Claims Adjudication

1.Healthcare claims - Associate Job Responsibilities 1. Basic understanding of medical documents - to categorize the documents shared by the claimant 2. Excellent multitasking skills, with the ability to work on many projects at once. 3. Must be very detail -oriented and organized, to maintain accurate details in the system. 4. Its important you have ability...

Job Description Responsibilities This job is provided by apna.co Key Responsibilities: - Medical Review & Claims Adjudication: Assess and validate medical claims based on clinical documentation and policy coverage. Interpret diagnostic reports, treatment plans, and prescriptions to determine claim eligibility. Coordinate with internal medical teams to ensure...

Job Description: Adjudication associate is responsible for timely and accurate payment of Medical Bills submitted by US based hospital and doctors. The process includes claim adjudication, checking compensability, invoice review and the validation of the details in other systems and determine/decide on the accuracy of the amount billed and/or the need for...

Job Description Key Responsibilities - Medical Review Claims Adjudication: - Assess and validate medical claims based on clinical documentation and policy coverage. - Interpret diagnostic reports, treatment plans, and prescriptions to determine claim eligibility. - Coordinate with internal medical teams to ensure accuracy in claims decision-making. -...

Position: Claims Clerk – Subject Matter Expert (SME)Location: India (Remote)Employment Type: Full-TimeSchedule: Monday to Friday, Day ShiftExperience: 2+ years in insurance/TPA claims operations with SME-level proficiencyCompany DescriptionScry AI is a research-led enterprise AI company that builds intelligent platforms to drive efficiency, insight, and...

Job Titile: Claims Examiner IDo you see…? Are you passionate about …?  About us:  For over 20 years, Smart Data Solutions has been partnering with leading payer organizations to provide automation and technology solutions enabling data standardization and workflow automation. The company brings a comprehensive set of turn-key services to handle all...

Claims Adjudication - Associate Claims - BF JR167225 Position Title:Claims Adjudication - Associate Claims - BF JR Job Family:CLM > Claims Support Shift: Job Description: Job Title Associate Claims Requirement Type Full-Time Employee Job Location Bangalore Requirement Level Associate Hiring Manager Team Lead Primary Skill Business Operations Claims Business...

Job Description About Us At CIGNA Healthcare we are guided by a common purpose to help make financial lives better through the power of every connection. Responsible Growth is how we run our company and how we deliver for our clients, teammates, communities and shareholders every day. One of the keys to driving Responsible Growth is being a great place to...

Hands-on experience in Revenue Cycle Management RCM Proven experience in Denial Management and Claim Adjudication Experience in Claim Processing and overall Claim Management lifecycle Prior exposure to US Healthcare domain Payer or Provider environment

DescriptionHands-on experience in Revenue Cycle Management (RCM)Proven experience in Denial Management and Claim AdjudicationExperience in Claim Processing and overall Claim Management lifecyclePrior exposure to US Healthcare domain (Payer or Provider environment)