
Claims Examiner
2 days ago
This role involves reviewing and analyzing claims, itemized bills, and medical records to ensure the accuracy of charges, compliance with payer guidelines, and adherence to contractual agreements.
Key Responsibilities- Review claims, bills, and supporting documentation for completeness and accuracy.
- Verify that billed services are supported by medical records and documentation.
- Identify duplicate charges, unbundling, upcoding, non-covered services, or charges inconsistent with guidelines and billing protocols.
- Apply relevant laws, regulations, and internal policies when evaluating charges.
- Compare charges against contracts, fee schedules, and usual & customary rates.
- Work on appeals related to billing discrepancies.
- Hold a certification in medical coding or auditing (CPMA preferred).
- Have 3-4 years of experience in hospital billing, claims auditing, or insurance claims review.
- Be knowledgeable about legal and regulatory aspects of healthcare reimbursement.
- Possess a medical background with an MBA/MHA (preferred but not mandatory).
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Insurance Claims Examiner
1 week ago
Hyderabad, Telangana, India beBeeClaims Full time ₹ 9,00,000 - ₹ 12,00,000Insurance Claims Examiner PositionWe are seeking an experienced Insurance Claims Examiner to support our US insurance process.Evaluate and process insurance claims while ensuring compliance with industry standards.Key Responsibilities:Review and process insurance claims and related documentation.Conduct claims assessments, ensuring accuracy and...
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Medical Claims Examiner
4 days ago
Hyderabad, Telangana, India beBeeClaims Full time ₹ 10,00,000 - ₹ 14,00,000Healthcare Claim SpecialistWe are seeking a skilled and detail-oriented Healthcare Claim Specialist to join our team.This role involves reviewing, analyzing, and validating claims, itemized bills, and medical records to ensure accuracy of charges, compliance with payer guidelines, and adherence to contractual agreements.The ideal candidate will have...
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Experienced Title Examiner Wanted
4 days ago
Hyderabad, Telangana, India beBeeTitle Full time ₹ 9,00,000 - ₹ 14,00,000Job Title:Title Examiner PositionWe seek a skilled Title Examiner to conduct second-level reviews of title searches and examinations.Verify proper name runs, title chain, and conveyance history for accuracy and continuity.Detect and correct missed documents, unreleased liens, open mortgages, and outstanding judgments.Evaluate examiner output to prevent...
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Claims Quality Audit Representative
6 days ago
Hyderabad, Telangana, India UnitedHealth Group Full time ₹ 5,00,000 - ₹ 10,00,000 per yearPrimary Responsibilities:Achievement of individual productivity and quality standards Contribute to working on Volumes when required and asked by the Management or Stakeholder Examining and identifying overpayments in claims, securing savings through recovery, and communicating effectively (in both written and spoken forms) to confirm and retrieve...
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Senior Business Analyst
6 days ago
Hyderabad, Telangana, India Optum Full time US$ 1,20,000 - US$ 2,00,000 per yearOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers,...
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Senior Medical Coding Analyst
7 days ago
Hyderabad, Telangana, India UnitedHealth Group Full timeOptum is a global organization that delivers care aided by technology to help millions of people live healthier lives The work you do with our team will directly improve health outcomes by connecting people with the care pharmacy benefits data and resources they need to feel their best Here you will find a culture guided by inclusion talented peers ...
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Software Engineering Lead Analyst
2 weeks ago
Hyderabad, Telangana, India Cigna Healthcare Full time US$ 1,00,000 - US$ 1,50,000 per yearSoftware Engineering Lead Analyst - HIH - EvernorthAbout Evernorth:Evernorth Health Services, a division of The Cigna Group (NYSE: CI), creates pharmacy, care, and benefits solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention, and treatment of illness and disease more accessible to millions of...
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Application Development Lead Analyst
7 days ago
Hyderabad, Telangana, India Evernorth Health Services Full time US$ 90,000 - US$ 1,20,000 per yearJob DescriptionWe are excited to announce an opening for Application development Lead Analyst atEvernorth Health Services India.Please find below the details of the role and its responsibilities.Skills Required:Java, Spring Boot, PostgreSQL, MongoDB, SQL, Rest, APIExperience Range:5 - 8 yearsJob Description:About Evernorth:Evernorth Health Services, a...
