Claims Representative

Primary Responsibilities:Achievement of individual productivity and quality standards Contribute to working on Volumes when required and asked by the Management or Stakeholder Examining and identifying overpayments in claims, securing savings through recovery, and communicating effectively (in both written and spoken forms) to confirm and retrieve...

We are on the lookout for competent Customer Service Representatives who possesses the four skills that define a good speaker: GRAMMAR,VOCABULARY, PRONUNCIATION andFLUENCY, to undertake the task below.Be it an automobile or a property claim, when a consumer suffers a loss, our Customer Service Representatives are frequently the first to respond.Our exemplary...

Manage assigned receivables portfolio by ensuring outstanding/denied claims are resolved.Reviews and analyzes outstanding insurance claims, to get physician efforts paid.Identify trends and communicate findings/ errors to appropriate stakeholders in an effort to educate and eliminate future errors.Work with the insurance company on behalf of our clients,...

Job Summary:We are seeking a detail-oriented and organized Insurance Billing Executive to handle medical insurance claims, billing, and reimbursement processes. The role involves coordinating with patients, insurance companies, and internal teams to ensure accurate and timely claim submission, follow-up, and payment posting.Key Responsibilities:Process...

Roles and Responsibilities of AR Caller (Fresher):Claims Follow-up:Contact insurance companies via phone to check claim status.Follow up on pending, denied, or underpaid claims.Denial Management:Understand the reason for claim denials.Work on resolving denials by coordinating with payers.Documentation:Accurately document all call details, payer responses,...

Roles & responsibilitieswalk-inAnalyses outstanding claims and initiates collection efforts as per aging report. So that claims get reimbursed.Undertakes denial follow-up and appeals work wherever required.Documents and takes appropriate action of all claims which has been analyzed and followed-up in the clients software.Build good rapport with the insurance...

Note: It's for Contracts department not for Legal DepartmentKey ResponsibilitiesRepresent and be involved in contracts throughout their lifecycle.Review tender conditions and identify risk areas.Liaison between companies, customers, vendors, and independent contractors in negotiation of contract terms as and when required.Capable of resolving/escalating...

About Company Our client is a global technology consulting and digital solutions company that enables enterprises to reimagine business models and accelerate innovation through digital technologies Powered by more than 84 000 entrepreneurial professionals across more than 30 countries it caters to over 700 clients with its extensive domain and technology...

Location : Chennai/Hyderabad.Key Responsibilities: Strategic Leadership:- Develop and implement a long-range plan for the payer domain-including member engagement, provider contracting, claims integrity, and value-based reimbursement.- Drive innovation through data analytics, AI, automation, and predictive modeling.- Monitor trends in CMS, ACA, FHIR, HIPAA,...

Skills Required: Ensuring contract compliance, mitigating legal risks, and resolving disputes to protect the company's interestsKey ResponsibilitiesAdminister the Contract Life Cycle Management which includes pre award and Post award Contract Management.Understand and analyze the complete scope of work, in terms of technically and contractually.Review of...