Associate - Business Analyst-Back Office-Claims Medical Bill Review

DescriptionReview 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...

Role & responsibilitiesEvaluates and processes claims in accordance with company policies and procedures per CMS guidelines/SOPReviews and analyzes data for in-process claims in order to identify and resolve errors prior to final adjudicationExercises good judgment and remains knowledgeable in related company policies and proceduresAchieves teamwork,...

Job Family Summary: The Operations Department is responsible to manage all aspects of claims management including Onsite operations and back end processing. The department primarily works on main objective of submitting the claims in time with highest quality to ensure the client receives the payment with minimal or no rejections. Role Summary:...

Job Description:Review patient information, charges, and medical documents for accuracy before billing.Enter billing data into the system and generate claims as per guidelines.Follow up on pending claims and work on corrections or re-submissions.Maintain billing records and ensure compliance with healthcare billing standards.Coordinate with the team to...

Job PurposeThe Medical Claims Analyst is responsible for collections, account follow up, billing and allowance posting for the accounts assigned to them.Duties and ResponsibilitiesFollow-up with payers to ensure timely resolution of all outstanding claims, via phone, emails, fax or websitesMeets and maintains daily productivity/quality standards established...

Job description:Review and analyze medical records and claims data to ensure accuracy, completeness, and compliance with healthcare regulations and payer requirements. Verify that all necessary clinical documentation is included to support claim submissions and medical necessity. Identify and resolve inconsistencies, errors, or missing documentation in...

TCS is hiring forClaims Adjudication Processor roleLocation-ChennaiJob Summary:We are seeking a detail-oriented and analyticalClaims Adjudication Processorto join our team. The ideal candidate will be responsible for reviewing, processing, and resolving pending healthcare claims while ensuring compliance with federal, government, and commercial health plan...

Job Description:-*Strong medical knowledge and Clinical Judgment*Basic understanding of health insurance process and legal/medico-legal aspects*Ability to review medical records and provide medical opinions for legal and claims-related cases*Support the legal team in medical interpretation, documentation and case assessments*Good Communication, analytical...

Job Description:We are seeking a detail- oriented and experienced Health Claims Specialist to join our team. The ideal candidate will be responsible for accurately processing and adjudicating medical claims in accordance with company policies, industry regulation, and contractual agreements. The Health Claims Specialist will play a crucial role in ensuring...

TCS is hiring for Claims Processor roleLocation - ChennaiJob Summary:We are seeking a detail-oriented and analytical Claims Adjudication Processor to join our team. The ideal candidate will be responsible for reviewing, processing, and resolving pending healthcare claims while ensuring compliance with federal, government, and commercial health plan policies....