Claims Executive Job Vacancies in Delhi NCR

Job Description Understanding of Revenue Cycle Management (RCM) of US Healthcare Providers.Calling insurance companies in USA on behalf of doctors/physicians and follow up on outstanding accounts receivables.In-depth knowledge on Denials and immediate action to resolve them.Follow up on the claims for payments from insurance.Should be good in pre-call analysis.Ability to resolve billing Issues that have resulted in delay in payments.Understand work as per the client requirements and project specifications.Education & QualificationMinimum of 1-2 years experience in Denial Management.Graduate in any stream from recognized universityAbout us - Taurus PartnersTaurus Partners is a medical billing and coding outsourcing company that excels in providing integrated Revenue Cycle Management (RCM) services in the healthcare landscape.Combining our experience of over 4 years and specialized skills, we excel in delivering optimum results. Taurus Partners works at the intersection of cutting-edge technology and unparalleled services to help our clients to improve their performance with our efficient services.We offer scalable and cost-effective revenue management cycle services to medical billing and coding companies to optimize their productivity and revenue. Our complete spectrum of services includes medical coding, medical billing, auditing, demographic entry, AR Management, denial management and more.We have a representative center based in Agoura Hills, CA supported by our offshore delivery centers in India.

Responsibilities:Develop and implement business development plans and strategies to attract and retain businesses in the region.Responsible for sustaining and growing the revenues with lead generation responsibilities.Laying down the roadmap for new account acquisition for the city and ensuring its execution.Strategizing and executing in coordination with other teams to develop new and better methods to drive client engagement.Candidates should have relevant experience in Business development and have a positive approach towards targets.Should be enthusiastic and smart to create a good impression in front of clients.Skills Required:Graduate/Post Graduate with 2-5 Years year work experience.Candidate must have experience in dealing with customers over phone and in personStart-up and Insurance exposure is preferred.Strong time management skills and the ability to prioritize to meet daily, weekly, and long-term requirements and goals.Structured problem solving and customer first attitude.Desire to network and align with the vision and mission of the organization

Claims Executive Responsibilities: Receiving and answering emails, telephone calls related to claims Advice policyholders on claim procedure Ensure fair settlement of a claim with TAT Manage all administration aspects of the claim Adhere to legal requirements, industry regulations and customer quality standards set by the company. Handle any complaints associated with a claimClaims Executive Requirements: A bachelor's degree in any discipline. At least 2-4 years' experience as a claims handler or a similar role. Excellent time management skills and organizational abilities. Top-notch client interaction skills. Ability to work in a high-pressure environment. A general understanding of insurance terminology and abbreviations. Attention to detail and process-orientated thinking. The ability to work independently and multitask. Proficient in basic computer handling.

Protocol is a Global Loss Adjusting, Claims Management and Risk Solutions company with an experience of over 30years and a proven track record. We are servicing Insurance and Banking Industry since 1989 with a Pan Indiapresence, including some international footprint.We offer complete spectrum of Insurance Claim Services.We are providing golden opportunity for Engineering Fresher to become a trained Insurance Surveyor

Whole Sole Account Management on different market places like GeM, Amazon, Flipkar, Ajio etc.Whole Sole Account Management includes everything related account operation /management like1. Uploading the Product2. Doing day to day activities including monitoring the product performance3. Daily / Weekly / fortnightly / Monthly sales report4. Spotting the performing product and ensure it's performance5. Finding the trending products

We, at S S Agro Industries are engaged in food product business under brand Sri Sauham. Our office is situated near Samaypur Badli metro station in North Delhi. Sri Sauham products are available at Amazon, Flipkart, Jio mart & GEM.To boost and strengthen our brand presence at E Commerce platforms, We require a full time Ecommerce Executive having at least 2-3 year experience in this field.The candidate selected will be responsible for listing the products and handling all of our e-commerce accounts and they will be responsible for the following work:Key Words optimisation ,A+ listing, competition research, Advertisement campaigns, claim settlement ,promotions to boost our sales on our present platform.We require a candidate possessing deep knowledge of handling all job work and is capable to boost our sales on our present platform . Also open new potential accounts.Preference will be given who have good knowledge of GEM PORTAL, Amazon FBA , Amazon global.Salary- as per capability.

