Healthcare and Insurance Operations Senior Representative

HC & Insurance Operations Senior Rep. Position's General Duties and Tasks: In this role you will be responsible for: Life Claims:Processing Death Claims and identifying the right beneficiary(s) to provide the Claims benefit Setting up a claim and then following up for pending requirements (if any) Examining the received documents, payment...

HC & Insurance Operations Senior Assoc. Role Responsibilities:In-depth knowledge and experience in the US healthcare (Non Voice) – Provider Data Validation and Provider Data management. Candidate should have 3 years and above experience in US healthcare and into provider enrollment and credentialling. Ensures day-day transactions are processed per...

HC & Insurance Operations Senior Assoc. Roles and Responsibilities:2-3 years of experience in processing claims adjudication and adjustment process Experience in professional (HCFA) and institutional (UB) claims Knowledge in handling authorization, COB, duplicate and pricing process Knowledge of healthcare insurance policy concepts including in...

Job Description At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees are key factors in our company s growth, market presence and our ability to help our clients stay a step ahead of the competition. By hiring the best people and helping them grow both professionally and...

HC & Insurance Operations Senior Assoc.In-depth knowledge and experience in the US healthcare (Non Voice) – Provider Data Validation and Provider Data management. Ability to train the team on new process and process updates. Calibrate with QA's to ensure process knowledge and variance are managed and under control. Ability to create Process SOP,...

Company DescriptionSubhaa Healthcare is dedicated to bringing the world's most advanced medical innovations to India. Our goal is to empower healthcare professionals across various specialties with trusted technologies and transformative solutions.Role DescriptionThis is a full-time on-site role for a Sales Representative located in Chennai. The Sales...

Key Responsibilities:Oversee end-to-end insurance operations including claims submission, follow-ups, denials management, and reimbursements.Lead and manage the Accounts Receivable (AR) team to ensure timely collection and reconciliation of dues.Monitor KPIs such as DSO (Days Sales Outstanding), denial rates, claim rejection ratios, etc.Travel regularly to...

Customer Care Senior Representative Performing outbound calls to insurance companies (in the US) to collect outstanding Accounts Receivables. Responding to customer requests by phone and/or in writing to ensure customer satisfaction and to assure that service standards are met Resolving moderately routine questions following pre-established...

Role & responsibilitiesDevelop and execute insurance/TPA strategy aligned with hospital growth.Drive empanelment with new insurers and negotiate contracts/tariffs.Oversee end-to-end operations: pre-authorizations, approvals, claims submission, and reimbursements.Reduce claim denials and ensure timely collections.Lead and mentor the insurance/TPA team; set...

Contributes to own team closely related teams by ensuring quality and accuracy of team output Builds productive internal relationships at team lead or management level Collaborates with others to achieve objectives and ensure information flow Provides operational support for activities associated with all phases of transaction processing Ensures accurate...