Non Customer Service Healthcare Claims Adjudication Team Member-bps

Job Description:  We are seeking a skilled Healthcare Claims Adjudication Specialist to join our team. As a key member of our healthcare claims process, you will be responsible for reviewing and processing claims in a timely and accurate manner.Required Skills and Qualifications:  To be successful in this role, you will need to possess the following...

Job Summary **Role**: - HealthCare Claims Adjudication Associate **Experience**: - 1 to 4 years **Work Location**: - Hyderabad (Work From Office) **Shift Timing**: - US Shift time (5:30 PM to 03:30 AM IST) Resources should be completely Vaccinated to attend this interview & should have Hi-Speed Internet / Broadband Connection MUST have Mandatory...

Job Summary Requirement - 1-3 years of experience in processing claims adjudication and adjustment process - Experience in professional (HCFA), institutional (UB) claims (optional) - Both under graduates and post graduates can apply - Good communication (Demonstrate strong reading comprehension and writing skills) - Able to work independently, strong...

Education Mandatory: Any Graduate (BSC/BCOM/BA) Desirable: Nil Experience Minimum 6 Months eligibility/enrolment experience (preferred) Technical Competencies: (Job related) Exceptional data entry skills with high attention to detail, strong organization skills and ability to multi-task Should have working knowledge of MS-Office: (Teams, Outlook, Excel,...

Education Mandatory Any Graduate BSC BCOM BA Desirable Nil Experience Experience 2 Years experience in US Healthcare process would be preferred Technical Competencies Job related Computer Savvy Should have working knowledge of MS-Office Soft Skills Job related Comprehend English Language and average communicator Commitment to achieving deadlines...

Job Responsibilities: Manage and lead a team of 300+ members with a direct span of control of 3 – 6 leads / managers. Oversee account management and revenue generation activities. Ensure SLA maintenance and quality assurance across operations. Develop and implement strategic planning initiatives. Handle crisis management and problem-solving activities....

Job Responsibilities Manage and lead a team of 300 members with a direct span of control of 3 - 6 leads managers Oversee account management and revenue generation activities Ensure SLA maintenance and quality assurance across operations Develop and implement strategic planning initiatives Handle crisis management and problem-solving...

Job Description Team Management - Participate in recruitment process to identify the right talent within the function. - Guide and direct the team in efficiently achieving their targets. - Establish individual performance expectations and regularly review individual performance of the team. - Identify and create development opportunities for team members...

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....