Medical Claims Resolution Specialist

2 days ago


Lucknow, Uttar Pradesh, India beBeeCompliance Part time ₹ 8,00,000 - ₹ 10,00,000
Medical Claims Resolution Specialist Job Description

We are seeking an experienced Medical Claims Resolution Specialist to join our team at a dynamic organization. The ideal candidate will possess excellent communication skills, a strong understanding of RCM/HIPAA regulations, and the ability to work effectively in a rotational shift environment.

Main Responsibilities:
  • Investigate denied medical claims to resolve issues efficiently
  • Communicate effectively with patients and healthcare providers to resolve billing discrepancies
  • Utilize knowledge of RCM/HIPAA regulations to ensure compliance
  • Collaborate with the team to achieve goals and objectives
Key Requirements:
  • Minimum 1 year experience as a Medical Claims Resolution Specialist in US Healthcare (RCM) Denial Management
  • Good knowledge of RCM/HIPAA regulations
  • Ability to work in a rotational shift environment
  • Fixed Saturday-Sunday off
  • Competitive salary package
About This Opportunity:

This role offers a unique chance to develop your skills and expertise in medical claims resolution. As a Medical Claims Resolution Specialist, you will play a critical role in ensuring the smooth operation of our organization's healthcare services.



  • Lucknow, Uttar Pradesh, India beBeeResolution Full time ₹ 10,00,000 - ₹ 15,00,000

    Key Account Resolution SpecialistWe are seeking a highly skilled and experienced Key Account Resolution Specialist to join our team. This individual will be responsible for resolving complex oncology-related claims and outstanding accounts receivable by establishing and maintaining effective relationships with insurance companies.The ideal candidate will...


  • Lucknow, Uttar Pradesh, India beBeeClaims Full time ₹ 8,00,000 - ₹ 12,00,000

    As a Claims Associate, you will play a vital role in ensuring that benefits are disbursed in accordance with policies and contracted agreements.This is an exciting opportunity to join our team of professionals who shape the future by delivering outcomes. Our work involves assessing claims products to ensure they meet policy requirements.About the RoleData...


  • Lucknow, Uttar Pradesh, India beBeeDenial Full time ₹ 40,00,000 - ₹ 80,00,000

    Responsible for initiating contact with insurance companies and patients to follow up on outstanding medical claims, ensuring accurate reimbursement through effective management of complex billing and coding rules.Denial Management RoleFollow-up and Resolution:Initiate calls to inquire about denied claims status, maintaining thorough records of interactions...


  • Lucknow, Uttar Pradesh, India beBeeVerification Full time ₹ 45,00,000 - ₹ 60,00,000

    We are seeking a highly organized and experienced Medical Insurance Verification Specialist to join our team.Job Responsibilities:Verify patient insurance benefits and eligibility for sleep studies, durable medical equipment (DME), and related procedures efficiently.Obtain prior authorizations accurately and in a timely manner.Clearly explain co-pays,...

  • Pa - Claims

    3 weeks ago


    Lucknow, Uttar Pradesh, India GENPACT Full time

    Genpact NYSE G is a global professional services and solutions firm delivering outcomes that shape the future Our 125 000 people across 30 countries are driven by our innate curiosity entrepreneurial agility and desire to create lasting value for clients Powered by our purpose - the relentless pursuit of a world that works better for people - we...

  • Pa - Claims

    2 days ago


    Lucknow, Uttar Pradesh, India GENPACT Full time

    Genpact NYSE G is a global professional services and solutions firm delivering outcomes that shape the future Our 125 000 people across 30 countries are driven by our innate curiosity entrepreneurial agility and desire to create lasting value for clients Powered by our purpose - the relentless pursuit of a world that works better for people - we...


  • Lucknow, Uttar Pradesh, India beBeeEditor Full time ₹ 15,00,000 - ₹ 20,25,000

    Medical Content SpecialistWe are seeking a skilled Medical Content Specialist who will review, edit, and ensure the quality and accuracy of medical and scientific documents.Key Responsibilities:Review and edit medical and scientific documents for content, accuracy, and clarityEnsure compliance with regulatory requirements and industry standardsCollaborate...


  • Lucknow, Uttar Pradesh, India beBeeTranscription Full time ₹ 8,64,000 - ₹ 12,12,000

    Job Title: Medical Transcription SpecialistWe are seeking a highly skilled and experienced Medical Transcription Specialist to provide accurate and timely documentation of patient visits.The ideal candidate will have experience using electronic health records (EHRs) and be proficient in medical terminology, anatomy, and physiology.Transcribe physician...


  • Lucknow, Uttar Pradesh, India beBeeRevenue Full time ₹ 10,00,000 - ₹ 15,00,000

    Medical Billing Quality Auditor RoleThis position is a critical component of our healthcare revenue cycle process, ensuring accuracy, compliance, and efficiency in claim review, payment, denial, and related workflows.The ideal candidate will be responsible for monitoring billing, coding, AR calling, and credentialing activities, identifying errors, and...


  • Lucknow, Uttar Pradesh, India beBeeIllustrator Full time ₹ 6,00,000 - ₹ 12,00,000

    Medical Illustrator RoleWe are seeking a highly skilled Medical Illustrator to fill this position. The ideal candidate will create accurate and visually compelling medical and scientific illustrations that effectively communicate complex concepts.The successful candidate will possess 5-7 years of professional experience as a Medical Illustrator or in a...