Medical Claims Processor
3 days ago
TCS is hiring for Claims Adjudication Processor roleLocation - ChennaiJob Summary: We are seeking a detail-oriented and analytical Claims Adjudication Processor to join our team. The ideal candidate will be responsible for reviewing, processing, and resolving pending healthcare claims while ensuring compliance with federal, government, and commercial health plan policies. This role requires a strong understanding of medical claims processing, payer regulations, and industry guidelines.Key Responsibilities:Process and adjudicate healthcare claims efficiently and accurately, ensuring compliance with company policies and industry standards.Investigate and resolve pended claims by reviewing documentation, identifying discrepancies, and taking necessary actions.Interpret and apply policies related to government (Medicare/Medicaid), federal, and commercial health plans.Research and analyze claims issues, including coding errors, missing information, and policy limitations, to determine appropriate resolutions.Work with internal teams, providers, and payers to ensure timely claim resolution.Maintain and update claims processing systems with accurate information.Ensure claims meet regulatory, contractual, and compliance requirements.Identify trends and escalate issues to management as needed.Meet quality and productivity standards set by the organization.Qualifications:Experience: 18 to 24 months of experience in claims adjudication, processing, or related healthcare roles.Knowledge: Strong understanding of healthcare claims processing, including CPT, ICD-10, HCPCS codes, and industry regulations.Familiarity with government (Medicare/Medicaid), federal, and commercial health plans.Analytical Skills: Ability to identify and resolve claim discrepancies efficiently.Technical Skills: Proficiency in claims processing software and Microsoft Office Suite (Excel, Word, Outlook).Communication: Strong verbal and written communication skills for interacting with internal and external stakeholders.Attention to Detail: High level of accuracy and ability to manage multiple claims simultaneously.Preferred Qualifications:Experience with claims systems such as Facets, NASCO, Amisys, or similar platforms.Knowledge of HIPAA regulations and healthcare compliance requirements.Prior experience in a high-volume claims processing environment.Interested candidates can apply for this role
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Medical Claims Processor
2 days ago
tamil nadu, India Tata Consultancy Services Full timeTCS is hiring for Claims Adjudication Processor role!!! Location - Chennai Job Summary: We are seeking a detail-oriented and analytical Claims Adjudication Processor to join our team. The ideal candidate will be responsible for reviewing, processing, and resolving pending healthcare claims while ensuring compliance with federal, government, and commercial...
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Medical Claims Processor
3 days ago
Chennai, Tamil Nadu, India, Tamil Nadu Tata Consultancy Services Full timeTCS is hiring for Claims Adjudication Processor roleLocation -ChennaiJob Summary:We are seeking a detail-oriented and analytical Claims Adjudication Processor to join our team. The ideal candidate will be responsible for reviewing, processing, and resolving pending healthcare claims while ensuring compliance with federal, government, and commercial health...
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Medical Claims Processor
3 days ago
Chennai, Tamil Nadu, India, Tamil Nadu Tata Consultancy Services Full timeTCS is hiring for Claims Adjudication Processor role!!!Location - ChennaiJob Summary: We are seeking a detail-oriented and analytical Claims Adjudication Processor to join our team. The ideal candidate will be responsible for reviewing, processing, and resolving pending healthcare claims while ensuring compliance with federal, government, and commercial...
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Medical Claims Analyst
5 days ago
Chennai, Tamil Nadu, India Med-Metrix Full timeJob Purpose The Medical Claims Analyst is responsible for collections account follow up billing and allowance posting for the accounts assigned to them Duties and Responsibilities Follow-up with payers to ensure timely resolution of all outstanding claims via phone emails fax or websites Meets and maintains daily productivity quality standards established in...
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Medical Billing Executive
1 week ago
Perungudi, Chennai, Tamil Nadu, India Lubdub Medical Technologies Pvt Ltd Full timeA Medical Billing Executive oversees and manages all aspects of a hospital's billing and financial processes. They ensure accurate billing, timely claims processing, and adherence to healthcare regulations. Additionally, they resolve billing issues, manage accounts receivable, and may train billing staff. Key Responsibilities: - **Billing and Claims...
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Medical Coder
4 days ago
Chennai, Tamil Nadu, India Intermed laboratories Full timeAnalyze medical records, including physician notes, lab results, and more - Assign codes to diagnoses and procedures - Create claims for insurance payment - Review claims for reimbursement - Ensure medical records are accurate and complete - Ensure medical records comply with regulations - Ensure medical records are grammatically correct - Train other...
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Claims Executive
8 hours ago
Anna Nagar, Chennai, Tamil Nadu, India Link K Insurance TPA Pvt Ltd Full time**Greetings From Link - K Insurance TPA** We are hiring **Claims Executive** for our claims Department at our Chennai Corporate office. **Year of Experience**: 1 to 3 Years **Qualification**: Any Degree **Industry**: TPA or Health Insurance (Indian Based Claims ) **Shift Timing**: 1 PM till 9 PM **Roles and Responsibility** - Accurate and efficient...
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Medical Coder
2 weeks ago
Chennai, Tamil Nadu, India AGS HEALTH PRIVATE LIMITED Full timeA medical coder reviews patient medical records and translates diagnoses, procedures, and other healthcare information into universal alphanumeric codes for billing and data management. Key responsibilities include accurately assigning codes using systems like ICD-10-CM and CPT, ensuring compliance with regulations, and communicating with healthcare...
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Claims Processing Executive
4 weeks ago
Chennai, Tamil Nadu, India Kavi Software Technologies Private Limited Full timeWalk-in date 14th November 2025 Friday Interview Timings 9 00am - 2 00pm IST Venue Kavi India - TES PM Towers 3rd floor 37 Greams Rd Thousand Lights West Thousand Lights Chennai Tamil Nadu 600006 Please bring a hard copy resume and dress in professional attire for the interview Job Summary We are looking for a driven and curious Claims Processing Executive...
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Claims Executive
1 week ago
Anna Nagar, Chennai, Tamil Nadu, India Link K Insurance TPA Pvt Ltd Full time**Greetings From Link - K Insurance TPA** We are hiring **Claims Executive** for our claims Department at our Chennai Corporate office. **Year of Experience**: 1 to 3 Years **Qualification**: Any Degree **Industry**: TPA or Health Insurance (Indian Based Claims ) **Shift Timing**: 1 PM till 9 PM **Roles and Responsibility** - Accurate and efficient...