Medical Claims

Verify patient insurance coverage - Generate bill estimate based on hospital guidelines and determine patient copay / deposit - Handle end to end documentation for billing and claims of health insurance patients based on information provided by the hospital - Obtain required case information and signoff from hospital and share information with insurer /...

Job DescriptionWe are seeking a highly skilled Medical Claims Auditor to join our team. The successful candidate will be responsible for analyzing medical reports, processing and approving medical claims, scrutinizing medical documents, providing medical opinions, and conducting medical audits.Required Skills and QualificationsStrong analytical and...

Job Overview:We are seeking a Medical Officer to provide medical opinions for health insurance claims and process cashless requests in Mumbai.Main Responsibilities:Assessing health insurance claimsProcessing of cashless requests for claim documentsManaging reimbursement proceduresEssential Skills and Qualifications:Minimum 2-3 years of experience in claims...

Medical Claims Recovery SpecialistWe are seeking an experienced professional to manage and resolve outstanding medical claims. As a Medical Claims Recovery Specialist, you will be responsible for initiating contact with insurance companies and patients to follow up on denied claims and ensure accurate reimbursement.Key ResponsibilitiesDenial Resolution:...

**Roles and Responsibilities** 01. Involves Processing of Claims ( Preauthorization / Reimbursement claims) 02. Validating and processing these claims within TAT 03. With good communication and medical Knowledge 04. TPA Experience is an added advantage **Financial**: To see to that there is no financial implication for the organization while settlement...

We are seeking a skilled professional to join our team as a Claims Specialist.Job Description:The successful candidate will be responsible for reviewing claims for assigned offices and ensuring timely submission. This will involve performing quality control checks on patient accounts for accurate billing, reviewing and analyzing denial queues to identify...

Paramount is presently servicing more than 50 lakh lives managing Corporate and Individual Policies and an additional 4 crores lives managing State Government Health Policies. Recipient of 'TPA of the Year' award for two consecutive years at the India Insurance Summit & Awards (2018 & 2019) We are hiring doctors for medi - claim processing hence medically...

Key ResponsibilitiesWe follow up on pending or denied claims by making outbound calls to insurance companies.We analyze Explanation of Benefits (EOBs) and denial codes to understand the reasons behind claim rejections.We take appropriate actions, such as appeals, re-submissions, or escalations, based on our analysis.We meet productivity targets and quality...

Paramount is presently servicing more than 50 lakh lives managing Corporate and Individual Policies and an additional 4 crores lives managing State Government Health Policies. Recipient of 'TPA of the Year' award for two consecutive years at the India Insurance Summit & Awards (2018 & 2019) We are hiring doctors for medi - claim processing hence medically...

Paramount is presently servicing more than 50 lakh lives managing Corporate and Individual Policies and an additional 4 crores lives managing State Government Health Policies. Recipient of 'TPA of the Year' award for two consecutive years at the India Insurance Summit & Awards (2018 & 2019) We are hiring doctors for medi - claim processing hence medically...