
Remote Claims Resolutions Specialist
6 days ago
Your role will involve working on assigned claims and running reports to identify claims that require a follow-up. You will resolve the denial by taking appropriate action as per guidelines.
You will ensure timely follow up to save claims from getting written off due to untimely following up. You will work on contractual adjustments and write-off projects.
You will analyze previous notes and actions taken on claims; take the correct action on claims not handled correctly previously and bring that to the knowledge of the Quality Team.
You will identify opportunities to improve the follow up process and recommend changes to be added/removed in the Practice Instructions or SOPs with any recent changes at the Payer end.
You will attend trainings to learn new updates, technologies, and techniques; enhancing knowledge of various scenarios and keeping abreast with the new updates is an important requirement for this role.
You will continuously self-audit to ensure quality standards are met.
You will review claim thoroughly and explore all possibilities to get claim resolved prior to assigning claims to any other Modmed or client buckets.
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Insurance Claim Resolution Specialist
2 weeks ago
Hyderabad / Secunderabad, Telangana, India beBeeInsurance Full time ₹ 1,04,000 - ₹ 1,30,878Job Title: Insurance Claim Resolution SpecialistJob Summary:We are seeking an experienced and detail-oriented Insurance Claim Resolution Specialist to join our team. In this role, you will be responsible for resolving unpaid/denied claims by communicating with US insurance companies, analyzing Explanation of Benefits (EOBs), and updating billing systems.Main...
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Claims Resolution Specialist
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AR Claims Resolutions Specialist
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Healthcare Claims Resolution Specialist
6 days ago
Hyderabad / Secunderabad, Telangana, Mumbai, Bengaluru / Bangalore, India beBeeClaim Full time US$ 90,000 - US$ 1,20,000Job Title: Healthcare Claims Resolution SpecialistIn this role, you will be responsible for handling all aspects of healthcare claims resolution, working closely with internal teams to ensure timely and effective communication with clients and insurers. Your goal will be to resolve claim denials, rejections, or short payments in a professional and efficient...
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US Claim Resolution Specialist
3 days ago
Hyderabad / Secunderabad, Telangana, India beBeeClaimResolutionspecialist Full time ₹ 1,50,000 - ₹ 28,00,000Job SummaryWe are seeking a skilled professional to join our team in resolving unpaid and denied claims. The ideal candidate will have excellent communication skills, a strong understanding of the US healthcare RCM process, and proficiency in MS Excel and billing software.Main ResponsibilitiesReview and analyze unpaid/denied claims and initiate appropriate...
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Hyderabad, Telangana, India beBeeNegotiation Full time ₹ 9,00,000 - ₹ 15,30,000Insurance Claim Settlement Specialist Job DescriptionWe are seeking a highly skilled Insurance Claim Settlement Specialist to manage the entire claims settlement process from submission to final resolution. The successful candidate will have a strong understanding of insurance policies, excellent negotiation skills, and adherence to company standards and...
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Financial Claims Resolution Specialist
6 days ago
Hyderabad / Secunderabad, Telangana, India beBeeClaims Full time ₹ 4,00,000 - ₹ 8,00,000Your RoleResponsibilities include working on assigned claims and running reports to identify potential issues that require follow-up action.Ensuring timely resolution of claims to prevent write-offs.Ongoing contract adjustments, claim analysis and quality control activities.Analyzing previous actions taken on claims; taking corrective action as necessary to...
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Healthcare Claims Resolution Specialist
2 weeks ago
Mumbai, Hyderabad / Secunderabad, Telangana, India beBeeCompliance Full time ₹ 6,00,000 - ₹ 8,00,000Job Opportunity:As a key member of our team, you will be responsible for performing follow-ups with insurance companies on outstanding claims. This role requires excellent communication and organizational skills to handle denials, rejections, and unpaid claims efficiently.Identify and address claim-related issuesCollaborate with internal stakeholders to...
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Insurance Claim Resolution Specialist
2 weeks ago
Mumbai, Bengaluru / Bangalore, Hyderabad / Secunderabad, Telangana, India beBeeResolution Full time US$ 60,000 - US$ 1,20,000Job Summary:We are seeking a highly motivated Insurance Claim Resolution Specialist to join our team. The ideal candidate will have excellent communication and problem-solving skills, with the ability to work independently in a fast-paced environment.Key Responsibilities:Follow up with insurance companies on outstanding claims to ensure timely resolutionWork...
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Insurance Claims Resolution Specialist
2 weeks ago
Chennai, Hyderabad / Secunderabad, Telangana, Mumbai, India beBeeAuthorization Full time US$ 40,000 - US$ 80,000Job Opportunity:We are seeking a professional to fill the role of Insurance Claims Resolution Specialist.Responsibilities:Contact insurance companies to follow up on unpaid or denied claims, review and analyze Explanation of Benefits (EOBs), and take corrective actions based on payer responses.Update billing software with clear notes on call outcomes and...