Non Customer Service Healthcare Claims Adjudication Team Member-bps

As a team member of our healthcare claims adjudication unit, you will play a crucial role in ensuring timely and accurate processing of medical claims.Key ResponsibilitiesReview and process healthcare claims according to established policies and procedures.Analyze and resolve claim discrepancies in a prompt and efficient manner.Collaborate with internal...

We are currently seeking a skilled Healthcare Claims Resolution Specialist to join our team. As an experienced AR caller with a strong background in oncology billing and collections, you will play a vital role in resolving outstanding accounts receivable, analyzing denied or underpaid claims, and ensuring compliance with industry standards.Key...

Claims Processing AssociateThe Claims Processing Associate role is a vital part of our organization. This position involves handling and processing claims, ensuring timely and accurate resolution for our clients.Process claims from receipt to final resolution.Verify client information and validate claim details.Communicate with clients regarding claim status...

Business Analyst – Healthcare Domain- Gather, analyze, and document business requirements related to HIPAA, CMS, NCQA, and state-specific regulations.- Ensure system changes, processes, and documentation remain compliant with healthcare regulations and payer guidelines.- Act as liaison with compliance and legal teams during audits or regulatory updates.-...

Business Analyst – Healthcare DomainGather, analyze, and document business requirements related to HIPAA, CMS, NCQA, and state-specific regulations . Ensure system changes, processes, and documentation remain compliant with healthcare regulations and payer guidelines. Act as liaison with compliance and legal teams during audits or regulatory updates....

Job Title: Healthcare Business StrategistWe are seeking a seasoned professional with a deep understanding of healthcare regulations and compliance to drive business growth and improve operational efficiency.Ambitious individual with experience in gathering, analyzing, and documenting business requirements related to HIPAA, CMS, NCQA, and state-specific...

Job DescriptionGather, analyze and document business requirements related to HIPAA regulations and guidelines. Ensure system changes, processes and documentation remain compliant with healthcare payer rules.Required Skills and QualificationsKnowledge of healthcare regulations including CMS, NCQA, and state-specific rules.Ability to communicate effectively...

Job DescriptionP&O BP & IR Professional - GoaWelcome to Siemens vibrant team at our state-of-the-art facility in Goa We're on the lookout for a skilled and dedicated Business Partner and Industrial Relations Specialist to join us in fostering strong collaborative ties within our organization and with external stakeholders. At Siemens, we're committed to...

Job DescriptionRole SummaryClosing Ratio/Meeting all KPI of team member& Self- Negotiate with dealers- Large Value Claims handling- Avoid cost wastage- Workshops- Regular training of claims policies- Faster settlements- Settlement Ratio-97%- Investment Ratio-3%Re-open ratio/Segmentation of vehicles- Separating the Claims according to Vehicles- Conducting...

We are seeking a skilled Business Development Specialist with expertise in the healthcare domain. The ideal candidate will have experience in gathering and analyzing business requirements related to HIPAA, CMS, NCQA, and state-specific regulations.">Gathering and documenting business requirementsEnsuring system changes and processes remain compliant with...