Executive-Claims Management-Medical Billing and Claims Processing

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 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...

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...

Job Description:KEY RESPONSIBILITIES: Handling of claim rejections/ claim related query over calls and emails.Floor supportWalk-in customersMEASURES of SUCCESS:Satisfaction of customerTeam satisfactionLearning and knowledge for teamQUALIFICATION & EXPERIENCE: BPT/Experienced claim adjudicatorKEY COMPETENCIES & SKILLS REQUIRED:Professionalism, interpersonal...

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...

Job Summary:We are looking for a detail-oriented and proactive Hospital Billing Executive to manage the end-to-end billing process for hospital patients. The ideal candidate will ensure accurate charge entry, timely claim submission, and effective coordination with insurance companies and patients to support smooth and efficient hospital revenue...

Company DescriptionSettleMed AI is dedicated to transforming Ayushman Mediclaim by streamlining operations and improving financial outcomes while prioritizing patient satisfaction. The company bridges gaps among various healthcare stakeholders using digital solutions, enabling efficient and real-time communication. By simplifying healthcare processes,...

HIRING FRESHERS ALSORole & responsibilitiesMedical Adjudication of Health ClaimsIdentifying FraudsAdhering to SLAs and processing the claims within the TAT as per policySupport CRM, provider, sales and grievance teamQUALIFICATION - MBBS, BAMS AND BHMS ONLY. Rest won't be considered.Work from Office only. Candidate should be comfortable with Roaster timings.

Roles and Responsibilities* Manage patient billing and insurance claims processing for OPD services.* Coordinate with medical staff to resolve any billing-related issues or discrepancies.* Maintain accurate records of patient accounts, payments, and claims.Desired Candidate Profile* 1-5 years of experience in medical billing or OPD billing.* Proficiency in...

Job SummaryJoin our team as a PE-Ins Claims specialist Data resource where you will play a crucial role in managing insurance claims processes. With a focus on customer service and IT domain expertise you will ensure efficient claims handling and contribute to enhancing customer satisfaction. This hybrid role offers rotational shifts providing flexibility...