
US Healthcare Insurance Claim Specialist
2 days ago
This role involves managing insurance claims and ensuring timely resolutions.
- Phone insurance companies to follow up on unpaid or denied claims
- Review claim status, resolve denials or rejections, and escalate unresolved issues
- Understand insurance guidelines, CPT codes, and denial reason codes
- Document call details and update the system with proper status
- Meet daily call volume and productivity targets
- Verify patient eligibility and insurance benefits
- Obtain pre-authorizations and prior approvals from insurance companies
- Follow up with insurance and providers to ensure approvals are received in time
- Maintain logs and documentation for audits and compliance
- Coordinate with billing and scheduling teams to ensure timely services
- Education: Graduate degree (Life Sciences or Healthcare background preferred)
- Experience:
- Minimum 6 months to 3 years in AR Calling or Pre-auth in US Healthcare
- Communication Skills:
- Excellent verbal communication and listening skills
- Neutral accent with clarity and confidence
- Familiarity with US healthcare terminologies and claim cycle
- Knowledge of payer portals, insurance processes, and billing workflows
- Hands-on experience with EHR/RCM systems
- Strong problem-solving skills and attention to detail
- Ability to multitask and manage time efficiently
- Goal-driven, with a focus on collections and approvals turnaround
-
Insurance Claims Resolution Specialist
4 days 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 Advocate
2 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...
-
Healthcare Claim Resolvers
2 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 Specialist
2 days ago
Hyderabad / Secunderabad, Telangana, Bengaluru / Bangalore, Chennai, India beBeeClaims Full time ₹ 6,00,000 - ₹ 12,00,000Insurance Claims SpecialistWe are seeking an experienced Insurance Claims Specialist to join our team. In this role, you will be responsible for managing insurance claims from initiation to closure.Key Responsibilities:Follow up with insurance companies to ensure timely claim processing and resolution of any issues that may arise.Review and process claims in...
-
Health Insurance Claims Specialist
1 week 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...
-
Insurance Claims Resolution Specialist
3 days ago
Bengaluru / Bangalore, Hyderabad / Secunderabad, Telangana, Mumbai, India beBeeClaims Full time US$ 60,000 - US$ 1,20,000Job Title: Insurance Claims Resolution SpecialistAbout the Role:We are seeking a skilled Insurance Claims Resolution Specialist to join our team. In this role, you will be responsible for following up with insurance companies on outstanding claims, working on denials, rejections, and unpaid claims to ensure resolution, initiating appeals and re-submissions...
-
Insurance Claim Resolution Specialist
2 days 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...
-
Insurance Claim Resolution Specialist
1 day ago
Hyderabad / Secunderabad, Telangana, India beBeeAdjustment Full time US$ 90,000 - US$ 1,20,000Claims Adjuster Role OverviewAs a seasoned Claims Adjuster, you will play a pivotal role in supporting the efficient processing and management of claims within our US insurance process.Key Responsibilities:Review and process insurance claims and related documentation accurately and efficiently.Conduct thorough assessments of claims to ensure completeness and...
-
Insurance Claims Specialist
2 days ago
Hyderabad / Secunderabad, Telangana, Mumbai, Bengaluru / Bangalore, India beBeeClaim Full time ₹ 5,00,000 - ₹ 10,00,000Ar Caller Job DescriptionAs an Ar Caller, you will be responsible for interacting with insurance companies to resolve outstanding claims.The ideal candidate will possess excellent communication skills, attention to detail, and the ability to work effectively in a fast-paced environment.Key Responsibilities:Follow up with insurance companies on outstanding...
-
Health Claims Specialist
10 hours 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...