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Insurance Claims Examiner
3 days ago
Hyderabad / Secunderabad, Telangana, India beBeeClaims Full time ₹ 15,00,000 - ₹ 28,00,000Job Title: Insurance Claims ExaminerWe are seeking an experienced Insurance Claims Examiner to support our claims processing and management team. The successful candidate will have a proven track record of evaluating and processing insurance claims while ensuring compliance with industry standards.The ideal candidate will possess strong analytical,...
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Healthcare Claims Examiner I
1 week ago
Hyderabad, India SS&C Full timeThe speed of technology. The influx of data. Shifting regulations. Increased customer expectations. That's where you'll find SS&C, helping clients find opportunity in ever-changing and complex customer, business, and regulatory requirements. Mastering complexity is a constantly changing and evolving challenge - one that only a few people can embrace and...
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Medical Billing
2 days ago
Hyderabad, India AAIDEOLOGY Full timePreparing and submitting billing data and medical claims to insurance companies. - Ensuring the patient’s medical information is accurate and up to date. - Preparing bills and invoices, and documenting amounts due for medical procedures and services. - Collecting and reviewing referrals and pre-authorizations. - Monitoring and recording late payments. -...
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Associate
2 weeks ago
Madhapur, Hyderabad, Telangana, India Relativity Institute of Big Data Studies Full time**Role**: Associate **Location**: HYDERABAD **Salary**: ₹2,20,000 - ₹3,00,000 LPA **We are Inviting Applications for the Role of Process Associate in Insurance Claims.** **Key Responsibilities**: - Perform backend claims support activities including Document Indexing, Claim Payments, setting up First Notice of Loss (FNOLs), and scheduling...
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Health Care Claims Examiner I
1 week ago
Hyderabad, India SS&C Full timeThe speed of technology. The influx of data. Shifting regulations. Increased customer expectations. That's where you'll find SS&C, helping clients find opportunity in ever-changing and complex customer, business, and regulatory requirements. Mastering complexity is a constantly changing and evolving challenge - one that only a few people can embrace and...
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Hospital Insurance Billing
2 weeks ago
KPHB Colony, Hyderabad, Telangana, India Vision Prime Services Pvt Ltd Full timeJOB DESCRIPTION: - Preparing and submitting billing data and medical claims to insurance companies. - Ensuring the patient’s medical information is accurate and up to date. - Preparing bills and invoices, and documenting amounts due for medical procedures and services. - Collecting and reviewing referrals and pre-authorizations. - Monitoring and recording...
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Dental Surgeon
1 week ago
Kukatpally, Hyderabad, Telangana, India OXY DENTAL Full timeThe BDS or MDS Doctor (Dentist) offers top-notch dental care, which includes identifying problems, developing treatment strategies, carrying out operations, and providing preventative care. A thorough understanding of dental science, excellent patient communication abilities, and productive clinical work are required for this position. Patient care and...
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Dp English
5 days ago
Gachibowli, Hyderabad, Telangana, India Oakridge International School Full time**Responsibilities**: - **Deliver Engaging English Lessons**: - Design and implement comprehensive English language and literature curricula that align with educational standards and foster students' language proficiency, analytical skills, and appreciation for literature. - Create a supportive and inclusive classroom environment where students feel...
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Dental Assistant/receptionist
5 days ago
Hyderabad, Telangana, India PARTHA DENTAL HAIR AND SKIN Full time**Job Title**: Dental Assistant **Company**: Partha dental Skin& Hair **Locations**: Hyderabad : Suncity, Alwal Andhra pradesh : Mangalagiri, Vijayawada Kanuru , Qualification : Intermediate/ Any Degree *Overview:* Partha dental Skin& Hair, a leading provider of comprehensive dental care, is seeking a skilled and compassionate Dental Assistant ,As a...
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Chief Intellectual Property Engineer
2 days ago
Chennai, Hyderabad / Secunderabad, Telangana, Pune, India beBeeIntellectual Full time ₹ 5,00,000 - ₹ 8,00,000Job Description:">The Global Intellectual Property Engineer is responsible for managing the company's Intellectual Property portfolio, including patents and trademarks. This role involves working closely with stakeholders from Research and Development (R&D) and Innovation, as well as patent attorneys on patent and trademark applications. The individual will...