Healthcare Recovery Specialist

2 weeks ago


Gurgaon, Haryana, India UnitedHealth Group Full time

Job Summary

UnitedHealth Group is seeking a skilled Healthcare Recovery Specialist to join our team. In this role, you will be responsible for investigating and resolving claims disputes, ensuring compliance with state and federal regulations, and providing exceptional customer service.

Key Responsibilities

  • Investigate and resolve claims disputes, utilizing medical expertise and knowledge of CPT diagnosis codes, CMC guidelines, and client-specific guidelines.
  • Prevent the payment of potentially fraudulent and abusive claims, working closely with internal stakeholders and external partners to identify and address potential risks.
  • Assist the prospective team with special projects and reporting, ensuring timely and accurate delivery of results.
  • Comply with company policies and procedures, including those related to flexibility of work benefits and work environment.

Requirements

  • Medical degree (BHMS, BAMS, BUMS, BPT, MPT, or BDS) with 1 year of corporate experience.
  • Experience in claims processing, health insurance, managed care, and US healthcare coding.
  • Proven attention to detail, quality focus, and analytical skills.

Our Culture

  • We value diversity, equity, and inclusion, and strive to create a workplace that is welcoming and inclusive for all employees.
  • We prioritize employee growth and development, offering training and development opportunities to help you succeed in your role.
  • We offer a comprehensive benefits package, including health, dental, and vision insurance, as well as 401(k) matching.


  • Gurgaon, Haryana, India Max Healthcare Full time

    Job SummaryWe are seeking a highly skilled Technical Quality Assurance Specialist to join our team at Max Healthcare. The successful candidate will be responsible for ensuring the quality of our applications and systems, working closely with cross-functional teams to identify and resolve issues.Key Responsibilities:Develop and implement comprehensive test...


  • Gurgaon, Haryana, India Max Healthcare Full time

    Company Overview:We are Max Healthcare, a premier healthcare service provider. Our mission is to deliver high-quality patient care and strive for excellence in everything we do.Sector Expertise:- We specialize in delivering comprehensive healthcare solutions to individuals and families across the region.Job Role:This is an exciting opportunity for a Sr....


  • Gurgaon, Haryana, India Sukoon Health Full time

    About Sukoon Health:Sukoon Health is a pioneering healthcare organization dedicated to providing specialized mental health care services across India. Our mission is to establish a network of hospitals catering to acute and severe mental health conditions, with the goal of setting up 1000 beds across 40 units nationwide for adult inpatient care.Our...


  • Gurgaon, Haryana, India R1 RCM Full time

    **Our Culture**We believe in fostering an inclusive culture that values diversity, respects individuality, and promotes employee engagement. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration, and the freedom to explore professional interests.About the RoleAs a Healthcare Claims Specialist, your primary...


  • Gurgaon, Haryana, India Rebootgut Healthcare Pvt Ltd Full time

    Company OverviewWe are a leading healthcare company, Rebootgut Healthcare Pvt Ltd, dedicated to transforming lives globally using expertise in Gut Health & Hormone balance.Our team is led by Dietitian Manpreet Kalra, Founder Director, with over 15+ years of experience. We provide personalized counseling and exceptional patient connections, setting us apart...


  • Gurgaon, Haryana, India Max Healthcare Full time

    Benefits:As a Quality Assurance Specialist at Max Healthcare, you can expect a competitive salary package, excellent benefits, and opportunities for professional growth and development.Others:If you are a motivated and detail-oriented individual with a passion for quality assurance, we encourage you to apply for this exciting opportunity. Join our team and...


  • Gurgaon, Haryana, India GE HealthCare Full time

    Job DescriptionWe are seeking a highly skilled Product Manager - Surgery to join our team at GE HealthCare. As a key member of our sales force, you will be responsible for driving business growth and product deal support across the accounts.Key Responsibilities:Provide clinical and technical expertise on the modality (product, solutions, services) across the...


  • Gurgaon, Haryana, India Max Healthcare Full time

    Job Title: Quality Assurance SpecialistAbout the RoleWe are seeking an experienced Quality Assurance Specialist to join our team at Max Healthcare. The successful candidate will be responsible for ensuring the highest quality of our products and services.Key Responsibilities:Detailed hands-on responsibility for business requirement gathering, analysis,...


