
Claims and Authorizations Specialist
1 week ago
Claims and Authorizations Specialist
Key Responsibilities:- Contact insurance companies via outbound calls to follow up on unpaid or denied claims.
- Review Explanation of Benefits (EOBs) to identify reasons for denials or delays.
- Take corrective actions such as resubmissions, appeals, or adjustments based on payer responses.
- Update billing software with clear notes on call outcomes and claim status.
- Meet productivity and quality benchmarks.
- Ensure compliance with HIPAA guidelines at all times.
- Strong spoken English skills (US accent preferred).
- Understanding of US healthcare terms and insurance types (Medicare, Medicaid, commercial).
- Experience in AR calling/denial management is an asset (freshers can be trained).
- Attention to detail and time management skills are essential.
- Initiate and obtain prior authorizations from insurance carriers for procedures, medications, or services.
- Review patient eligibility and benefits through insurance portals and calls.
- Communicate effectively with healthcare providers and insurance reps to track authorization status.
- Maintain accurate authorization logs and escalate pending requests before scheduled services.
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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...
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Health Claims Specialist
2 weeks ago
Hyderabad / Secunderabad, Telangana, India beBeeHealth Full time ₹ 1,04,000 - ₹ 1,30,878Health Claim Specialist Role OverviewAs a Health Claim Specialist, you will be responsible for managing the claims process for our health product line and portfolio. This role involves coordinating with multiple teams and stakeholders to ensure seamless claims evaluation and settlement.Key Responsibilities:Evaluate health claim ratios to identify trends and...
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Healthcare Claims Specialist
6 days ago
Hyderabad / Secunderabad, Telangana, India beBeeMedical Full time ₹ 1,50,000 - ₹ 28,00,000Job Title: Medical Officer-ClaimsAs a Medical Officer-Claims, you will be responsible for ensuring the smooth processing of patients' healthcare related documents. This role involves dealing with various aspects of medical claims, from documentation to authorization.Key Responsibilities:Review and process patient records, ensuring accuracy and compliance...
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Financial Claims Specialist
2 weeks ago
Hyderabad / Secunderabad, Telangana, India beBeeFinancialClaims Full time ₹ 1,04,000 - ₹ 1,30,878We are looking for a highly skilled and detail-oriented professional to join our team as a Financial Claims Specialist. As a key member of the Revenue Cycle team, you will play a crucial role in ensuring accurate and timely claim submissions.The ideal candidate will have a solid understanding of medical billing processes and terminology, as well as...
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Claims Resolution Specialist
2 weeks ago
Hyderabad / Secunderabad, Telangana, Mumbai, India beBeeResolution Full time US$ 80,000 - US$ 1,20,000Job Summary:We are seeking a skilled Claims Resolution Specialist to join our team. In this role, you will be responsible for resolving claims in a timely and efficient manner.Key Responsibilities:Resolve claims by communicating with insurance companies, analyzing information, and making decisions based on established guidelinesWork on denials, rejections,...
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Insurance Claim Resolution Specialist
1 week ago
Chennai, Navi Mumbai, Hyderabad / Secunderabad, Telangana, India beBeeAuthorization Full time US$ 80,000 - US$ 1,20,000Key Responsibilities:Contact insurance companies to follow up on unpaid or denied claims.Analyze EOBs and identify reasons for denials or delays.Take corrective actions based on payer responses.Update billing software with clear notes on call outcomes and claim status.Meet productivity and quality benchmarks.Maintain HIPAA compliance at all times. Required...
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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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Payer Claims Specialist
2 weeks ago
Bengaluru / Bangalore, Hyderabad / Secunderabad, Telangana, Chennai, India beBeeClaims Full time US$ 90,000 - US$ 1,20,000Payer Claims SpecialistWe are seeking a skilled Payer Claims Specialist to join our team. As a key member of our organization, you will play a crucial role in ensuring the smooth processing of claims and maintaining excellent relationships with clients.Key Responsibilities:Total Years of Experience: 5+ years of relevant experience in Payer ClaimsMandatory...
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Health Claims Manager
6 days ago
Hyderabad / Secunderabad, Telangana, India beBeeHealthClaimsSpecialist Full time ₹ 1,04,000 - ₹ 1,30,878Health Claims Specialist RoleOur organization seeks a skilled Health Claims Specialist to manage the entire health product line and portfolio.Greetings From Scorelabs Inc removed for clarity purposes, still maintaining confidentiality of company operations.Claims Management Process for all health products ensures timely resolution of customer queries and...
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Healthcare Claims Resolution Specialist
2 weeks 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...