Executive-Claims Management-Medical Billing and Claims Processing
2 days ago
Responsible to reprice the non-par claims as per the Fee schedule and payment methodology. Conduct primary and secondary reviews of medical claims to verify correct reimbursement calculations based on costs, Medicare, or a usual and customary methodology in accordance with self-funded benefit plan language. Use Microsoft Office products to generate letters, explanations, and reports to explain medical reimbursement approaches and communicate this information. Provide input for new process development and continuous improvement. Supplier will share daily production report with stateside manager for review and feedback. Maestro Health will provide all applications and accesses required for claim repricing. Access requests should be completed within first week of project start date in order to start production. Requirement gathering & training session will require active participation from Maestro Health manager.Software/System licensing will be charged to the cost center directly vs. invoiced by Supplier.Skills Required:Graduate with good written and oral English language skills Expertise in using Claim processing and validation application and worked in past on same profile/portfolio. Basic level proficiency on Excel to query production data and prepare/generate reports. Analytical mindset with strong problem solving skills. US Healthcare insurance domain experience desirable Understanding of US Healthcare system terminology, understanding of claims, complaints, appeals and grievance processes.
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Noida, Uttar Pradesh, India EXL Talent Acquisition Team Full timeResponsible to reprice the non-par claims as per the Fee schedule and payment methodology. Conduct primary and secondary reviews of medical claims to verify correct reimbursement calculations based on costs, Medicare, or a usual and customary methodology in accordance with self-funded benefit plan language. Use Microsoft Office products to generate letters,...
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Noida, Uttar Pradesh, India EXL Full time ₹ 9,00,000 - ₹ 12,00,000 per yearDescriptionResponsible to reprice the non-par claims as per the Fee schedule and payment methodology.Conduct primary and secondary reviews of medical claims to verify correct reimbursement calculations based on costs, Medicare, or a usual and customary methodology in accordance with self-funded benefit plan language.Use Microsoft Office products to generate...
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Delhi, NCR, New Delhi, Noida, India Intelligent Radiology Solutions Full time ₹ 2,00,000 - ₹ 6,00,000 per yearWe are seeking a detail-oriented and organized Medical Billing Executive to join our team. The ideal candidate will be responsible for charge posting, claims submission, and follow-up on denied claims. This role requires a high degree of accuracy and efficiency in processing medical billing information, as well as the ability to handle a variety of tasks in...
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TataAIG - Manager - Health Claims
4 days ago
Noida, India TATA AIG General Insurance Company Limited Full timeAs Manager - Health Claims, you will play a critical role in adjudicating and managing health insurance claims by integrating clinical knowledge with data-driven decision-making. You will ensure claims are processed accurately, within regulatory and company guidelines, while maintaining operational excellence and customer trust.This position involves a blend...
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Executive Health Claims Assessment
5 days ago
Noida, Uttar Pradesh, India bajajallianz Full timeᄋ Claim registration - On Daily Basis need to register the claims which has been assigned for processing, Scrutiny of the documents **ᄋ Reserve Setting**: - Need to do the proper reserve setting on system based on the claim documents ᄋ Technical processing claims which has been assigned for processing for health/ personal accident etc claims and...
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Process Associate-Claims
2 days ago
Noida, India Genpact Full timeGenpact (NYSE: G) is a global professional services and solutions firm delivering outcomes that shape the future. Our 125,000+ people across 30+ countries are driven by our innate curiosity, entrepreneurial agility, and desire to create lasting value for clients. Powered by our purpose - the relentless pursuit of a world that works better for people - we...
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Head – Reimbursement claims
1 week ago
Noida, Uttar Pradesh, India Mancraft Consulting Full time ₹ 15,00,000 - ₹ 30,00,000 per yearJob Description:Primary Role Description: The individual will head reimbursement claims process (Claim reporting to final decision). He / She will play a key leadership role in driving Reimbursement claim strategy, managing the claims team, collaborating with other departments to ensure the organizational goals on finances, customers, processes and people...
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Process Associate
5 days ago
Noida, Uttar Pradesh, India Genpact Full time**Genpact (NYSE: G) is a global professional services and solutions firm delivering outcomes that shape the future. Our 125,000+ people across 30+ countries are driven by our innate curiosity, entrepreneurial agility, and desire to create lasting value for clients. Powered by our purpose - the relentless pursuit of a world that works better for people - we...
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Looking For Medical Billing Executive
2 days ago
Noida, India TieIn HR Support Full timewe're hiring: medical billing manager canadian physician billing location: (remote / onsite -mohali job type: full-time department: medical billing & revenue cycle managementare you an experienced medical billing professional with deep knowledge of canadian physician billing systems (ohip, msp, ahcip, etc.)? were looking for a highly organized and...
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Claims Management Associate
1 week ago
Uttar Pradesh | B/, Sector , Noida, India CompuGroup Medical Full time ₹ 4,00,000 - ₹ 8,00,000 per yearBecome ALL IN as an (Claims Management Associate/Senior Associate) As a pioneer in digital health our heart beats for the development and implementation of new technologies. For the next level of e-health evolution we are looking for creative minds who enjoy working with a variety of technologies, their own design freedom and professional development. What...