Executive Healthcare Claims Leader

Job Description:\The Healthcare Claims team is responsible for the administration of health claims. This team involves core claim processing such as registering claims, editing and verification, claims evaluation, examination and litigation.\

Job SummaryA Claims Operations Manager is required to oversee the claims process in the US healthcare industry.The ideal candidate should possess expertise in claims adjudication, adjustments, and coding (ICD, CPT, HCPCS).Experience with regulatory compliance and strong analytical skills are highly desirable.As a team player, effective communicator, and...

Healthcare Claims Analyst","Deliver business solutions that enhance operational efficiency for healthcare clients.Utilize analytics and technology to improve claim processing and member benefits.Collaborate with the team to achieve business goals and objectives.In this role, you will be responsible for delivering results-oriented solutions that meet the...

Healthcare Claims Processing SpecialistYou will be part of a team responsible for the administration of health claims. This involves core claim processing, including registering claims, editing and verification, claims evaluation, and examination and litigation.In this role, you will deliver business solutions that support the healthcare claim function,...

Job DescriptionResponsibility AreasThe User is accountable to manage day to day activities of Denials Processing / Claims follow-upResponsibility Areas:1. Should handle US Healthcare providers/ Physicians/ Accounts Receivable.2. To work closely with the team leader.3. Ensure that the deliverables to the client adhere to the quality standards.4. Responsible...

Job Overview:We are seeking a Medical Officer to provide medical opinions for health insurance claims and process cashless requests in Mumbai.Main Responsibilities:Assessing health insurance claimsProcessing of cashless requests for claim documentsManaging reimbursement proceduresEssential Skills and Qualifications:Minimum 2-3 years of experience in claims...

Job Title: Client PartnerThis role is for an Accounts Receivable Specialist, primarily responsible for managing and resolving outstanding claims for US healthcare customers through direct communication.Key Responsibilities:Perform thorough pre-call analysis to verify claim status by contacting payers or utilizing IVR/web portal services.Ensure meticulous...

About Our OrganizationWe are a pioneering healthcare chain in India specializing in holistic cardiovascular wellness. We skillfully merge ancient principles with modern diagnostic techniques to offer non-invasive treatments for chronic lifestyle ailments like heart disease, diabetes, obesity, and hypertension, focusing on reversal and sustainable...

Job Description:Claims ExecutiveLocation:On-siteWorking Days:Monday to FridayWorking Hours:9:00 AM – 5:30 PMProbation Period:6 months (No paid leave during probation)Experience Required:1–2 yearsCompany OverviewBimaGuru is a trusted name in insurance advisory, offering tailored insurance solutions backed by expert guidance. We help clients secure their...

Group Leader - Business AnalystExperience : 5-7 yearsLocation: MumbaiIf you want to do more with your healthcare career and deepen your knowledge of healthcare revenue cycle management, you have to look at your healthcare business processes from the customers lens. Get smarter about the business of healthcare, join a company that values your work and enables...