Medical Claims Processor

Ready to shape the future of work?At Genpact, we don't just adapt to change we drive it. AI and digital innovation are redefining industries and were leading the charge. Genpacts AI Gigafactory, our industry-first accelerator, is an example of how were scaling advanced technology solutions to help global enterprises work smarter, grow faster, and transform...

Responsibilities:Visit hospitals to verify and patient claim documents.Meet patients and hospital representatives to confirm the authenticity of submitted claims.Collect, review, and cross-check all supporting medical and billing documents.Annual bonus

Reporting to the Senior Manager - Finance, the incumbent will oversee payroll administration, benefits management, HRIS optimization, and compliance to ensure efficient HR operations and employee satisfaction.Key Job Responsibilities:A. Compensation & Payroll Management(1) Administer payroll processing, ensuring accurate salary calculations, deductions, and...

REMOTEProject Owner – Financial DivisionARDEM Data Services Private LimitedUNIT No B-1/ 5th Floor 504 & 505 DLF MY PAD, Vibhuti Khand Gomti Nagar, Lucknow – 226010, IndiaTelephone: Email: Apply on ARDEMLocation: IndiaType: RemoteFull-TimeSchedule: Monday to FridayShift: 6 PM – 3 AM ISTShare This JobShareShare Share ShareOur brand is rapidly growing,...

Manager/Senior Officer - HR (Compensation, Benefits and HRIS), India Health Action Trust, Lucknow1. POSITION VACANT: Manager/Senior Officer - HR (Compensation, Benefits and HRIS), India Health Action Trust, Lucknow2. ORGANIZATIONAL BACKGROUND:India Health Action Trust (IHAT) was instituted in 2003 as a charitable trust with a vision to meaningfully impact...

Service Sales Manager - Critical Care Solutions Job Description SummaryAll activities providing the necessary support on pre- and post-contractual administration & management , terms & conditions of the contract and the management of claims. Also involves definition, management, and execution of risk modeling activities in support of the contract or...

**Greetings From MediEnsure Pvt Ltd** **Job Title: Hospital Auditor** **Primary Role**: As a hospital auditor, the primary role is to evaluate medical claims made by hospitals to ensure that they are medically necessary and accurately billed based on the policies and protocols of the health insurer. They also play a key role in identifying and preventing...

India's leading Health Insurance TPA is associated with major Insurance companies in India and is headquartered in Bangalore with Branch offices in major Indian cities. They have an urgent requirement for Medical Officer for their Branch office in Lucknow. IT is a non clinical position Qualifications - a) MBBS graduated from Indian University Or, b) MBBS...

Opening for Medical Officer - TPA with a leading TPA in Hajratganj Lucknow Job Description for Medical officer 1-Involved in Analysing Reports in Process Medical claims 2-Final approvals for medical claims. 3-Should have good medical knowledge 4-Eagerness to learn and implement new medical aspects/medical scenarios 5-Providing the quality services by...

**Roles and Responsibilities** 01. Involves Processing of Claims ( Preauthorization / Reimbursement claims) 02. Validating and processing these claims within TAT 03. With good communication and medical Knowledge 04. TPA Experience is an added advantage **Financial**: To see to that there is no financial implication for the organization while settlement...

**Experience: 3 - 6years** **Key Responsibilities**: - Review and interpret ophthalmology-related medical records and documentation to assign accurate codes for diagnoses and procedures. Utilize ICD-10, CPT, and HCPCS coding systems as per ophthalmology standards. - Prepare and submit claims to insurance companies and government payers, ensuring compliance...

**Job Summary** Opening with a leading TPA near Hajratganj Lucknowfor the position of Medical officer Job Responsibilities: - Coordination with clients regarding insurance policy. - Process insurance forms, prepare reports. - Grievance Handling at Corporates - Processing Claims Requirements: - BHMS/BAMS/.BDS - Basic knowledge of MS-Office & Outlook. -...

Medical Scrutiny Provide Medical opinion for Health Insurance Claims Processing of Cashless Requests & Health Insurance Claim Documents Proficient with medical terms & system. - Actively responds to any query/additional information asked by the concerned TPA regarding the treatment of the patient. Understanding of Policy terms & conditions & Various...

**Contact: -8756570851** - Serves patients by greeting and helping them, scheduling appointments, and maintaining records and accounts. - Welcomes patients and visitors in person or on the telephone, and answering or referring inquiries. - Optimizes patients’ satisfaction, provider time, and treatment room utilization by scheduling appointments in person...

Ready to shape the future of work? At Genpact, we don't just adapt to change we drive it. AI and digital innovation are redefining industries and were leading the charge. Genpacts AI Gigafactory, our industry-first accelerator, is an example of how were scaling advanced technology solutions to help global enterprises work smarter, grow faster, and transform...

**PREVIOUS EXPERIENCE IN AYUSHMAN BHARAT YOJNA IS MUST** **Key responsibilities**: - MEDICO Person will help in training DCs and PMAM on different Medical Packages. - Help in tracking and resolving the queries of Hospitals. - Coordinate with TPA/ ISA ensuring claims approval of Hospitals as we will be getting paid only from the claims Paid amount of the...