Executive-Back Office-Claims Medical Bill Review
6 days 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
Managing calendars and e-mails
Qualifications: Graduation (any stream) or diploma with a minimum of 15 years of education
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Executive-back Office-claims Medical Bill Review
16 hours ago
India EXL Service Full timeJob 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...
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Medical Officer – TPA Claim Process
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Vadodara, Gujarat, India, Gujarat Nucleon Health Full timeJob Title: Medical Officer – TPA Claim ProcessDepartment: TPA / Health Insurance DeskLocation: Vadodara Reporting To: TPA Manager / Operations HeadJob Summary:The Medical Officer (TPA) will be responsible for reviewing, validating, and processing insurance (TPA) claims, ensuring medical accuracy, compliance with policy terms, and timely coordination...
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Associate Medical Bill Review
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India Elevate Services Full time US$ 40,000 - US$ 80,000 per yearElevate is recruiting an Associate Medical Bill Review to join our Contracts team. As an Associate Medical Bill Review, you will be a part of offshore Medical Record Review Associate team and will have dual reporting to the functional billing head and Manager, Med Legal Services in India. You will be responsible for delivering Record Review work support via...
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AR Executive-Medical Billing
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Ahmedabad, Gujarat, India, Gujarat Ambit Global Solution Full timeCompany DescriptionAmbit Global Solution is a leading medical and dental billing and revenue cycle management company based in Ahmedabad. The company helps organizations maximize revenue and reduce operating costs with a highly trained team of experts. Ambit's powerful technology solutions and client-focused service enhance the efficiency and profitability...
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Tpa Billing executive
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Claims Process Executive
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India thinkbridge Full timeAbout thinkbridgeWe are a global digital product development firm that helps growth-stage companies gain the technology sophistication and maturity of leading modern digital businesses. We differentiate ourselves by delivering exceptional quality at scale and speed with our thinkstack accelerators. We started with the vision of being able to build amazing...
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Claims Process Executive
1 day ago
India thinkbridge Full timeAbout thinkbridge We are a global digital product development firm that helps growth-stage companies gain the technology sophistication and maturity of leading modern digital businesses. We differentiate ourselves by delivering exceptional quality at scale and speed with our thinkstack accelerators. We started with the vision of being able to build amazing...
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Junior Executive Health Claims Assessment
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India Bajaj Allianz General Insurance Full timeJob Description - Claim registration On Daily Basis need to register the claims which has been assigned for processing , Scrutiny of the documents - Reserve Setting :- Need to do the proper reserve setting on system based on the claim documents - Technical processing claims which has been assigned for processing for health/ personal accident etc claims and...
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▷ High Salary: Claims Process Executive
1 week ago
India thinkbridge Full timeJob Description About thinkbridge We are a global digital product development firm that helps growth-stage companies gain the technology sophistication and maturity of leading modern digital businesses. We differentiate ourselves by delivering exceptional quality at scale and speed with our thinkstack accelerators. We started with the vision of being able to...
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India insurance Full timeCompany Overview: We are a leading firm specializing in General Insurance Claims investigations, particularly in Personal Accident (PA), Group Personal Accident (GPA), and Workmen's Compensation (WC) claims. Our dedicated field team conducts thorough on- ground investigations, and we are seeking skilled back-office executives to prepare detailed narrative...