Healthcare Insurance Claims Specialist
3 days ago
We are seeking a detail-oriented individual to join our team as an Insurance Claims Resolver. The successful candidate will be responsible for making outbound calls to US insurance companies, resolving unpaid or denied claims and ensuring timely resolution of these issues.
- Resolve claim disputes by communicating with insurance carriers via phone or online platforms.
- Verify claim status and analyze reason for denial to take corrective actions.
- Document call activity and resolution in the billing system for accurate tracking and follow-up purposes.
- Establish open communication channels with providers and patients to ensure seamless coordination and documentation of treatment plans.
To succeed in this role, you should possess excellent verbal and written communication skills, strong analytical and problem-solving abilities, and a basic understanding of RCM (Revenue Cycle Management) principles and CPT/ICD codes.
- Education: Any graduate (Life Sciences, Paramedical, Commerce, Arts, etc.)
- Experience: 0–3 Years in US Healthcare RCM
- Skills Required:
- Excellent spoken and written English communication
- Familiarity with US health insurance terms (PPO, HMO, Medicare, Medicaid)
- Basic knowledge of RCM cycle, CPT/ICD codes, and payer portals preferred
- Typing speed: 30–35 WPM (for Pre-auth roles)
This role offers a unique opportunity to work with a dynamic team and contribute to the growth of our organization. If you are a motivated and detail-oriented individual who is passionate about delivering exceptional results, we encourage you to apply.
Others:We value diversity and inclusion in our workplace and welcome applications from qualified candidates who can bring new perspectives and ideas to our team.
-
Healthcare Insurance Claims Advocate
6 days ago
Hyderabad / Secunderabad, Telangana, Chennai, Navi Mumbai, India beBeeAuthorization Full timeInsurance Call SpecialistJob Description:Responsibilities include contacting insurance companies to follow up on unpaid or denied claims.Review and analyze Explanation of Benefits (EOBs) to identify reasons for denials or delays.Take corrective actions based on payer responses, including resubmissions, appeals, or adjustments.Update billing software with...
-
Insurance Claim Resolution Specialist
2 days 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...
-
US Healthcare Insurance Claim Specialist
6 days ago
Mumbai, Bengaluru / Bangalore, Hyderabad / Secunderabad, Telangana, India beBeeInsurance Full time ₹ 9,00,000 - ₹ 12,00,000Insurance Claim SpecialistThis role involves managing insurance claims and ensuring timely resolutions.Key Responsibilities:Phone insurance companies to follow up on unpaid or denied claimsReview claim status, resolve denials or rejections, and escalate unresolved issuesUnderstand insurance guidelines, CPT codes, and denial reason codesDocument call details...
-
Healthcare Claim Resolvers
6 days ago
Chennai, Navi Mumbai, Hyderabad / Secunderabad, Telangana, India beBeeSpecialist Full time US$ 40,000 - US$ 80,000US Healthcare Follow-Up SpecialistWe are seeking a skilled US Healthcare Follow-Up Specialist to join our team. As a key member of our operations, you will be responsible for making outbound calls to US insurance companies to resolve unpaid or denied claims. Your goal will be to analyze claim status, reason for denial, and take corrective actions to ensure...
-
Insurance Claims Resolution Specialist
3 days 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...
-
Insurance Claims Resolution Specialist
1 week ago
Mumbai, Hyderabad / Secunderabad, Telangana, India beBeeClaims Full time US$ 90,000 - US$ 1,20,000Job Summary:We are seeking an Insurance Claims Resolution Specialist to join our team. As an Insurance Claims Resolution Specialist, you will be responsible for resolving insurance claims in a timely and efficient manner.Key Responsibilities:Follow up with insurance companies to ensure claims are resolved promptlyAnalyze and resolve denied or rejected...
-
Healthcare Insurance Claims Specialist
16 hours ago
Chennai, Tamil Nadu, India beBeeOperations Full time US$ 40,000 - US$ 80,000Healthcare Insurance Operations PositionJob Description:This role involves processing adjudication claims and resolving payment and denial issues in a timely and accurate manner. It requires knowledge of healthcare insurance policy concepts, including in-network and out-of-network providers, deductibles, coinsurance, copays, out-of-pocket maximums, and...
-
Healthcare Claims Resolution Specialist
3 days ago
Bengaluru / Bangalore, Chennai, Hyderabad / Secunderabad, Telangana, India beBeeClaims Full time ₹ 8,00,000 - ₹ 12,00,000Job Title: Medical Claims SpecialistJob Description:We are seeking a skilled Medical Claims Specialist to join our team. The successful candidate will be responsible for resolving claims across various medical specialties, ensuring accurate documentation and compliance with regulatory guidelines.Key Responsibilities:Follow up with insurance companies to...
-
Healthcare Claims Specialist
12 hours ago
Chennai, Tamil Nadu, India beBeeHealthcare Full time ₹ 48,00,000 - ₹ 72,00,000Job Title: Healthcare Claims Specialist Contact insurance companies to follow up on outstanding claims. Analyze and resolve billing issues by understanding denials. Maintain accurate documentation of interactions and claim statuses. Requirements Effective communication skills are essential Basic understanding of healthcare or willingness to learn is...
-
Health Insurance Claims Specialist
2 weeks ago
Chennai, Bengaluru / Bangalore, Hyderabad / Secunderabad, Telangana, India beBeeInsurance Full time US$ 80,000 - US$ 1,20,000Job Title: Health Insurance Claims SpecialistSummary:Seeking a highly skilled and experienced Health Insurance Claims Specialist to join our team. The successful candidate will have strong knowledge of health insurance claims processes, experience with Inter plan claims ITS, and excellent communication skills.Required Skills and QualificationsStrong...