Lead Assistant Manager Claims Audit - Chennai

Looking for Paramedical Profressionals(Nursing,Anaesthesia Technician,Prefusionist,Dialysis Technician Etc) to review settled claim and provide feedback. · ...

Key Responsibilities: · Strategic Coordination and Alignment · Serve as the key liaison between POD Leader and Operations/Program Leaders to ensure alignment on client engagement, requirements, and escalation management. · Align POD-level goals with program objectives and the bro ...

GENERAL OVERVIEW: · Screens, reviews, evaluate claims based on set audit requirements and shares audit findings for further action, following organizational policies and procedures as part of retrospective quality control review under risk and governance area. Reviews processed c ...

Verification of Raw Material claims checking for key factors (Price, Volumes, Weights) and issue audit recommendation · Coordinate with VHM Buyers to ensure entries in TVMER are as per Ground Rules · Coordinate with RM Finance team and provide inputs for accurate forecasting · Re ...

Conduct in-depth pre-call analysis to determine root causes of unpaid or underpaid claims and contact payers through calls, IVRs, or web portals for claim status and resolution. · Interpret and analyze Explanation of Benefits (EOBs), medical documentation, authorizations, and pa ...

TCS is hiring for Claim Domain Lead · Job Location Hyderabad/Mumbai/Chennai · Experience Range 10 to 15 Years · Educational Qualification(s) Required B Pharm/BS/B tech/ M tech/BE + MBA ( Pharmaceutical Management, added advantage) · Interested can their CV on · Roles & Responsi ...

Reviews coded health information records to evaluate the quality of staff coding and abstracting. · ...

Executives are responsible for providing advice and support on statutory matters related to GST. They prepare and review audit working papers and conduct audits in a professional manner. · ...

Billing Operations: Oversee end-to-end billing processes for OP, IP, daycare and procedures. Ensure accurate bill generation as per approved tariffs, packages and policies. · ...

The Team Executive US Healthcare Claims will be responsible for end-to-end claims processing activities, including adjudication, adjustments, overpayment/underpayment analysis, and prepay & postpay claim reviews. · ...

We are looking for an experienced Surgery Coder to join our team! · The successful candidate will be responsible for accurately assigning procedure codes to operative reports and surgical note documentation. · This is a fantastic opportunity to work with a leading healthcare orga ...

Audit contracts for compliance interest discounts and fee accuracy Validate insurance benefits and claims Ensure client files uploads signatures and account settings are complete Maintain audit scorecards and deliver weekly management reports. · ...

We are hiring for Surgery Coder · Assign Procedure Codes Analyze operative reports and surgical note documentation to accurately assign CPT, HCPCS, ICD10CM, and inpatient ICD10PCS codes (with modifiers) to ensure compliant and optimized billing MedEvolve+15The College of Health C ...

· Job Family Summary: · Accurate and in-depth analysis of rejection for effective resubmission thereby ensuring maximum revenue with measures to prevent future denials achieved by root cause analysis and implementation of the corrective actions with the help of internal and exte ...

Description · Job description: · Review and analyze medical records and claims data to ensure accuracy, completeness, and compliance with healthcare regulations and payer requirements. · Verify that all necessary clinical documentation is included to support claim submissions and ...

Description · Job description: · Review and analyze medical records and claims data to ensure accuracy, completeness, and compliance with healthcare regulations and payer requirements. · Verify that all necessary clinical documentation is included to support claim submissions and ...

We are looking for a Team Lead-Claim Adjudication-US Healthcare with experience in Health Claims Adjudication. · ...

Accounts Receivable Analyst · The role involves working with clients to resolve payment issues.Tasks include: · Performing pre-call analysis by checking status via phone call or IVR/web portal services. · Maintaining adequate documentation using client software for sending necess ...

WearehiringARCallerswithhospitalbillingexperience. · Performdetailedpre-callanalysisidentifypothedoorcauseofunderpaidclaims. · ContactinsurancepayerviacallsIVRandwebportalsforclaimstatusresolutionandescalations. ...

Job Description · Verification of Raw Material claims checking for key factors (Price, Volumes, Weights) and issue audit recommendation · Coordinate with VHM Buyers to ensure entries in TVMER are as per Ground Rules · Coordinate with RM Finance team and provide inputs for accurat ...