Non Customer Service Healthcare Claims Adjudication Team Member-Bps

**Role you will be Responsible For** - Experienced level adjudicator providing analytical ability to review claim rules and workflows. - Reviews claim requests to determine eligibility for processing and escalate to management as necessary. - Responsible for the coordination and resolution of the administrative denials and appeals - Ability to resolve claims...

Key Responsibilities:Adjudicate medical, dental, and vision claims using the Facets platform.Review and analyze claims for eligibility, provider contracts, coding accuracy, and payment rules.Ensure timely and accurate processing of claims per regulatory and organizational standards (e.g., CMS, HIPAA).Identify discrepancies or issues in claims data and take...

Position: BPO Claim Adjudication(US Healthcare) Experience: 1-4years Notice period: 0-45days Skills: Must have experience in Claims Adjudication Good Exposure on COB and HIPAA **Salary**: ₹100,000.00 - ₹300,000.00 per year **Benefits**: - Cell phone reimbursement - Health insurance - Provident Fund - Work from home Schedule: - Night...

Job Title Claims Adjudication - Non-Voice BPO Process Experience 3 to 7 Years Location Chennai Process Type Non-Voice Back Office Domain Healthcare Insurance Shift 5 30pm to 2 30pm or 6 30pm to 3 30pm Job Summary We are seeking a detail-oriented and experienced Claims Adjudicator to join our non-voice BPO team The ideal candidate will be responsible for...

Greetings from Firstsource HR Spoc - MadhubalaLooking for US Healthcare Professionals Experience : 1- 4 YearsProcess : Non Voice - Skill : Claims Adjudication US Healthcare experience.Work location : Navalur ChennaiRequired : Minimum 1year Experience in US Healthcare BPO. Claims AdjudicationEducation - Any Graduates and Diploma(10+3)can apply.Immediate...

Your Future Evolves Here Evolent Health has a bold mission to change the health of the nation by changing the way health care is delivered. Our pursuit of this mission is the driving force that brings us to work each day. We believe in embracing new ideas, challenging ourselves and failing forward. We respect and celebrate individual talents and team wins....

**Adjudication - Claim Examiner** - Review medical documents, policy documents, policy history, Claims history, and system notes - Ability to understand logic of standard medical coding (i.e., CPT, ICD-10, HCPCS, etc.) - Process Insurance Claims timely and qualitatively - Ability to resolve claims that require adjustments and adjustment projects. - Identify...

**Job Role: HC & Insurance Operation Associate** **Location: Chennai/Coimbatore** **Duration Fulltime** **Skill set**: - **Claim adjudication**: - **HIPAA**: - **COB** **Benefits**: - Health insurance - Internet reimbursement Schedule: - Night shift - Health insurance

**Walk-in |TCS Mumbai Hiring for India Benefits Claim Adjudication**.** **Interview Date**: January 25**_th_**, 2025** **Interview Time**: 10 AM onwards (Entry is closed at 12:30 PM)** **Venue**: Tata Consultancy Services, Plant No 12, Gate No 4, Godrej & Boyce Complex, L B S Marg, Vikhroli West, Mumbai, Maharashtra 400079** **Role**: Claims Processing &...

**Position: HC & Insurance Operations Associate** **Location: Chennai/Coimbatore** **Experience: 1 to 3 years** **Notice period: Immediate joiners** **Roles and Responsibilities**: -      Process Adjudication claims and resolve for payment and Denials -      Knowledge in handling authorization, COB, duplicate, pricing and corrected...