Medical Underwriter- Claims Reimbursement and Cashless

Reimbursement Claims: To review claim documents received from customer/insured Identify Risk assessment & maintain TAT. Manage Data. Cashless Claims: Preauthorization claim, Manage TAT, Quality adjudication . Required Candidate profileDegree – BHMS/BDS/BPT/BAMS.Exp. – 1+ yrs. in any TPA/Insurance company in Cashless Claims or Reimbursement Claims.

Role & responsibilitiesReview and audit of RM and cashless processed claim (both financial & non-financial part including documentation.Manage risk governance through documentation of risk registers and operational risk framework processed claim.Completion of audit reviews within budgeted timelines, Quality of audit findings, Timely and accurate finalization...

About UsVisit Health is a pioneering health-tech platform, founded in 2016 by BITS Pilani alumni, dedicated to making healthcare accessible, affordable, and preventive. Originated as a telemedicine platform during the 2015 Swine Flu epidemic, Visit Health has grown into an all-in-one wellness ecosystem that connects doctors, insurers, and millions of Indian...

Responsible to reprice the non-par claims as per the Fee schedule and payment methodology. Conduct primary and secondary reviews of medical claims to verify correct reimbursement calculations based on costs, Medicare, or a usual and customary methodology in accordance with self-funded benefit plan language. Use Microsoft Office products to generate letters,...

Create the future of e-health together with us by becoming a Medical CoderCGM Aria Health Services is seeking an experienced Medical Coder to join our growing healthcare team. The ideal candidate will have a minimum of 2 years of experience in E&M coding and a strong understanding of medical coding principles and guidelines.Position Objectives – Apply...

EXL IS HIRING FOR US life insurance Medical UnderwritingAbout EXL Service is a global analytics and digital solutions company serving industries including insurance, healthcare, banking and financial services, media, retail, and others. The company is headquartered in New York and has more than 37,000 professionals in locations throughout the United States,...

Possess excellent medical knowledge, including a strong grasp of medical terminologies and complex disease conditions.Display a keen analytical mindset, enabling you to process and extract key information from medical records.Call Required Candidate profileGraduate or Post Graduate in Bachelor in Physiotherapy BPT, BDS , BHMS, or B. Pharma4-5 years in...

Medi Assist TPA Health insuranceGautham budhnagar sector 3 Noida G M Tower, 1st Floor, D-7, Sector-3, Noida , UttarJob description for CRM -NoidaResolving customer queries within TAT and ensuring smooth claim processProviding information to the customers and to respond to their claim related queriesCoordinating with the customers/agents for cashless claim...

About UsVisit Health is a pioneering health-tech platform, founded in 2016 by BITS Pilani alumni, dedicated to making healthcare accessible, affordable, and preventive. Originated as a telemedicine platform during the 2015 Swine Flu epidemic, Visit Health has grown into an all-in-one wellness ecosystem that connects doctors, insurers, and millions of Indian...

Mandatory Skills: Duckcreek Claims (V11/V12) Claims, Claims Center .NET & .NET Framework Job Responsibilities: Strong hands-on experience with Duckcreek Claims V11/V12.Expertise in .NET and .NET Framework development.Experience in Claims Configuration and Console Modules.Ability to configure and customize Party, Module, Task Creation, Extensions,...