Non Customer Service Healthcare Claims Adjudication Team Member-BPS

**Role you will be Responsible For** - Experienced level adjudicator providing analytical ability to review claim rules and workflows. - Reviews claim requests to determine eligibility for processing and escalate to management as necessary. - Responsible for the coordination and resolution of the administrative denials and appeals - Ability to resolve claims...

2 - 7 Years - 14 Openings - Chennai **Role description**: **Job Title: Claims Adjudication - Non-Voice BPO Process** **Experience**:3 to 7 Years **Location**:Chennai **Process Type**:Non-Voice (Back Office) **Domain**:Healthcare / Insurance **Shift**:5.30pm to 2.30pm or 6.30pm to 3.30pm **Job Summary**: **Key Responsibilities**: - Review and...

Position: BPO Claim Adjudication(US Healthcare) Experience: 1-4years Notice period: 0-45days Skills: Must have experience in Claims Adjudication Good Exposure on COB and HIPAA **Salary**: ₹100,000.00 - ₹300,000.00 per year **Benefits**: - Cell phone reimbursement - Health insurance - Provident Fund Schedule: - Night shift Supplemental pay...

Key Responsibilities:Adjudicate medical, dental, and vision claims using the Facets platform.Review and analyze claims for eligibility, provider contracts, coding accuracy, and payment rules.Ensure timely and accurate processing of claims per regulatory and organizational standards (e.g., CMS, HIPAA).Identify discrepancies or issues in claims data and take...

Job Title Claims Adjudication - Non-Voice BPO Process Experience 3 to 7 Years Location Chennai Process Type Non-Voice Back Office Domain Healthcare Insurance Shift 5 30pm to 2 30pm or 6 30pm to 3 30pm Job Summary We are seeking a detail-oriented and experienced Claims Adjudicator to join our non-voice BPO team The ideal candidate will be responsible for...

**Job Information**: Job Opening ID **ZR_51_JOB** Number of Positions **2** Job Opening Status **In-progress** Date Opened **02/20/2025** Industry **BPO** Job Type **Full time** **Required Skills**: - Eye for detail - Good in US Claims process... +1 Work Experience **4-5 years** Shift...

Greetings from Firstsource HR Spoc - MadhubalaLooking for US Healthcare Professionals Experience : 1- 4 YearsProcess : Non Voice - Skill : Claims Adjudication US Healthcare experience.Work location : Navalur ChennaiRequired : Minimum 1year Experience in US Healthcare BPO. Claims AdjudicationEducation - Any Graduates and Diploma(10+3)can apply.Immediate...

Job descriptionTeam Executive - Claims AdjudicationLocation : Chennai, NavalurRoles & Responsibilities:In-depth Knowledge and Experience in the US Health Care Payer System.4 - 9 years of experience in Claims Adjudication. With over 1 year of experience as a on paper Team leaderProven track record in managing processes, streamlining workflows and excellent...

Roles and Responsibilities:Process Adjudication claims and resolve for payment and DenialsKnowledge in handling authorization, COB, duplicate, pricing and corrected claims processKnowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits and...

Job Summary: We are seeking an experienced Team Leader to manage a team of healthcare process associates supporting our US healthcare clients. The ideal candidate will have a strong background in RCM (Revenue Cycle Management) , medical billing , claims processing , or provider/payer operations , with proven ability to lead, motivate, and manage performance...