SPE-Claims HC
3 days ago
Job Description Job Summary Join our team Clinical Claims Review Specialist where you will leverage your expertise in claims adjudication to ensure accurate and efficient processing of claims. With a focus on commercial claims and payer domain you will work remotely during night shifts contributing to our mission of providing exceptional service and support to our clients. Your role will be pivotal in enhancing operational efficiency and client satisfaction. Responsibilities - Process claims efficiently and accurately to ensure timely adjudication and resolution. - Analyze claim data to identify discrepancies and take corrective actions to maintain accuracy. - Collaborate with team members to streamline claims processing and improve workflow efficiency. - Utilize claims adjudication systems to manage and track claims status and outcomes. - Communicate effectively with stakeholders to resolve claims-related issues and provide updates. - Ensure compliance with industry standards and regulations in all claims processing activities. - Provide insights and recommendations to enhance claims processing strategies and reduce errors. - Maintain detailed records of claims activities and generate reports for management review. - Assist in the development and implementation of claims processing policies and procedures. - Stay updated on industry trends and best practices to continuously improve claims operations. - Support the team in achieving departmental goals and objectives through effective claims management. - Contribute to the companys purpose by ensuring high-quality claims service that impacts society positively. - Work independently in a remote setting demonstrating strong self-motivation and time management skills. Qualifications - Possess strong technical skills in claims adjudication with a proven track record. - Have domain expertise in claims with experience in the payer domain being a plus. - Demonstrate excellent analytical and problem-solving abilities. - Exhibit strong communication skills for effective stakeholder interaction. - Show proficiency in using claims adjudication software and tools. - Display a keen attention to detail and accuracy in claims processing. - Have the ability to work independently and manage time effectively in a remote work environment. Certifications Required BSC Nursing with Mon 2 + years of Clinical Experience
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SPE-Claims HC
6 days ago
Bengaluru, Karnataka, India Cognizant Full time ₹ 4,00,000 - ₹ 8,00,000 per yearJob SummaryJoin our team Clinical Claims Review Specialist where you will leverage your expertise in claims adjudication to ensure accurate and efficient processing of claims. With a focus on commercial claims and payer domain you will work remotely during night shifts contributing to our mission of providing exceptional service and support to our clients....
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SPE-Claims HC
1 week ago
Bengaluru, Karnataka, India Cognizant Full time ₹ 9,00,000 - ₹ 12,00,000 per yearJob SummaryClinical claim ReviewResponsibilitiesOversee the claims adjudication process to ensure accuracy and compliance with industry standards.Provide expertise in claims and payer domains to enhance operational efficiency.Analyze claims data to identify trends and areas for improvement.Collaborate with team members to streamline claims processing...
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Spe-claims Hc
1 week ago
Bengaluru, Karnataka, India Cognizant Full time**Job Summary** Join our team Clinical Claims Review Specialist where you will leverage your expertise in claims adjudication to ensure accurate and efficient processing of claims. With a focus on commercial claims and payer domain you will work remotely during night shifts contributing to our mission of providing exceptional service and support to our...
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SPE-Customer Service HC
5 days ago
Pune, India Cognizant Full timeJob Description Job Summary Join our team as a Customer Service Specialist where you will leverage your expertise in customer service and claims to enhance client satisfaction and streamline processes. With a hybrid work model and night shifts you will play a crucial role in addressing customer inquiries and resolving claims efficiently contributing to our...
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▷ Only 24h Left: HC
3 weeks ago
Chennai, India NTT DATA North America Full timeJob Description PROVIDER DATA MANAGEMENT - GRADE 5 HC & INSURANCE OPERATIONS SENIOR ASSOCIATE Position Overview: At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees have been key factors in our company's growth and market presence. By hiring the best people and helping them...
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SPE-AR Management HC
2 weeks ago
Noida, India Cognizant Full timeJob Description Job Summary Join our dynamic team as a Specialist in Accounts Receivable Management within the healthcare sector. This hybrid role requires expertise in healthcare products and revenue cycle management. With a focus on night shifts you will play a crucial role in optimizing financial operations ensuring timely collections and enhancing cash...
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SPE-Medical Coding HC
7 days ago
Hyderabad, India Cognizant Full timeJob Description Job Summary We are seeking a skilled Medical Coding Specialist with 2 to 3 years of experience in healthcare products and medical coding. The candidate will work in a hybrid model primarily during the day shift. This role involves ensuring accurate coding of medical records contributing to the efficiency and accuracy of healthcare data...
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SPE-AR Management HC
7 days ago
Hyderabad, India Cognizant Full timeJob Description Job Summary Join our team as a Specialist in Accounts Receivable Management within the healthcare sector. You will leverage your expertise in healthcare products and revenue cycle management to optimize financial processes. This hybrid role offers the flexibility of remote work with night shifts ensuring seamless operations without the need...
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SPE-Medical Coding HC
5 days ago
Hyderabad, India Cognizant Full timeJob Description Job Summary We are seeking a skilled Medical Coding Specialist with 2 to 4 years of experience to join our team in a hybrid work model. The ideal candidate will have expertise in healthcare products and medical coding. This role involves ensuring accurate coding of medical records contributing to the efficiency of healthcare services and...
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Quality Assurance Engineer
2 weeks ago
Hyderabad, India Innova Solutions Full timeJob Description Innova Solutions Hiring Immediate Joiner For QA Engineer with Selenium, Java, SQL with Healthcare domain @ Hyderabad & Chennai Location. Exp -6-10 yrs. Good test automation skill using Selenium. Good knowledge in file handling using JAVA (xml/.txt /Json) Overall HC domain knowledge- provider, payer, health plans (HMO, PPO, Medicare,...