Responsible to check the OPD bill of TPA/PSU/Corporate as per their agreed MOU for particular on daily basis.Responsible to check the TPA & PUS (CGHS) OPD (health Insurance) bill as per approved terms & condition by particular TPA.Responsible for final checking (OPD bills) of TPA/Corporate before dispatch for make the payment at particular TPA or Corporate/PSU.Responsible to communicate ant kind of billing error or any kind of document related dispute to OPD Billing team.Responsible for final checking (OPD Bills) of TPA/Corporate/PSU before dispatch for make the payment at particular TPA or corporateCoordinating with IT department regarding any software error on the billing or for any new implementation.Responsible for update the status of dispatch for E-Prapti.Responsible to maintaining a TAT.Responsible to Query reply TPA/Corporate/PSU

Urgent hiring of AR Executive for US Healthcare Company Medropoliton Healthcare is a US Healthcare Company based in Gurgaon, Haryana . Job Title: - AR Executive for Revenue Cycle Management (RCM)Job Summary:- 4 years of work experience in AR in US healthcare industry Candidate should have good experience in AR/ calling Insurance companies (in US) / RCM/ Claim denial management /accounts receivable/denials management eligibility verification/prior authorization.Job Description:- AR Calling / calling Insurance companies (in US) companies to check the status of claim and take appropriate action to guarantee resolution Escalate difficult collection situations to Manager in a timely manner. Review provider claims that have not been paid by insurance companies. Call insurance To handle end to end follow up process to ensure accurate and timely follow up wherever required To handle denials Handle Prior Authorization Managing Insurance claims/denialsDesired Candidate: Any graduate with Excellent English communication skills (written & verbal) Ability to work independently as well as in a team environment. Strong analytical and problem-solving skills. Comfortable working in night shift.Perks and Benefits: 5 Days Working with Cab and Meal Facility.

Perform pre-call analysis and check the status by calling the payer or using IVR or web portal services Maintain adequate documentation on the client software to send the necessary documentation to insurance companies and maintain a clear audit trail for future reference Record after-call actions and perform post-call analysis for the claim follow-up Assess and resolve inquiries, requests, and complaints through calling to ensure those customer inquiries are resolved at the first point of contact Provide accurate product service information to the customer, research available documentation including authorization, nursing notes, medical documentation on client's systems, interpret explanation of benefits received, etc prior to making the call Perform analysis of accounts receivaMedical Billing Specialist: Handles day-to-day billings, maintains and grows payor relationships, and ensures optimal billing processes. Depending on the volume of billings, this may also involve specialists in Medicare and Medicaid Follow-up as well as Commercial Payor Follow-up. Medical Claims Denial Specialist: Identifies root causes of insurance denials, sends appeals to payors, and strives to minimize lost revenue. (a.k.a. Denial Resolution Specialists, Claim Submission Resolution Specialist). AR Resolution/Collections Specialists: Collaborates with consumers and insurance representative to resolve outstanding obligations in a fair and timely manner. Medical Patient Collections Specialists: Collects patient liabilities that occur when patients are uninsured or have deductibles and coinsurance due. They may assist patients with setting up payment plans or refer them to eligibility professionals to explore additional reimbursement resources Patient Access Representative: Acquires and records demographic and reimbursement data for use in patient care, medical record and revenue cycle activities. Accurate and complete registration is critical for obvious reasons.

We are looking for 1 eCommerce executive Post in Bahadurgarh,Hayrana Add: shop no. 37 Nahra Nahri Road, with deep knowledge in listing, order processing, claim, etc knowledge of panel Amazon and Flipkart

Wanted Process Associates/Asst. Manager/Manager for a USA/UK based health insurance process. Company in it's nascent stages. High growth for the deserving employees. People with exemplary proven track record in USA/UK health insurance sector can apply in strict confidence. Freshers can also apply. Female candidates are encouraged to apply. Send detailed CV with recent photograph, Post applied for in the subject line, 2 references, current location, current salary & benefits, salary expected, notice period to join.

Non - Tech Support - Voice / Blended Perform pre-call analysis and check the status by calling the payer or using IVR or web portal services Maintain adequate documentation on the client software to send the necessary documentation to insurance companies and maintain a clear audit trail for future reference Record after-call actions and perform post-call analysis for the claim follow-up Assess and resolve inquiries, requests, and complaints through calling to ensure those customer inquiries are resolved at the first point of contact Provide accurate product service information to the customer, research available documentation including authorization, nursing notes, medical documentation on client's systems, interpret explanation of benefits received, etc prior to making the call Perform analysis of accounts receivable data and understand the reasons for underpayment, days in A/R, top denial reasons, use appropriate codes to be used in documentation of the reasons for denials/underpayments JOB REQUIREMENTS To be considered for this position, applicants need to meet the following qualification criteria: 1-4 Years experience in accounts receivable follow-up/denial management for US healthcare customers Fluent verbal communication abilities/call center expertise Knowledge of Denials management and A/R fundamentals will be preferred Willingness to work continuously in night shifts Basic working knowledge of computers. Prior experience of working in a medical billing company and use of medical billing software will be considered an advantage. Access Healthcare will provide training on the client's medical billing software as part of the training. Knowledge of Healthcare terminology and ICD/CPT codes will be considered a plus