Claims Operations Specialist

Role Claims SpecialistLocation ChennaiQualifications BDS BHMS BSMS BAMS BPT Experience Freshers Min 1yrs of experience in Claims specialist To medically adjudicate the claims that are being allotted adhering to the company policies and exclusions Must escalate any over utilization or fraudulence in claims Study claims trends and patterns To...

Key ResponsibilitiesProcess and adjudicate claims in a timely and accurate mannerIdentify and resolve issues related to claims processing, including denials, authorizations, and pricingDevelop and maintain a thorough understanding of healthcare insurance policy concepts and industry trendsWork collaboratively with internal teams to resolve complex issues and...

JOB DESCRIPTIONRole: Specialist - Amazon Claims & AppealsExp: 6-8 yearsLocation: RemoteAbout us:OJ Commerce (OJC), a rapidly expanding and profitable online retailer, is headquartered in Florida, USA, with a fully-functional office in Chennai, India.We deliver exceptional value to our customers by harnessing cutting-edge technology, fostering innovation, and...

Job Description:We are looking for a highly skilled Senior Medical Billing Specialist to join our team. In this role, you will be responsible for reviewing patient accounts in detail to ensure claims are accurate and billable. You will identify and resolve claim edits, understand billing guidelines and payer requirements, and proactively fix claim rejection...

Job Overview:We are seeking a highly skilled Insurance Claims Specialist to join our team at NTT DATA. As a key member of our claims processing department, you will be responsible for analyzing medical insurance claims for quality assurance and resolving moderately routine questions following pre-established guidelines.Main Responsibilities:Analyzing medical...

Job OverviewThe Medical Claims Analyst plays a vital role in the financial operations of Med-Metrix, responsible for collections, account follow-ups, billing, and allowance posting. This position requires strong analytical skills, effective communication, and a keen eye for detail to ensure timely resolution of outstanding claims.

**Company Overview:**We are NTT DATA, a leading IT services provider dedicated to delivering innovative solutions that transform businesses.**Job Description:**As an Insurance Claims Resolution Specialist at NTT DATA, you will be responsible for resolving claims in a timely and accurate manner. You will work closely with clients to identify outstanding...

About this role:Wells Fargo is seeking a Fraud & Claims Operations Associate Manager.In this role, you will:Supervise a team of specialists within a fraud and claims program for proactive fraud identification, prevention, and detection, as well as ensuring the recovery, execution, and handling of claimsIdentify opportunities for process improvement and risk...

About this role:Wells Fargo is seeking a Fraud & Claims Operations Associate Manager.In this role, you will:Supervise a team of specialists within a fraud and claims program for proactive fraud identification, prevention, and detection, as well as ensuring the recovery, execution, and handling of claimsIdentify opportunities for process improvement and risk...

About this role:Wells Fargo is seeking a Fraud & Claims Operations Associate Manager.In this role, you will:Supervise a team of specialists within a fraud and claims program for proactive fraud identification, prevention, and detection, as well as ensuring the recovery, execution, and handling of claimsIdentify opportunities for process improvement and risk...

Role SummaryWe are looking for a seasoned SAP Claims and Returns Specialist to join our team. The ideal candidate will have extensive experience in developing, implementing, and supporting software applications, particularly in the SAP Claims and Returns area.The successful candidate will be responsible for analyzing business requirements, transferring...

Job Summary:We are seeking an experienced AR Caller and Develop Your Professional Life specialist to join our team at Green Success Infotech. As a key member of our team, you will be responsible for making proactive calls to insurance companies to identify underpayments, denials, and claim status.Responsibilities:Examine Explanation of Benefits EOBs to...

Job OverviewWe are seeking a skilled Sr. Revenue Cycle Billing Specialist to join our team at Firstsource Solutions. This role is responsible for successfully collecting on aging medical insurance claims, either in the office or at the client site.Key ResponsibilitiesFile claims using all appropriate forms and attachments.R~search account denials and file...

Job Description:Atean Healthcare Solutions is seeking an experienced AR Caller to join our team in Chennai. As an AR Caller, you will be responsible for contacting insurance companies to follow up on claims and resolving issues related to denied or unpaid claims. Your tasks will include investigating and appealing denied claims, verifying insurance...

Job DescriptionWe are seeking a Senior Executive to join our team at EXL IT service management. As a key member of our operations team, you will be responsible for developing and implementing efficient claims processing strategies. Your expertise in claims adjudication and business intelligence will enable you to drive revenue growth and optimize operational...

Job OverviewWe are seeking an experienced Insurance Claims Analyst to join our team at NTT DATA North America. As a key member of our operations team, you will be responsible for processing insurance claims in a timely and qualitative manner.**Key Responsibilities**- Process insurance claims efficiently and accurately- Meet and exceed production,...

About This RoleWe are seeking a highly skilled Healthcare Claims Processor to join our team at NTT DATA North America. As a key member of our operations team, you will be responsible for processing insurance claims in a timely and qualitative manner.**Responsibilities**- Process insurance claims efficiently and accurately- Meet and exceed production,...

About the Role\We are seeking a skilled Health Claims Analyst to join our team at NTT DATA. As a key member of our operations, you will be responsible for processing life claims and identifying the right beneficiaries to provide timely benefits.\In this role, you will also set up claims and follow up on pending requirements, examine received documents, and...

At Athena Health, we're committed to creating a healthier future for individuals, families, and communities nationwide.We're seeking a skilled Claims Resolution Manager to join our Operations team. This critical role will focus on resolving complex claims and tasks associated with US healthcare Revenue Cycle Management (RCM).Responsibilities and...

Athena Health is a leading healthcare technology company that aims to create a thriving ecosystem delivering accessible, high-quality, and sustainable healthcare for all.We are seeking an experienced Healthcare Operations Specialist to join our Operations team. This role will be responsible for working on resolving claims and tasks associated with US...