Non Customer Service Healthcare Claims Adjudication Team Member-bps
10 hours ago
Education Mandatory: Any Graduate (BSC/BCOM/BA) Desirable: Nil Experience Minimum 6 Months eligibility/enrolment experience (preferred) Technical Competencies: (Job related) Exceptional data entry skills with high attention to detail, strong organization skills and ability to multi-task Should have working knowledge of MS-Office: (Teams, Outlook, Excel, Word, OneNote) Soft Skills: (Job related) - Effective verbal and written communication skills and excellent interpersonal skills - Ability to work effectively with team members, employees/members, providers, and clients and vendors - Ability to use common sense understanding to carry out instructions furnished in oral, written or diagram form - Flexible; open to continued process improvement, with a positive attitude and willingness to learn - Ability to work remotely; o Secure, reliable high speed internet access o HIPAA complaint workspace; preferably in a room that can be secured o Ability to work independently and free from distractions to productivity and accuracy - Demonstrated critical thinking and problem-solving skills Others Mandatory: Nil Desirable: - Bachelor’s degree - > 1 year Eligibility experience - Prior EDI experience (ANSI 834s) - Prior experience in a medical office or provider billing environment - Self-Funded Insurance/Benefits and/or TPA experience - Prior experience with COBRA, FMLA, LOA and retiree administration/coordination experience. - Knowledgeable in handling various types of Federal, State and Company leave programs. - Customer service experience in a professional setting - Prior PowerStepp or other AS400 system experience - Knowledge of COBRA laws, HIPAA portability and eligibility laws
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Claims Adjudication
2 weeks ago
India CIEL HR Full timeJob Summary University degree or equivalent that required formal studies of the English language and basic Math Immediate Joiner and chennai Location - Claims Adjudication. 2+ year(s) of experience processing claims for the US healthcare market Knowledge of HRP - added advantage - Claims Adjudication. 6+ months of data entry experience that required a focus...
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Healthcare Claims Adjudication Specialist
4 days ago
India beBeeHealthcare Full time ₹ 8,00,000 - ₹ 15,00,000Job Description: We are seeking a skilled Healthcare Claims Adjudication Specialist to join our team. As a key member of our healthcare claims process, you will be responsible for reviewing and processing claims in a timely and accurate manner.Required Skills and Qualifications: To be successful in this role, you will need to possess the following...
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Claims Adjudication Associate
5 days ago
India CIEL HR Full timeJob Summary Requirement - 1-3 years of experience in processing claims adjudication and adjustment process - Experience in professional (HCFA), institutional (UB) claims (optional) - Both under graduates and post graduates can apply - Good communication (Demonstrate strong reading comprehension and writing skills) - Able to work independently, strong...
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India Hexaware Technologies Full timeClaims processing associate
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India Hexaware Technologies Full timeEducation Mandatory: Any Graduate (BSC/BCOM/BA) Desirable: Nil Experience Experience 2 Years experience in US Healthcare process would be preferred Technical Competencies: (Job related) Computer Savvy Should have working knowledge of MS-Office Soft Skills: (Job related) Comprehend English Language and average communicator Commitment to achieving deadlines...
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Healthcare Claims Resolution Specialist
2 weeks ago
India beBeeHealthcare Full time ₹ 9,00,000 - ₹ 14,25,000We are currently seeking a skilled Healthcare Claims Resolution Specialist to join our team. As an experienced AR caller with a strong background in oncology billing and collections, you will play a vital role in resolving outstanding accounts receivable, analyzing denied or underpaid claims, and ensuring compliance with industry standards.Key...
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India Hexaware Technologies Full timeEducation Mandatory Any Graduate BSC BCOM BA Desirable Nil Experience Experience 2 Years experience in US Healthcare process would be preferred Technical Competencies Job related Computer Savvy Should have working knowledge of MS-Office Soft Skills Job related Comprehend English Language and average communicator Commitment to achieving deadlines...
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India Hexaware Technologies Full time ₹ 15,00,000 - ₹ 28,00,000 per yearJob Responsibilities:Manage and lead a team of 300+ members with a direct span of control of 3 – 6 leads / managers.Oversee account management and revenue generation activities.Ensure SLA maintenance and quality assurance across operations.Develop and implement strategic planning initiatives.Handle crisis management and problem-solving...
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Healthcare Claims Adjudication Specialist
2 weeks ago
India beBeeClaims Full time ₹ 8,00,000 - ₹ 14,00,000Claims Processing AssociateThe Claims Processing Associate role is a vital part of our organization. This position involves handling and processing claims, ensuring timely and accurate resolution for our clients.Process claims from receipt to final resolution.Verify client information and validate claim details.Communicate with clients regarding claim status...
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India Hexaware Technologies Full timeJob Responsibilities Manage and lead a team of 300 members with a direct span of control of 3 - 6 leads managers Oversee account management and revenue generation activities Ensure SLA maintenance and quality assurance across operations Develop and implement strategic planning initiatives Handle crisis management and problem-solving...
