Mainframe +Claim Adjudication

-Application development experience in Design, coding, testing and debugging with mainframe skills such as CICS, VSAM, COBOL, DB2, JCL, Zeke, File Aid, Changeman, AbendAid-Programming, conduct code reviews, and test software as needed, ensuring quality of deliverables-Should have experience in Claim adjudication experienceNote: Applicants should be ready to...

Position: BPO Claim Adjudication(US Healthcare) Experience: 1-4years Notice period: 0-45days Skills: Must have experience in Claims Adjudication Good Exposure on COB and HIPAA **Salary**: ₹100,000.00 - ₹300,000.00 per year **Benefits**: - Cell phone reimbursement - Health insurance - Provident Fund Schedule: - Night shift Supplemental pay...

Position: BPO Claim Adjudication(US Healthcare) Experience: 1-4years Notice period: 0-45days Skills: Must have experience in Claims Adjudication Good Exposure on COB and HIPAA **Salary**: ₹100,000.00 - ₹300,000.00 per year **Benefits**: - Cell phone reimbursement - Health insurance - Provident Fund - Work from home Schedule: - Night...

**Job Role: HC & Insurance Operation Associate** **Location: Chennai/Coimbatore** **Duration Fulltime** **Skill set**: - **Claim adjudication**: - **HIPAA**: - **COB** **Benefits**: - Health insurance - Internet reimbursement Schedule: - Night shift - Health insurance

**Adjudication - Claim Examiner** - Review medical documents, policy documents, policy history, Claims history, and system notes - Ability to understand logic of standard medical coding (i.e., CPT, ICD-10, HCPCS, etc.) - Process Insurance Claims timely and qualitatively - Ability to resolve claims that require adjustments and adjustment projects. - Identify...

Role & responsibilitiesSelected trainees Will be trained on Claim adjudication processThey will evaluate and processes claims in accordance with company policies and procedures per CMS guidelines/SOPReviews and analyzes data for in-process claims in order to identify and resolve errors prior to final adjudicationExercises good judgment and remains...

Job Title Claims Adjudication - Non-Voice BPO Process Experience 3 to 7 Years Location Chennai Process Type Non-Voice Back Office Domain Healthcare Insurance Shift 5 30pm to 2 30pm or 6 30pm to 3 30pm Job Summary We are seeking a detail-oriented and experienced Claims Adjudicator to join our non-voice BPO team The ideal candidate will be responsible for...

Greetings from Firstsource HR Spoc - MadhubalaLooking for US Healthcare Professionals Experience : 1- 4 YearsProcess : Non Voice - Skill : Claims Adjudication US Healthcare experience.Work location : Navalur ChennaiRequired : Minimum 1year Experience in US Healthcare BPO. Claims AdjudicationEducation - Any Graduates and Diploma(10+3)can apply.Immediate...

Process all claims in each Level 1, 2 within 3 business day and maintain the turnaround time with in the specified global target - Discussed with market on age claims on weekly basis and take appropriate actions on the claims" - Claim Assessing based on Policy and provide suggestion to be implemented in policy - Do Claim Adjudication feedback analysis and...

**Job Summary** Join our dynamic team as a PE-Claims HC specialist where you will play a crucial role in processing and adjudicating claims with precision and efficiency. This hybrid role requires a keen understanding of Medicare and Medicaid claims ensuring compliance and accuracy. With a focus on night shifts you will contribute to our mission of...