Health Claims Adjudication Specialist

Role BPO Health Claims Adjudication AssociateExperience Range 1 to 3 yearLocation DLF - Chennai Work From Office Shift Timing - US Central time 6 00 PM to 4 00 AM IST Transport - Only DROPNotice Period Immediate - 15 days for BPO Health Claims Adjudication Associate Roles and Responsibilities Required computer skills must have experience with data...

Job Summary:We are seeking a highly skilled Health Claims Specialist to join our team.About the Role:Process and adjudicate health claims in a timely mannerAnalyze claim data to identify trends and areas for improvementCollaborate with internal teams to resolve claim discrepanciesRequirements:2+ years of experience in health claims processingStrong...

Senior Claims Examiner RoleThis role involves claims adjudication and adjustment, focusing on professional (HCFA) and institutional (UB) claims. The ideal candidate will have 2-3 years of experience in handling authorization, COB, duplicate and pricing processes. They should also be knowledgeable about healthcare insurance policy concepts, including...

Job DescriptionAs a Claims Operations Associate, you will be responsible for processing claims adjudication and adjustment processes. You will have experience in professional HCFA and institutional UB claims, as well as knowledge of healthcare insurance policy concepts.Key Responsibilities:Audit claims as outlined by Policies and Procedures.Utilize...

We are seeking a seasoned specialist to join our team in oncology billing and collections. This role requires expertise in claim resolutions while ensuring compliance with industry standards.Establish effective communication channels with insurance companies to follow up on oncology-related claims and resolve outstanding accounts receivable.Conduct thorough...

Job Opportunity:">This position is perfect for individuals who are enthusiastic about delivering exceptional business solutions that support the healthcare claim function. You will leverage your knowledge of processes and systems to receive, edit, price, adjudicate, and process payments for claims.">">The ideal candidate will be responsible for handling a...

HC Insurance Operations Specialist Role SummaryWe are seeking a results-driven HC insurance operations specialist to join our organization. The successful candidate will be responsible for processing adjudication claims, resolving payment and denial issues, and ensuring accurate and timely completion of transactions.The ideal candidate will have a solid...

Claims Handler RoleAs a Claims Handler, you will play a vital role in ensuring the accuracy and efficiency of health insurance claims. This position requires attention to detail, excellent communication skills, and the ability to work independently.Key Responsibilities:Claims Processing: Evaluate health insurance claims with fairness and transparency,...

Process and manage claims adjudication and adjustment processes for healthcare and insurance organizations. The ideal candidate will have 2-3 years of experience in handling professional (HCFA) and institutional (UB) claims.Key Responsibilities:Audit claims according to established policies and proceduresDetailed tracking of findings per organizational...

OverviewCandidates should have minimum 3 years of experience and must have knowledge in claims adjudication process and its processing methods Qualifications Graduation is Mandatory Claims adjudication experience is Mandatory Prefer candidates with experience in Post adjudication overpayment projects Not mandatory Experience Claims Adjudication...