Medical Claims

Verify patient insurance coverage - Generate bill estimate based on hospital guidelines and determine patient copay / deposit - Handle end to end documentation for billing and claims of health insurance patients based on information provided by the hospital - Obtain required case information and signoff from hospital and share information with insurer /...

Verify patient insurance coverage - Generate bill estimate based on hospital guidelines and determine patient copay / deposit - Handle end to end documentation for billing and claims of health insurance patients based on information provided by the hospital - Obtain required case information and signoff from hospital and share information with insurer /...

About Us:Medi Assist is India's leading Health Tech and Insure Tech company focused onadministering health benefits across employers, retail members, and publichealth schemes. We consistently strive to drive innovation and participate insuch initiatives, to lower health care costs.Our Health Benefits:Administration model is designed to deliver the tools...

Should possess U.S Health insurance claim processing experienceKnowledge of medical billing and coding terminologiesReady to work in Night Shift as well as Day shiftUnderstanding of plan documents and general benefitsFamiliarity with terms such as deductible, out of pocket, coinsurance, and copayStrong attention to detail and accuracyAbility to work in...

Medical Claims Review: Analyze and assess pre-authorization and post-treatment reimbursement claims. Review medical records, diagnosis, investigation reports, and treatment plans to ensure clinical appropriateness and policy alignment. Validate claims based on insurance policies, internal guidelines. Decision Making: Determine the admissibility or...

**Work Locations**: Opportunities available in_**Kochi, Bangalore, Gurgaon**_, and _**Mumbai**_._ **About Visit Health** Founded in 2016 by BITS Pilani alumni, Visit Health is a leading health-tech platform with a mission to make healthcare accessible, affordable, and preventive. Evolving from a telemedicine provider to a comprehensive wellness ecosystem,...

About the Company SKD Health Allied Services is a reputed organization and a pioneer in the industry of claims investigations across south India and Maharashtra, having its offices at Chennai , Bangalore , Ernakulam , Madurai, Hyderabad and Pune Need talented, experienced doctors and para medics for the role of claims manager, who has a responsibility of...

**Urgent Opening** **Role**:Investigation Claims **Experience**:3 to 8 Years **Location**:Mumbai (Goregaon) **Industry**: Insurance **Qualification**: BAMS, BHMS, BUMS, BDS, BPT **Role & Responsibility**: (Details of the roles & responsibility) **Investigation Management (Health/CI/PA Claims)** 1. Required to assign, follow up, get the investigation...

Roles and ResponsibilitiesConduct thorough investigations into health insurance claims, including medical records review and witness statements gathering.Determine claim validity by analyzing policy terms, coverage conditions, and documentation.Coordinate with hospitals, doctors, and other stakeholders for smooth claim handling.Ensure compliance with...

About the CompanySKD Health Allied Services is a reputed organization and a pioneer in the industry of claims investigations across south India and Maharashtra, having its offices at Chennai , Bangalore , Ernakulam , Madurai, Hyderabad and PuneNeed talented, experienced doctors and para medics for the role of claims manager, who has a responsibility of...