US Healthcare Insurance Process

6 days ago


Pune, India Spes Manning Full time

Job Description Spes Manning Solutions is actively seeking dedicated and detail-oriented individuals to join our team as a Healthcare Claims Associate for our US Healthcare Insurance Process. This is a great opportunity to work in a critical and highly-regulated industry, helping customers navigate the complexities of their health insurance. You will be responsible for a variety of tasks, from processing claims to providing direct support to members and providers. Key Responsibilities - Process health insurance claims and ensure full compliance with federal and state regulations, such as HIPAA and the ACA. - Provide support to members regarding policy coverage, billing issues, and provider networks. - Coordinate with healthcare providers, internal departments, and third-party administrators to resolve issues. - Perform eligibility verification and enrollment updates accurately. - Assist with prior authorizations, appeals, and denials when applicable. - Maintain accurate and timely documentation in internal systems. Eligibility Criteria - Qualification:10+2 / Any Graduate (any stream). - Excellent verbal and written communication skills in English are mandatory. Knowledge of additional regional languages is a plus. - Basic computer knowledge and the ability to navigate various software applications. - Ability to work in rotational shifts, including night shifts. - A positive attitude and a strong willingness to learn and grow. Benefits - Competitive salary and performance-based incentives. - Paid training will be provided to all new hires to ensure you're fully equipped for the role. - A friendly and supportive work environment. - Excellent career growth opportunities within the healthcare domain. How to Apply To apply for this position, please send your updated resume directly to: HR ISHA - Phone: 7447719444 - Email: [Confidential Information]



  • Pune, India Hunt Mantra Full time

    **US Healthcare process (Blended Process).** Shift: - US Shift (6 pm to 6am) any 9hours. Off's: - Fixed Saturday and Sunday. Experience: - Should have 6months of experience in an international call center (Voice Process). Freshers with good communication skills can also apply. Education: - Any Graduate (Pharma Graduate Preferred) **Salary**: - Up to...


  • Pune, Maharashtra, India Creative Indians Full time ₹ 8,00,000 - ₹ 12,00,000 per year

    Female Candidates can apply.Must have Min 1+yrs exp as a Team Leader from International Healthcare or Insurance Process BPO.Must know KPI's and Team Leading Skills.US ShiftsFluent EnglishCall send CV


  • Pune, Maharashtra, India AM Infoweb Full time ₹ 3,50,000 - ₹ 4,20,000 per year

    Job Role & Responsibilities :Act as a liaison between insurance companies/law firms and medical facilities (hospitals, clinics, doctors). Perform timely follow-ups on the medical records of patients discharged from partner medical institutions. Ensure all medical documents are collected and submitted within specified deadlines. Engage in pure voice-based...


  • Pune, Maharashtra, India SPRY PT Full time ₹ 9,00,000 - ₹ 12,00,000 per year

    ResponsibilitiesClaim Resolution: Follow up on outstanding medical claims with insurance companies and patients.Payment Collection: Ensure timely payment collection for services rendered.Denial Management: Identify and resolve issues with denied claims by identifying errors and appealing them.Record Keeping: Maintain accurate and up-to-date records of all...

  • US Healthcare

    5 days ago


    Bengaluru, Mumbai, Pune, India Zest Hr Services Full time ₹ 6,00,000 - ₹ 12,00,000 per year

    Graduate (preferable B.Sc in Maths)Minimum 2+years of experience in US Healthcare Employee Benefits / Group Insurance Excellent communication Skills Shifts -US Shifts (3pm - 12am, 6pm - 3am, 9pm - 6am)

  • Insurance Process

    2 weeks ago


    Pune, Maharashtra, India Black & White Full time ₹ 10,00,000 - ₹ 12,00,000 per year

    Job Title : Insurance Process Qualification : Any Graduate and Above Relevant Experience : – 8 Years Must Have Skills : US Insurance domain expertise. Experience working in US Insurance processes in a BPO, KPO, or shared services setup. Knowledge of US insurance regulatory and compliance standards. Proficient in insurance platforms/tools. ...


  • Hadapsar, Pune, Maharashtra, India Epiq Softech Full time

    **Designation: US Healthcare Recruiter (WFO)** **Location: Magarpatta, Hadapsar, Pune** **Shift: Pacific Standard Time (US Shift)** **Role-** We are looking for a motivated US Staffing Healthcare Recruiter who wants to grow their career alongside a team of like-minded professionals. While experience can be great, we're big on the right attitude. We want...


  • Pune, Maharashtra, India SPRY PT Full time ₹ 9,00,000 - ₹ 12,00,000 per year

    Company DescriptionSPRY Therapeutics, Inc. is the inventor of SPRY EMR, an integrated practice management solution tailored for rehab therapy professionals. The SPRY platform supports physical therapists, occupational therapists, and speech language pathologists to optimize their practice and business operations. Known for its flexible workflow...

  • US Healthcare

    2 weeks ago


    Bengaluru, Hyderabad, Pune, India Infosys Full time ₹ 6,00,000 - ₹ 12,00,000 per year

    Job descriptionHiring for US Healthcare - Claims & Premium Billing with experience range 2 to 3 yearsMandatory Skills: US Healthcare - Claims & Premium BillingEducation: Responsibilities A day in the life of an Infoscion As part of the Infosys consulting team, your primary role would be to actively aid the consulting team in different phases of the project...

  • Us Process

    2 weeks ago


    Pune, India Talent Corner HR Services Pvt. Ltd. Full time

    analytical, problem-solving, and critical-thinking skills, Excellent writing and speaking skills in English, quickly grasp technical concepts and learn in-house data processing tools, multi-tasking, negotiation skills **Department** All Departments **Open Positions** 1 **Skills Required**: US Process;US Shift;Problem Solving;Insurance;Communication...