Claims Adjudication

Role :Claims Adjudication Experience :2+years Location :Coimbatore, Chennai Skills - Claim process, Medical Coding Shift :US shifts Claims Experience In This Role You Will Be Responsible For - Experienced level adjudicator providing analytical ability to review claim rules and workflows. - Reviews claim requests to determine eligibility for processing...

Resources should be completely Vaccinated to attend this interview & should have Hi-Speed Internet / Broadband Connection  **Work Location**: Work from Office - Hyderabad Below are the MUST have Mandatory skills in Adjudication as per Project Team & panels - Authorization - Timely Filing - Duplicate - Copayment - COB - Medicare - Medicaid Requirement -...

**Role: Healthcare Claims Processor** **Mandatory Skill: Claims Adjudication & Facets** **Location - Chennai** **Notice period - Immediate** Experience: 3+ years Currently work from home, but should be ready to go to the office whenever they ask to come. Laptop: Mandatory to have a laptop Shifts: only Night Shifts( Time mostly from 4:00pm/5:00pm /6:00...

**Job Title**:Trainer/SME on Claims Adjudication (Facets or Proclaim system-Mandatory) **Job Category**: Trainer **Department/Group**: Training **Location**: Bangalore Travel Required: No **Level/Salary Range**: 4.25 Lakhs Position Type: Full-Time **Qualifications and Education Requirements** **industry in Claims Adjudication Cycle specifically in...

-Application development experience in Design, coding, testing and debugging with mainframe skills such as CICS, VSAM, COBOL, DB2, JCL, Zeke, File Aid, Changeman, AbendAid-Programming, conduct code reviews, and test software as needed, ensuring quality of deliverables-Should have experience in Claim adjudication experienceNote: Applicants should be ready to...

-Application development experience in Design, coding, testing and debugging with mainframe skills such as CICS, VSAM, COBOL, DB2, JCL, Zeke, File Aid, Changeman, AbendAid -Programming, conduct code reviews, and test software as needed, ensuring quality of deliverables -Should have experience in Claim adjudication experience Note: Applicants should be ready...

Roles and Responsibilities :Review and process claims in accordance with established guidelines, regulations, and company policies.Conduct thorough reviews of medical records, diagnoses, treatments, and procedures to determine coverage eligibility.Identify potential denials and take proactive steps to resolve issues before submitting claims to...

Job Description -Application development experience in Design, coding, testing and debugging with mainframe skills such as CICS, VSAM, COBOL, DB2, JCL, Zeke, File Aid, Changeman, AbendAid -Programming, conduct code reviews, and test software as needed, ensuring quality of deliverables -Should have experience in Claim adjudication experience Note: Applicants...

Job Description: Adjudication Specialist Company: Connect and Heal Primary Care Pvt. Ltd. Location: Bangalore (HSR Layout) Employment Type: Full-time About Connect and Heal Connect and Heal Primary Care Pvt. Ltd. is a leading integrated healthcare services provider, committed to delivering accessible, high-quality, and technology-enabled primary care...

4+ Years of Experience in US Healthcare Claims Adjudication Open Positions :Team Leader OperationsQuality SpecialistSubject Matter Expert (SME)Process Trainer Hari Shiny