
Healthcare Claim Operations Specialist
4 days ago
Job Summary
">The role of UAT Analyst is a pivotal position in the Out of Network Department. The primary responsibility of this role is to ensure claim opportunities are maximized through monitoring inventory, routing claims, and applying quality measures for optimal outcomes.
">Key Responsibilities:
">- ">
- Monitor claim volume and turnaround time">
- Review claim routing decisions made by associates">
- Identify claim savings opportunities">
- Perform end-to-end testing to ensure appropriate functionality, product integrity, accuracy, and quality of all changes and enhancements related to the OON product">
- Analyze operational and technical requirements and define the scope of UAT testing">
- Setup, develop and maintain detailed test scenarios, test suites, data, checklist and/or other documents as specified, ensuring scenarios are directly aligned to requirements">
Requirements:
">- 3 years of healthcare insurance experience preferred
">- Exceptional verbal, written and visual communication skills
">- SQL Experience preferred but not mandatory
">Benefits:
">Professional Growth Opportunities
">- Hybrid work flexibility
">- Comprehensive healthcare benefits
">- Financial wellness programs
">- Cultural celebrations
">Dynamic Work Environment
">- Collaborative work culture
">- Leadership development
">- Global exposure
"],-
Claims Review Specialist
1 day ago
Hyderabad, Telangana, India beBeeClaims Full time ₹ 10,00,000 - ₹ 19,99,999Job Title: Claims Review SpecialistWe are seeking a skilled Claims Review Specialist to join our team. As an integral part of our organization, you will play a vital role in reviewing and analyzing medical claims to ensure accuracy and compliance with payer guidelines.Your key responsibilities will include reviewing itemized bills and claims for accuracy and...
-
Healthcare AR Specialist
2 weeks ago
Hyderabad, Telangana, India Doctus Data Services Private Limited Full timeJob DescriptionJob Title: Healthcare AR SpecialistIndustry: US HealthcareEmployment Type: Full-Time | Night Shift (US Time Zone)Location: Office-Based | Immediate Joiners PreferredJoin a leading US healthcare revenue cycle team. Were hiring experienced Healthcare AR Specialists to manage accounts receivable, resolve denied claims, and drive reimbursement...
-
Healthcare AR Specialist
2 weeks ago
Hyderabad, Telangana, India Doctus Data Services Private Limited Full timeJob Title: Healthcare AR Specialist Industry: US Healthcare Employment Type: Full-Time | Night Shift (US Time Zone) Location: Office-Based | Immediate Joiners PreferredJoin a leading US healthcare revenue cycle team. We're hiring experienced Healthcare AR Specialists to manage accounts receivable, resolve denied claims, and drive reimbursement outcomes using...
-
Claims Specialist
1 hour ago
Hyderabad, Telangana, India Tech Tammina Full timeJob DescriptionJob DetailsJob Title Claims SpecialistLocation HyderabadExperience Required 5+ yearsNotice Period Immediate to 30 daysShift Timings 630 PM to 330 AM IST (US Shifts)Role OverviewWe are looking for an experienced Claims Specialist to support claims processing and management in the US insurance process. The candidate will focus on evaluating and...
-
Oncology Claims Specialist
1 day ago
Hyderabad, Telangana, India beBeeArbiter Full time ₹ 40,00,000 - ₹ 60,00,000Job Title: AR CallerWe are seeking an experienced AR Caller with a strong background in Oncology billing and collections.The ideal candidate should have at least 3 years of AR calling experience specifically in oncology, excellent communication skills, and the ability to handle complex claim resolutions while ensuring compliance with industry standards.Key...
-
High Salary Healthcare AR Specialist
3 weeks ago
Hyderabad, Telangana, India Doctus Data Services Private Limited Full timeJob Title: Healthcare AR SpecialistIndustry: US HealthcareEmployment Type: Full-Time | Night Shift (US Time Zone)Location: Office-Based | Immediate Joiners PreferredJoin a leading US healthcare revenue cycle team. We're hiring experienced Healthcare AR Specialists to manage accounts receivable, resolve denied claims, and drive reimbursement outcomes using...
-
Claims Settlement Specialist
21 hours ago
Hyderabad, Telangana, India beBeeNegotiation Full time ₹ 8,00,000 - ₹ 11,00,000Claims Settlement Coordinator II RoleWe are seeking a skilled Claims Settlement Coordinator II to join our team. This role requires strong negotiation skills, a deep understanding of claims processes, and the ability to support and guide junior team members.Key ResponsibilitiesInvestigate and settle provider and client billing inquiries, including...
-
Claims Product Strategist
2 hours ago
Hyderabad, Telangana, India beBeeProductManager Full time ₹ 1,50,00,000 - ₹ 2,00,00,000Key Position OverviewThe objective of this senior role is to oversee the product management process, with a focus on claims processing and payment systems. The ideal candidate will have a strong understanding of the healthcare industry and be able to develop and execute a comprehensive product strategy.Responsibilities:Develop and maintain a strategic...
-
US Healthcare
4 weeks ago
Hyderabad, Telangana, India Axis Services Full timeJob DescriptionKey Responsibilities:- Handle inbound and outbound calls to/from insurance companies and patients in the US.- Work on various aspects of RCM like eligibility verification, claim status inquiry, prior authorization, and denial management.- Accurately document call details and update patient or claim records in internal systems.- Follow HIPAA...
-
Healthcare Documentation Specialist
3 days ago
Hyderabad, Telangana, India beBeeClinical Full time ₹ 2,00,00,000 - ₹ 2,50,00,000Thryve Digital Health LLP, an emerging global healthcare partner, delivers strategic innovation and flexibility to its healthcare partners. A US healthcare conglomerate captive, they have direct access to deeper insights that accelerate their learning process and keep them ahead of the curve.Their global collaborative of healthcare, operations, and IT...