  • Gurgaon, Haryana, India R1 RCM Full time

    Our VisionWe aim to transform the healthcare industry by providing innovative revenue cycle management services that make healthcare work better for all. Our goal is to enable efficiency for healthcare systems, hospitals, and physician practices through our cutting-edge technology and expert services.About UsR1 RCM is a global leader in revenue cycle...

  • Senior Test Engineer

    21 hours ago


    Gurgaon, Haryana, India Max Healthcare Full time

    Company Overview:Max Healthcare is a leading healthcare provider with a strong commitment to quality and excellence. We are seeking a skilled Quality Assurance Specialist to join our team and contribute to our mission of delivering world-class healthcare services.Job Description:The Quality Assurance Specialist will play a critical role in ensuring the...

  • Healthcare Specialist

    2 weeks ago


    Gurgaon, Haryana, India Sukoon Health Full time

    About Sukoon HealthWe are building India's first specialized chain of hospitals to cater to acute and severe mental health conditions.Our goal is to provide high-quality patient care by hiring experienced nurses who can work with us.The responsibilities of this role include:Coordinating during admission and discharge of patientsAssessing/identifying patient...


  • Gurgaon, Haryana, India Jivi AI Full time

    About JiviJivi is a cutting-edge AI-powered healthcare platform designed to revolutionize primary healthcare globally. Founded by renowned experts in AI and healthcare, Jivi is built on an advanced agentic AI platform.Our mission is to transform the way healthcare is delivered, leveraging the power of AI to improve patient outcomes and experiences.


  • Gurgaon, Haryana, India Jivo Full time

    About JivoJivo is a pioneering health-tech platform that bridges international doctors with excellence in Indian healthcare, revolutionizing cross-border healthcare delivery. Founded by IIT Delhi and MAMC alumni, Jivo tackles big problems to create real impact at a global scale.


  • Gurgaon, Haryana, India Jivo Full time

    About Jivo: Jivo is a pioneering health-tech platform dedicated to revolutionizing cross-border healthcare delivery. By bridging top Indian healthcare professionals with international physicians, we aim to create a seamless global healthcare experience.Job Overview:We are seeking a highly skilled Doctor Network Associate to join our team in Africa. Your...

  • Clinical Lead

    2 weeks ago


    Gurgaon, Haryana, India GE HealthCare Full time

    About the PositionThis Clinical Lead role offers a unique opportunity to lead and develop a team of MRI Clinical Application Specialists, ensuring their skill enhancement and career growth through structured learning programs.Main ResponsibilitiesLead and mentor a team of MRI Clinical Application Specialists, developing their skills and abilities through...


  • Gurgaon, Haryana, India GE HealthCare Full time

    Job OverviewWe are seeking a highly skilled Clinical Application Leader to join our team at GE HealthCare. As a key member of our sales and commercial division, you will play a crucial role in driving business growth and delivering exceptional customer experiences.About the RoleProvide technical and clinical leadership during sales processes by showcasing...


  • Gurgaon, Haryana, India Visit Health Full time

    OverviewVisit Health is a pioneering health-tech platform dedicated to making healthcare accessible, affordable, and preventive. Our comprehensive ecosystem connects doctors, insurers, and millions of Indian families, empowering individuals and corporations to prioritize well-being.We originated as a telemedicine platform during the Swine Flu epidemic,...


  • Gurgaon, Haryana, India Jivi AI Full time

    About JiviJivi is an AI-powered healthcare platform that aims to revolutionize primary healthcare for millions of people worldwide. Founded by Ankur Jain, GV Sanjay Reddy, and Andrew Ng's AI Fund, Jivi is built on cutting-edge technology using a proprietary Large Language Model (LLM) called MedX. This model has outperformed industry benchmarks in clinical...


  • Gurgaon, Haryana, India LevelupforWomen Full time

    Job DescriptionThis is a full-time on-site role for a Healthcare Consultant located in a dynamic environment. The Healthcare Consultant will be responsible for identifying new business opportunities, conducting market research, developing strategic partnerships, and providing expert healthcare consulting services.Responsibilities:Develop and implement...


  • Gurgaon, Haryana, India Jivo Full time

    Jivo: Empowering Global Healthcare DeliveryWe are a health-tech pioneer bridging international doctors with Indian healthcare expertise to revolutionize cross-border healthcare delivery.This exciting opportunity will see you join our team as a Doctor Network Associate, focused on expanding our presence in Africa. Your key responsibilities will include:Main...