Claims Adjudication Jobs

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.

Job Title: Senior Process Analyst - RCM Operations Location: MohaliDepartment: Revenue Cycle ManagementEmployment Type: Full-TimeExperience Level: 2-3 Years ________________________________________Job Summary:We are looking for enthusiastic and detail-oriented experienced professional to join our Revenue Cycle Management (RCM) team. As an RCM Executive, you will assist in managing the financial processes related to patient care, including medical billing, claims processing, payment posting, and follow-ups.________________________________________Key Responsibilities: Review and process medical claims for submission to insurance companies. Perform data entry of patient and insurance information into RCM software. Verify insurance eligibility and benefits. Post payments and reconcile accounts. Follow up with insurance providers on denied or unpaid claims. Maintain accuracy and compliance with healthcare regulations (HIPAA). Communicate with clients, insurance companies, and team members as needed. Prepare and maintain necessary reports and documentation.________________________________________Required Skills & Qualifications: Bachelor's degree in any discipline (preferably in life sciences, commerce, or healthcare-related fields). Good understanding of basic computer and MS Office tools. Strong communication skills verbal and written (English). Attention to detail and ability to work in a deadline-driven environment. Willingness to work in night shifts (as per US time zones). Eagerness to learn about medical billing and healthcare processes.________________________________________Preferred (but not mandatory): Knowledge of medical billing software (e.g., Athena, Kareo, eClinicalWorks). Understanding of US healthcare system and insurance terminologies.________________________________________Career Path:This role offers growth opportunities into specialized roles such as AR Analyst, Quality Analyst, Team Lead, and Process Trainer in the RCM domain.

Should have Strong Knowledge in Aarogysri Documentation, Preauth and Claims.mou Renewalclaim Managementco Ordination with Government Authoritiesars End to End Procedure

Medical Adjudication of Health ClaimsProcessing of settlement claim based on the singed rate list and policy T&CIdentifying the FraudsProblem solving and seeking resolution to prevent escalationsEnsuring efficient and timely progress of all cases in the divisionAdhering to SLAs and processing the claims with in the TAT as per policy terms and conditionsSupporting CRM, Provider, sales and grievance teamsQualification either MBBS, BAMS, BHMS is required for this roleThis is work from office roleFreshers may also apply

> Position - Subject Matter Expert> Shift TimingsMorning Shift: 08:00 am - 04:00 pmEvening Shift: 04:00 pm - 12:00 amNight Shift: 12:00 am - 08:00 am> Education Qualification- Bachelors (Required) and Masters (Preferred)> Roles and Responsibilities1. Engaging in content creation, content review, and context fixing for US/Australian textbooks2. Managing portals and online QA sessions.3. Learning and using new software such as MathType and OCR tools through sessions.4. Learning about new teaching methodologies and preparing learning objectives for any course.5. Resolving queries posted by the students.> Selection Process1. Written test (Online test/ Technical Test)2. Telephonic Interview (Technical Round)> About CompanyArohana Tech is a leading organization revolutionizing the educational contentdevelopment system. With expertise in e-learning services and knowledgemanagement, they offer comprehensive solutions to clients worldwide. Theircommitment to delivering high-quality content and personalized learningexperiences empowers students to excel and realize their aspirations.> Job Types: Full-time, Fresher, Freelance> Benefits:Flexible scheduleWork from home> Schedule:Day shiftEvening shiftFlexible shiftMorning shiftNight shiftSupplemental pay types:> Performance bonusShift allowanceYearly bonus

To work for the UK Lead Generation & Hot Transfers Campaign. To provide effective Outbound Services such as making telephone calls to the customers in the UKfor Various products. To confirm customers details, share the product information and generate leads, Sales, Hot Transferkeeping in all the Quality Parameters in mind. To Conduct live or 3-way Call transfers (When/If required) To achieve the given target by the supervisor on daily basis/weekly or on Monthly basis. To discuss every complicated matter with the supervisors, team leaders, people in charge, and otherprofessionals effectively to settle the important on call issues. To proactively support their team by suggesting new ideas and questioning thinking whereappropriate. To foster good relationships with all internal and cross-functional teams. Attend the training and briefings as and when required to effectively perform the assigned tasks andgoals. Act as an ambassador for the business and promote the company and its products. Important: This is a dynamic work environment; numerous occasions will arise where support isrequired outside of the job description. To work for the UK Lead Generation & Hot Transfers Campaign. To provide effective Outbound Services such as making telephone calls to the customers in the UKfor Various products. To confirm customers details, share the product information and generate leads, Sales, Hot Transferkeeping in all the Quality Parameters in mind. To Conduct live or 3-way Call transfers (When/If required) To achieve the given target by the supervisor on daily basis/weekly or on Monthly basis. To discuss every complicated matter with the supervisors, team leaders, people in charge, and otherprofessionals effectively to settle the important on call issues. To proactively support their team by suggesting new ideas and questioning thinking whereappropriate. To foster good relationships with all internal and cross-functional teams.

Hiring for 10 Health Care Assistant Jobs in Chennai,coimbatore,Claims Adjudication,duplicacy check,cob,insurance claims,hipaa,us healthcare, with minimum 1 Year Experience,Required Educational Qualification is : Other Bachelor Degree with Good knowledge in Claims Adjudication,duplicacy check,cob,insurance claims,hipaa,us healthcare etc.

Manage Filing Documentation Other Office Work Related To The Office Knowledge Of Computer, Good Typing Speed.. Need To Do Online Documentation Preparation.Should Good English And Good In Online Computer Work.Will Be Responsible For Word The Reports In Soft Cop