Medical Claims

Verify patient insurance coverageGenerate bill estimate based on hospital guidelines and determine patient copay / depositHandle end to end documentation for billing and claims of health insurance patients based on information provided by the hospitalObtain required case information and signoff from hospital and share information with insurer / TPADraft...

utlines responsibilities involving managing the administrative functions of a medical facility or practice, such as scheduling appointments, managing patient records, handling insurance claims, and ensuring compliance with relevant regulations. They may also oversee staff, manage budgets, and work to improve efficiency and quality of care. Here's a more...

Should possess U.S Health insurance claim processing experienceKnowledge of medical billing and coding terminologiesReady to work in Night Shift as well as Day shiftUnderstanding of plan documents and general benefitsFamiliarity with terms such as deductible, out of pocket, coinsurance, and copayStrong attention to detail and accuracyAbility to work in...

Roles and ResponsibilitiesConduct thorough investigations into health insurance claims, including medical records review and witness statements gathering.Determine claim validity by analyzing policy terms, coverage conditions, and documentation.Coordinate with hospitals, doctors, and other stakeholders for smooth claim handling.Ensure compliance with...

Roles and ResponsibilitiesManage insurance claims from receipt to settlement, ensuring timely and accurate processing.Conduct thorough analysis of claim documents, including medical records, police reports, and other relevant documentation.Identify potential fraud risks and take necessary actions to mitigate them.Collaborate with internal stakeholders, such...

**Walk-in |TCS Mumbai Hiring for India Benefits Claim Adjudication**.** **Interview Date**: January 25**_th_**, 2025** **Interview Time**: 10 AM onwards (Entry is closed at 12:30 PM)** **Venue**: Tata Consultancy Services, Plant No 12, Gate No 4, Godrej & Boyce Complex, L B S Marg, Vikhroli West, Mumbai, Maharashtra 400079** **Role**: Claims Processing &...

**About the company** Ketto is Asia's largest tech enabled crowdfunding platform with a vision - Healthcare for all. We are a profit making organization with a valuation of more than 100 Million USD. With over 1,100 crores raised from more than 60 lakh donors we have positively impacted the lives of 2 lakh+ campaigners. Ketto has embarked on a high-growth...

**Experience**: Minimum 2 Years **Salary**:up to 3.5 LPA **Reporting to**: Megha N Sr Claims Executive **Working Hours**:10:00 AM 6:30 PM (Two Saturdays off per month) **Employment Type**:Full time **Key Responsibilities**: - Process and manage health, motor (and non-motor insurance claims). - Review physical and digital claim files, verify...

Job Description Job Description: - Good knowledge in ICD, CPT HCPCS, medical coding systems, medical terminologies, regulatory requirements, auditing concepts and principles. - A solid understanding of anatomy, medical procedures, diseases, and medications is essential. - Assign accurateICD-10-CMcodes to medical diagnoses based on physician documentation,...

The role is with a leading General Insurance company. The organization is seeking a seasoned Head of Claims to lead its Health Insurance Claims function. The role focuses on driving operational excellence, regulatory compliance, and digital transformation across the claims lifecycle. Lead and enhance claims systems, rule engines, and automated workflows....