Professional Claims Resolutions Specialist

2 days ago


Pune, Maharashtra, India beBeeOncology Full time ₹ 8,00,000 - ₹ 15,00,000

We are seeking an experienced professional with a strong background in oncology billing and collections. The ideal candidate should have at least 3 years of experience specifically in oncology, excellent communication skills, and the ability to handle complex claim resolutions.

Responsibilities:
  • Contact insurance companies to follow up on oncology-related claims and resolve outstanding accounts receivable.
  • Review and analyze denied or underpaid oncology claims and take corrective actions.
  • Ensure timely follow-up on unpaid claims, resubmissions, and appeals.
  • Collaborate with billing, coding, and clinical teams to address claim discrepancies.
  • Maintain accurate documentation of all calls, claim status, and resolutions.
  • Meet productivity and quality targets as per standards.
  • Ensure compliance with healthcare regulations at all times.

Required Skills and Qualifications:

  • 3+ years of AR calling experience in US healthcare.
  • Minimum 3 years of experience in Oncology billing & AR processes.
  • Strong understanding of oncology-specific coding, modifiers, and payer guidelines.
  • Excellent verbal and written communication skills with the ability to handle difficult conversations professionally.
  • Knowledge of EOBs, remittance advice, and claims adjudication process.
  • Ability to work independently in a remote setting and meet deadlines.
  • Proficiency with healthcare billing software and MS Office tools.

Benefits:

  • Claims Resolution
  • Oncology Billing
  • Healthcare Regulations
  • Coding Modifiers
  • Payer Guidelines
  • Verbal Communication
  • Written Communication
  • EOBs
  • Remittance Advice


  • Pune, Maharashtra, India beBeeClaims Full time ₹ 40,00,000 - ₹ 80,00,000

    Claims Processing Associate Role Summary:This is a Claims Processing Associate position in our organization. The successful candidate will be responsible for ensuring accurate claim resolution in a dynamic and fast-paced environment that prioritizes exceptional customer service.The role requires timely and accurate payment of vendor payments, sending letters...


  • Pune, Maharashtra, India beBeeClaims Full time ₹ 1,04,000 - ₹ 1,30,878

    We are currently seeking a Claims Specialist with a strong background in medical and health insurance, particularly in corporate group medical policies.Key Responsibilities:The ideal candidate will handle end-to-end processing of reimbursement claims for corporate group medical policies.They will provide excellent customer service by addressing...


  • Pune, Maharashtra, India beBeeClaims Full time ₹ 80,00,000 - ₹ 1,20,00,000

    Job Title:Senior Claims ProfessionalAbout the Role:We are seeking a highly skilled Senior Claims Professional to join our team. As a key member of our operations, you will be responsible for handling end-to-end claims and ensuring that all processes are executed in accordance with standard procedures.Key Responsibilities:- Handle inbound and outbound calls...

  • Claims Professional

    17 hours ago


    Pune, Maharashtra, India beBeeAdjuster Full time ₹ 1,04,000 - ₹ 1,30,878

    Job TitleThe role of the claims professional will be to provide assistance in claim related activities.They will learn and follow best practices as well as claims requirements, standards and practices.They will interface with claimants, clients, vendors and other resources to obtain information and maintain effective communication.Additional...


  • Pune, Maharashtra, India Loop Health Full time

    Job DescriptionWe are looking for aDedicated Claims Specialistwith a strong background in medical and health insurance, particularly ingroup medical corporate policies. The ideal candidate should have 2-4 years of experience in claims processing or CRM roles.Key Responsibilities:- Handle end-to-end processing of reimbursement claims for group medical...


  • Pune, Maharashtra, India beBeeHealthcare Full time

    Healthcare insurance professionals play a crucial role in ensuring that patients receive the medical care they need. As a Healthcare Claims Associate, you will be responsible for processing claims and providing support to members and healthcare providers.Key ResponsibilitiesProcess health insurance claims accurately and efficiently, ensuring compliance with...


  • Pune, Maharashtra, India beBeeClaims Full time ₹ 12,00,000 - ₹ 14,00,000

    Claim Specialist PositionWe are seeking a skilled professional to handle end-to-end processing of reimbursement claims for group medical corporate policies.The ideal candidate will have a strong background in medical and health insurance, particularly in policy terms and conditions.Handle claim assessments and processing with accuracy.Provide excellent...


  • Pune, Maharashtra, India beBeeClaims Full time ₹ 8,00,000 - ₹ 10,00,000

    Senior ExecutiveWe are seeking a seasoned Senior Executive to join our team. As a key player in Claims Processing, you will be responsible for ensuring accurate bill review and data entry.Process transactions according to industry standardsMeet assigned targets as per service level agreements and internal standardsCreate and review spreadsheet-based...


  • Pune, Maharashtra, India beBeeCustomerSupport Full time ₹ 60,00,000 - ₹ 1,20,00,000

    As a frontline expert for managing and resolving customer issues, you will be the primary liaison between customers, internal teams, and financial institutions.Key Objectives:Timely response and resolution of high-priority or complex customer complaintsEffective escalation management to prevent further complaints from ReserveOur Customer Support Specialist...


  • Pune, Maharashtra, India beBeeCustomer Full time ₹ 60,00,000 - ₹ 1,20,00,000

    As a specialist in customer issue resolution, you will be the key expert for managing and resolving high-priority or complex issues that have been escalated beyond standard support channels. You will act as a liaison between customers, internal teams, and financial institutions to ensure timely, empathetic, and effective resolution while identifying root...