Claims Adjudication

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 Job Summary Join our team Clinical Claims Review Specialist where you will leverage your expertise in claims adjudication to ensure accurate and efficient processing of claims. With a focus on commercial claims and payer domain you will work remotely during night shifts contributing to our mission of providing exceptional service and support...

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...

TagLynk Careers, hiring partner for a leading insurance organization, is looking for a senior leader to drive Accident & Health Claims Strategy & Operations . This role is ideal for seasoned professionals with deep expertise in health insurance claims, fraud mitigation, provider network management and regulatory compliance. Key Responsibilities Strategic...

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. -...

Experience 1 years Location Chennai Type Contract Remote working until notice Night Shift Must have Claims processing US health care with Adjudication and Facets Exp 1 years Required schedule availability for this position is Monday-Friday 06 00 pm to 04 00 am IST The shift timings can be changed as per client requirements Bachelor s degree or equivalent 1...

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...

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...