strategy* Oversee healthcare service delivery* Manage healthcare team performance* Ensure compliance with regulatory standards* Drive healthcare management initiativesOffice cab/shuttleHealth insuranceProvident fundAnnual bonus