Assistant Manager Operations For Enrollment Process In US Healthcare

10 hours ago

Coimbatore, Tamil Nadu, India beBeeManagement Full time US$ 1,04,000 - US$ 1,30,878

We are looking for an experienced Assistant Manager to oversee the Enrollment and Claims Adjudication process in US Healthcare. This role involves managing a team of healthcare professionals who process member enrollments and adjudicate claims in compliance with US healthcare regulations, client-specific guidelines, and quality standards.

Key Responsibilities:

Team Management & Leadership:

Lead, mentor, and manage a team handling enrollment and claims adjudication processes.

Monitor team productivity, quality, and adherence to service level agreements (SLAs).

Provide training, coaching, and development opportunities to team members.

Conduct regular team meetings, performance reviews, and provide constructive feedback.

Resolve escalations and complex issues promptly and professionally.

Enrollment Management:

Oversee new member enrollment, renewals, terminations, and updates in healthcare plans.

Ensure data accuracy for member eligibility, coverage, and benefits.

Collaborate with clients and internal teams to resolve enrollment discrepancies or queries.

Claims Adjudication Oversight:

Supervise the processing of healthcare claims ensuring accuracy and compliance with policies, provider contracts, and regulatory guidelines (HIPAA, CMS, etc.).

Ensure proper review of claims for eligibility, benefits coverage, coding, and payments.

Monitor claim denials and implement corrective action plans to reduce errors and rework.

Process & Compliance:

Ensure compliance with US healthcare regulations, privacy laws (HIPAA), and client-specific guidelines.

Identify process improvement opportunities and work with quality teams to implement best practices.

Prepare and analyze reports related to team performance, quality audits, and operational metrics.

Liaise with clients and stakeholders for updates, process changes, or reporting needs.

Required Skills and Qualifications:

Bachelors degree or equivalent work experience in healthcare operations.

Minimum 6-10 years of experience in US healthcare processes, with 1-2 years in a team leader in Enrollment and claims.

Strong knowledge of US healthcare insurance, including enrollment, eligibility, claims processing, and adjudication rules.

Familiarity with CMS, Medicaid, Medicare, ACA, and HIPAA regulations.

Proficient in claims platforms

Excellent analytical, problem-solving, and decision-making skills.

Strong communication and interpersonal skills.

Ability to multitask and work under pressure.

This is an excellent opportunity to join our dynamic team and contribute to the success of our organization.

Benefits include transportation provided.

Education: Bachelors degree Any Graduate

  • Senior Manager Operations For Enrollment And Claims Management

    10 hours ago

    Coimbatore, Tamil Nadu, India beBeeOperations Full time ₹ 1,04,000 - ₹ 1,30,878

    Job Title: Operations Leader - Enrollment and Claims Management The role of the Operations Leader is to oversee the entire lifecycle of member enrollments and claims adjudication, ensuring compliance with US healthcare regulations, client-specific guidelines, and quality standards. This involves managing a team of professionals responsible for processing...

  • Manager - Healthcare Startup Incubator

    2 days ago

    Coimbatore, Tamil Nadu, India One of leading medical colleges in Coimbatore Full time

    Company DescriptionOne of leading medical colleges in CoimbatoreRole DescriptionThis is a full-time on-site role for a Manager at a Healthcare Startup Incubator in one of the leading medical colleges in Coimbatore. The Manager will be responsible for overseeing the daily operations of the incubator, providing mentorship and support to startups, coordinating...

  • Healthcare Operations Leader

    2 days ago

    Coimbatore, Tamil Nadu, India beBeeLeader Full time ₹ 60,00,000 - ₹ 1,20,00,000

    As a strategic leader in the healthcare industry, this is an exceptional opportunity to oversee daily operations and drive growth for a dynamic Healthcare Startup Incubator.About this roleThis full-time on-site position involves overseeing daily operations, providing guidance and support to startups, coordinating training sessions and workshops, and managing...

  • Assistant Manager/ Deputy Manager

    3 weeks ago

    Coimbatore, Tamil Nadu, India Rhea Healthcare Full time

    Job DescriptionWe are seeking a diligent and experienced Assistant Manager / Deputy Manager - Finance and Accounts to join our team. This role is crucial for ensuring the accuracy and integrity of our financial operations, covering areas from book closure and MIS reporting to accounts payable and receivable management. The ideal candidate will possess a...

  • Senior Healthcare Insurance Operations Specialist

    4 days ago

    Coimbatore, Tamil Nadu, India beBeeInsurance Full time ₹ 6,25,000 - ₹ 7,50,000

    We are seeking an experienced Healthcare Insurance Operations Specialist to join our team. As a Senior Representative, you will be responsible for processing insurance claims and ensuring that all documentation is accurate and complete.The ideal candidate will have a strong understanding of healthcare operations and insurance procedures. They will be able to...

  • Operations Manager

    1 day ago

    Coimbatore, Tamil Nadu, India beBeeManagement Full time ₹ 36,00,000 - ₹ 42,00,000

    Leadership OpportunityWe are seeking a strategic leader to manage the day-to-day operations of our healthcare facility. The ideal candidate will have a proven track record in financial management, operational efficiency, and team development.

  • Account Receivable Operations Manager

    4 days ago

    Coimbatore, Tamil Nadu, India beBeeTeamLeader Full time ₹ 8,00,000 - ₹ 10,00,000

    We are seeking highly driven and experienced team leaders to manage our AR (Accounts Receivable) operations.Key Responsibilities:Oversee a team of 30+ associates ensuring high performance in AR management.Distribute daily work volumes and ensure adherence to client SLAs & turnaround times for efficient service delivery.Collaborate with quality auditors to...

  • US Cash Management Specialist

    3 hours ago

    Coimbatore, Tamil Nadu, India beBeeTreasury Full time ₹ 7,44,000 - ₹ 10,12,000

    We are seeking to fill the role of Senior Process Associate. The ideal candidate will have strong knowledge of US Treasury processes and be skilled in cash management and reconciliation.Key ResponsibilitiesManage cash operations with accuracy and timeliness.Monitor daily cash positions and reconcile with bank accounts.Support Accounts Receivable (AR) and...

  • AI Healthcare Solutions Product Manager

    5 days ago

    Coimbatore, Tamil Nadu, India beBeeProduct Full time ₹ 80,00,000 - ₹ 1,50,00,000

    Product Manager (Healthcare Solutions)">We are a technology-driven healthcare solutions company dedicated to developing AI-powered products designed to reduce administrative overhead and improve patient outcomes. Our mission is to bring innovation, compliance, and efficiency to healthcare delivery through advanced technology.Job Description:As a Product...

  • US Sales Tax Manager

    1 day ago

    Coimbatore, Tamil Nadu, India beBeeTax Full time ₹ 18,00,000 - ₹ 25,00,000

    Senior Tax Compliance SpecialistJob Description:The Senior Tax Compliance Specialist will be responsible for overseeing the end-to-end US sales and use tax compliance process, ensuring timely and accurate filing of returns across multiple states and jurisdictions.This includes liaising with external consultants, state departments, and auditors to address...