Clinical Claims Specialist

1 day ago

Chennai, Tamil Nadu, India beBeeClaims Full time ₹ 15,00,000 - ₹ 28,00,000
Job Description:

We are seeking a skilled Clinical Claims Specialist to join our team. As a Clinical Claims Specialist, you will be responsible for handling clinical claims related to various specialties.

Key responsibilities include following up with insurance providers for claims resolution, handling denials and rejections specifically related to the mentioned specialties, identifying billing issues and taking corrective actions, working on appeals and re-submissions as necessary, maintaining documentation and updating the billing system accurately, meeting daily/weekly productivity and quality benchmarks, and ensuring compliance with HIPAA and payer-specific requirements.

Required Skills and Qualifications:
  • Familiarity with healthcare claims processing and management
  • Strong analytical and problem-solving skills
  • Excellent communication and interpersonal skills
  • Ability to work in a fast-paced environment and meet deadlines
Benefits:
  • Competitive salary with performance-based incentives
  • Fixed weekend offs
  • Exposure to multispecialty claims and processes
  • Two-way cab facility
  • Supportive team and career growth opportunities
Why Choose Us:

At our organization, we offer a collaborative and dynamic work environment that encourages professional growth and development. Our team is committed to delivering exceptional results and providing excellent customer service. If you are a motivated and detail-oriented individual who is passionate about healthcare claims management, we encourage you to apply for this exciting opportunity.

  • Claims Resolution Specialist

    2 weeks ago

    Chennai, Tamil Nadu, India beBeeOncology Full time ₹ 8,64,000 - ₹ 13,44,000

    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...

  • Clinical Documentation Improvement Specialist

    2 weeks ago

    Chennai, Tamil Nadu, India beBeeClinical Full time ₹ 9,00,000 - ₹ 10,95,000

    Clinical Documentation Improvement SpecialistWe are seeking an experienced Clinical Documentation Improvement Specialist to oversee all aspects of charge creation and capture, ensuring accurate and compliant billing practices.Charge Creation and Capture Oversight:Oversee the process of charge creation, ensuring accurate and timely capture of all billable...

  • Senior Clinical Documentation Specialist

    1 week ago

    Chennai, Tamil Nadu, India beBeeClaims Full time ₹ 9,00,000 - ₹ 13,50,000

    Job OpportunityWe are seeking a seasoned claims processing professional to lead our clinical documentation improvement (CDI) efforts. As a Senior Claims Processing Specialist, you will be responsible for overseeing all aspects of charge creation and capture, ensuring accurate and compliant billing practices.Key Responsibilities:Charge Creation and Capture...

  • Claims Resolution Specialist

    3 days ago

    Chennai, Tamil Nadu, India beBeeDenial Full time ₹ 90,00,000 - ₹ 1,20,00,000

    Job Title: Claims Resolution SpecialistAs a Claims Resolution Specialist, you will serve as the primary contact for all delinquent accounts, proactively contacting insurance firms to inquire about the status of a large number of unpaid claims. Your key responsibilities include denial management, account reconciliation, and data-driven insights.Required...

  • Claims Specialist

    2 days ago

    Chennai, Tamil Nadu, India beBeeClaims Full time ₹ 15,00,000 - ₹ 20,00,000

    Job Description:A seasoned Claims Specialist is needed to drive business process improvements in claims systems by identifying operational needs and supporting the testing and implementation phases.Key Responsibilities:Analyze and document detailed business requirements related to insurance claims processes, ensuring seamless integration with existing...

  • Operations Claims Specialist

    6 days ago

    Chennai, Tamil Nadu, India beBeeClaims Full time ₹ 40,00,000 - ₹ 50,00,000

    Business Operations SpecialistWe are seeking a skilled Business Operations Specialist to join our team. As a Business Operations Specialist, you will play a critical role in driving operational improvements in claims systems by identifying business needs and supporting the testing and implementation phases.The ideal candidate will possess comprehensive...

  • Claims Resolution Specialist

    1 week ago

    Chennai, Tamil Nadu, India beBeeClaim Full time ₹ 1,04,000 - ₹ 1,30,878

    Claims Resolution SpecialistWe are seeking a Claims Resolution Specialist to join our team. As a key member of our claims resolution team, you will be responsible for resolving denied and rejected claims in a timely and efficient manner.Responsibilities:Follow up with insurance providers to resolve claims disputesIdentify and address billing issues to...

  • Health Claim Specialist

    4 days ago

    Chennai, Tamil Nadu, India iAssist Innovations Labs Full time

    Job Description:We are seeking a detail- oriented and experienced Health Claims Specialist to join our team. The ideal candidate will be responsible for accurately processing and adjudicating medical claims in accordance with company policies, industry regulation, and contractual agreements. The Health Claims Specialist will play a crucial role in ensuring...

  • Health Claim Specialist

    3 days ago

    Chennai, Tamil Nadu, India iAssist Innovations Labs Full time

    Job Description:We are seeking a detail- oriented and experienced Health Claims Specialist to join our team. The ideal candidate will be responsible for accurately processing and adjudicating medical claims in accordance with company policies, industry regulation, and contractual agreements. The Health Claims Specialist will play a crucial role in ensuring...

  • Claim Center QA Specialist

    4 days ago

    Chennai, Tamil Nadu, India beBeeQuality Full time ₹ 12,00,000 - ₹ 20,00,000

    ">Claim Center QA Specialist">Our team is seeking a skilled QA Specialist to join our efforts in testing and quality assurance for Claim Center.",