Sr. Executive Medical Claim Scrutinizer

KEY RESPONSIBILITIES: Handling of claim rejections/ claim related query over calls and emails.Floor support, Walk-in customersSatisfaction of customerTeam satisfactionLearning and knowledge for team Required Candidate profileMust have BPT/Experienced claim adjudicatorMedical Knowledge in depth.Must be comfortable for 6 day with rotational shift and...

DescriptionResponsible 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...

JOB PROFILEPosition- Executive/Sr Executive Contact CentreLocation -NOCReports to -General Manager - Contact CenterDepartment -Operations & CSFunction- Contact CenterLevel M9/M8*Key Roles & ResponsibilitiesPrimary Role Description*We are seeking a highly motivated and experienced individual from a medical background to join ourteam as a Medical Claims Call...

Regulatory Executive (Medical Devices & IVDs)Experience:1–3 years inregulatory affairs for medical devices and/or IVDs under Indian MDR 2017Location:Noida (On-site)CTC :INR 3-6 LPAAbout SR Strategy Services LLP:SR Strategy Services LLP is a leading consulting firm specializing in strategic government affairs, regulatory advisory, market access solutions,...

Greetings from Niva BupaJob Location- Noida Sector-59Department- Customer Servicing6 Days workingMust be a BPT graduate.JOB SUMMARY: Answering customer who are disputing over claim rejection or claim related query, also able to provide relevant information to the customer, floor support for team for any query related medical documents, Walk-in customer for...

Job Description:Primary Role Description: The individual will head reimbursement claims process (Claim reporting to final decision). He / She will play a key leadership role in driving Reimbursement claim strategy, managing the claims team, collaborating with other departments to ensure the organizational goals on finances, customers, processes and people...

Green Apples is looking for driven, dedicated and experienced Accounts Receivable professionals, proficient in US healthcare, who are comfortable working in US shift (US Eastern Time). Local candidates from Delhi-NCR only need to apply.Job descriptionResponsible for following up with Insurance Payers for outstanding accounts receivable on behalf of medical...

Hiring: Medical Officer (Non-Clinical) – NoidaQualification: BAMS/BHMS/BDS/BPT | Exp: 0–2 yrsShift: Day | Mode: WFORole: Review medical claims, verify diagnosis/treatment, ensure policy compliance, and coordinate with ICLM/provider teams

Interested Candidates may connect with Ms.Tanya Singh am-5pm)About the Role:We are seeking a highly motivated and experienced individual with a medical background to join our dynamic team as a Medical Claims Call Center Representative. In this role, you will be the frontline of our customer service, handling inbound calls related to medical claims and...

Role & responsibilitiesPrepare, compile, and assist in submission of regulatory applications/dossiers for medical devices and IVDs under MDR 2017.Support licensing/registration processes (Forms MD-5, MD-14, MD-15, MD-16, MD-24 etc.) for multiple products and clients.Liaise with CDSCO, State Licensing Authorities, and notified bodies during submission and...