Executive-back Office-claims Medical Bill Review
1 week ago
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 denial of the claim based on result of research. Associate would also need to liaise with claims handlers on need basis.
Responsibilities: Ensure that the process transactions are processed as per Desktop procedures
Ensure that the assigned targets are met in accordance with SLA and Internal standards
Ensure that the quality of transaction is in compliance with predefined parameters as defined by Process Excellence
Ensure adherence to established attendance schedules
Qualifications: Graduation (any stream) or diploma with a minimum of 15 years of education
-
India EXL Full time ₹ 4,50,000 - ₹ 9,00,000 per yearDescriptionReview and analyze the assigned outstanding receivables portfolio to identify unresolved claims.Manage and resolve outstanding and denied claims by coordinating effectively with insurance companies.Follow up promptly to obtain additional information required for claim resolution.Ensure all claims are resolved within established timelines and...
-
[15h Left] Medical Biller
3 weeks ago
India Tausch Technologies Full timeCompany Description Tausch Technologies, founded in 2012, is driven by a team of dynamic professionals with extensive healthcare industry expertise. Under the mentorship of medical providers with over 35 years of experience, our team has amassed over 65 years of combined knowledge. We have evolved from specializing in medical billing services to offering...
-
Medical Billing Specialist
2 weeks ago
India Mentis AI Full time ₹ 2,50,000 - ₹ 5,00,000 per yearWe are seeking experienced medical billers to review and assess AI-generated outputs related to durable medical equipment (DME) billing, with a focus on claim lifecycles, payer rules, documentation sufficiency, and denials/appeals handling. You will work asynchronously on a dedicated review platform, performing short, structured evaluations to help train and...
-
Medical Claims Analyst
2 weeks ago
Chennai, India Med-Metrix Full timeJob Description Job Purpose The Medical Claims Analyst is responsible for collections, account follow up, billing and allowance posting for the accounts assigned to them. Duties And Responsibilities - Follow-up with payers to ensure timely resolution of all outstanding claims, via phone, emails, fax or websites - Meets and maintains daily...
-
Associate - Medical Bill Review (India)
1 day ago
India Elevate Services Full timeElevate is hiring an Associate for their Medical Billing team. As an Elevate Medical Billing Review Associate, you will be part of the offshore Medical Billing Review team, with dual reporting to both the functional billing head and the Manager of Med Legal Services in India. Your role will involve supporting Medical Billing Audit (MBA) tasks, utilizing...
-
Chennai, India EXL Full timeJob Description - Review and analyze the assigned outstanding receivables portfolio to identify unresolved claims. - Manage and resolve outstanding and denied claims by coordinating effectively with insurance companies. - Follow up promptly to obtain additional information required for claim resolution. - Ensure all claims are resolved within established...
-
Executive-Back Office-Claims Administration
3 weeks ago
Noida, India EXL Full timeJob Description Job Description Position Title, Responsibility Level: Executive/Senior Executive Function Operations Reports to - Assistant Manager/Lead Assistant Manager Permanent/ Temporary: Permanent Span of Control None Location: C 42, Noida Basic Function This position is responsible for reviewing, analyzing and interpreting medical Information to...
-
Medical Records Technician
2 weeks ago
india Dr. Moopens Medical College Full timeCompany OverviewDr. Moopens Medical College is a prominent institution in the Hospital & Health Care industry, located in Meppadi, Wayanad, Kerala. With a workforce of employees, the college is dedicated to providing exceptional medical education and healthcare services. For more details, visit our website at Job OverviewWe are seeking a Medical Records...
-
Orthopedic Claim Scrubber
5 days ago
India Genesis Orthopedics & Sports Medicine Full timeRole Overview We are seeking a highly skilled Orthopedic Medical Coder and Claim Scrubber with direct EPIC EHR experience to join our growing revenue cycle team This role is critical for ensuring clean claim submissions maintaining coding compliance and maximizing reimbursement for complex orthopedic procedures You will play a central role in preventing...
-
Billing and Rejection Analyst
2 days ago
India - Remote TruBridge Full time ₹ 2,50,000 - ₹ 5,00,000 per yearProcess Associate Billing and Rejections will be responsible for accurately verifying and submitting the medical claims, identifying, and resolving claim rejections. This position primarily focuses on claim scrubbing, handling claim edits, billing processes and addressing claim rejections.Responsibilities● Review and verify patient demographic and...