Commercial Claims

Role & responsibilitiesSelected trainees Will be trained on Claim adjudication processThey will evaluate 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...

Job Purpose:To ensure effective after-sales service, customer satisfaction, and business growth in the assigned territory by managing service operations, dealer workshops, spare parts, and customer support for Heavy Commercial Vehicles.Key Responsibilities:Service Operations & Dealer ManagementManage and monitor dealer service network within the assigned...

Job Title: AR Calling Hospital Billing & Dental Billing (US Healthcare)Company: QWay TechnologiesLocation: Guindy Chennai Job Type: [Full-Time / Night Shift]Timings :- 5:30PM - 2:30AMExperience Required: Minimum 1-5 years in US Healthcare Hospital Billing (AR Calling)Shift: US Shift (EST hours)Qway Technologies is hiring An AR (Accounts Receivable) Caller is...

As a Denial Analyst, you will be responsible for analyzing, researching, and resolving denied claims in the field of medical billing. Your role will involve interpreting denial reasons, resubmitting claims accurately, and preparing appeals when necessary. You will collaborate closely with the billing department, insurance companies, and healthcare providers...

Key ResponsibilitiesJunior Quantity SurveyorAssist in preparing cost estimates, BOQs, and tender documents.Take off quantities from drawings and specifications.Assist in evaluating subcontractor quotations.Support in cost control, progress payments, and valuations.Prepare and maintain records of variations and claims.Assist in preparing monthly project...

Job Summary:We are seeking experienced AR Callers specializing in Physician Billing (PB) or Hospital Billing (HB) to join our dynamic RCM team. Candidates must have prior experience in US healthcare revenue cycle management, especially in denial management, insurance follow-up, and claims resolution.Freshers and candidates from non-RCM backgrounds will not...

Job Summary:We are seeking a motivated and detail-oriented AR Caller with 6 months to 2 years of experience in physician or hospital billing. The ideal candidate will be responsible for performing follow-ups with insurance companies in the US healthcare domain to ensure timely and accurate payment of claims.Key Responsibilities:Review and analyze denied and...

Contract & Legal AcumenRisk Management & Claims HandlingProject Coordination & Lifecycle OversightRegulatory & Sector KnowledgeNegotiation & Commercial SenseDocument Management & Organizational DisciplineEnglish Communication and English Typing SkillsProficiency in MS Office ToolsEthics, Integrity & Confidentiality

Job Title: AR Caller Hospital Billing SpecialistCompany: QWay TechnologiesLocation: Guindy Chennai Job Type: [Full-Time / Night Shift]Timings :- 5:30PM - 2:30AMExperience Required: Minimum 1-6 years in US Healthcare Hospital Billing (AR Calling)Shift: US Shift (EST hours)Qway Technologies is hiring experienced AR Callers with a strong background in hospital...

DescriptionMain Accountabilities:Contract portfolio - governance -Ensures the portfolio of contracts in the business follows contract and claim management methodologies in accordance with internal standard procedures.Tender preparation and negotiations - Reviews and comments on commercial and technical tender terms and conditions. Develops contract strategy...