- Candidate should have minimum 1 year of experience in US Healthcare collections domain with excellent communication skills
- Education Qualification : Minimum Graduate (in any stream)
- Brief description of Role and responsibility:
- Calling Insurance carriers on claims submitted over 31 days. They review acceptance and denial reports from carriers and follow up to obtain current status.
- Work with the insurance carrier and the physician's office to secure any medical records that are needed for the insurance company to complete its review
- Review all medical records on file and are able to discuss with carrier or file an appeal
- Review and work EOBs, mail and checks making the correct determination as to the next step
- Work with patients to obtain any needed information as well as to request a patients help in appealing a denial.
- Request a peer to peer review as well as contact the Medical Case Managers to discuss medical necessity. There are instances where they will be contacting the actual Medical Director to discuss
- Appeal accounts that have been denied both over the phone and through letters.
- Work with the Sales Force to assist in obtaining any additional information that may be required to ensure payment of the claim
- Review payments to make sure they are accurate and balance bill patients appropriately. They will also make any needed financial adjustments to the file at that time
- Review accounts to be certain they are in accordance with Client's Corporate Compliance Policy
- Update any new benefit information, insurance information as well as secondary insurance information as needed and obtained.
- Identify discrepancies in cash posting. Completing A/R research request forms when needed.
- Review Payor reports as well as individual accounts for payment and denial trends
- Maintain the highest level of quality standards while maintaining the required volume of work production to meet and exceed departmental goals.
- Advise management of any and all inter and intra-departmental concerns and issues.
- Graduate
- Should be ok for 24*7 shifts
- Should be ok to work from office
- Salary upto 4.5 LPA
-
Associate Operations
1 day ago
S&P Global Gurgaon District, Haryana, India**The Role**: Financial Operations & Reporting - Operations Associate · **The Team**: · S&P Global's Network and Regulatory Solutions brings together solutions that help customers comply with regulatory requirements while reducing the risk, cost, and complexity of running their b ...
-
Operations Associate
1 day ago
iVerify Research Services Gurgaon, IndiaOperations Associate - Report Writing and Quality check · - Making reports post completion of all the checks in a case with accuracy. · - Post preparing reports do overall quality check of the reports and the checks done. · - Maintain the standard of the quality. · - Give feedbac ...
-
Operations Associate
1 week ago
10 Club Gurgaon, India**About us**: · We are on a mission to build the world's largest digital first brands in the Home and Kitchen category on key marketplaces and beyond. Our team has industry experts leading growth and operations, assisted by a passionate and energetic team that handles execution. ...
-
Operation Associate
1 day ago
hirebloc Gurgaon, India**Job Role**: operation associate · **Location **:Gurgaon · **salary**: 15 -20k · **Experience**: Fresher or experience · **Skills**: · Excellent communication skill · Handling customer queries · **Salary**: ₹15, ₹20,000.00 per month · Schedule: · - Day shift · Supplemental pay t ...
-
Operations Associate
1 day ago
EasyEat AI Pvt. Ltd. Gurgaon, India**Position: Operations/Content Associate** · **Company Overview**: · At EasyEat, we're on a mission to revolutionize the restaurant industry by transforming traditional dining establishments into tech-savvy hubs. We're a dynamic food-tech startup leveraging cutting-edge AI techno ...
-
Operation Associate
6 days ago
Khyati Shield Ventures Pvt Ltd Gurgaon, IndiaHiring Operations Associate · Rotational Shift · Salary -upto 14k +pf +esic · **Salary**: ₹10, ₹14,000.00 per month · **Benefits**: · - Health insurance · - Provident Fund · Schedule: · - Rotational shift · Ability to commute/relocate: · - Gurgaon, Haryana: Reliably commute or pl ...
-
Operations Associate
3 days ago
Adidas Gurugram, Haryana, IndiaOperations Associate · - Customer Service- Purpose & Overall Relevance for the Organization: · - This role in customer service (CS) team is responsible to follow & execute relevant processes and practices for to meet team's targets & timelines.- Key Responsibilities: · - Proforma ...
-
Operations Associate
1 day ago
Airveda Gurugram, Haryana, India**Job Title: Operations Associate** · **Company Overview**: · Airveda is a mission-driven organization dedicated to helping people breathe well and live well. We specialize in building comprehensive Air Quality Monitoring IoT systems for both indoor and outdoor environments. Our ...
-
Operation Associate
4 days ago
ArabEasy LLC Gurugram, Haryana, India**Role Summary** · EZ Works is a suite of Business Support Services that has disrupted the traditional marketplace through innovation and use of advanced technology to modernize the age-old workflows and processes. · We are looking at hiring an Operation Associate with the primar ...
-
Associate - Operations
4 days ago
Guardian Life Insurance Company Gurgaon, IndiaJob Description: · The Team Member (TM) is the associate responsible to ensure we are delivering timely and accurate information to each and every participant. The TM works with the Delivery Manager (DM) to identify process improvements by identifying issues, process delays, and ...
-
Operation Associate
1 day ago
ArabEasy LLC Gurugram, Haryana, India**Role Summary** · EZ Works is a suite of Business Support Services that has disrupted the traditional marketplace through innovation and use of advanced technology to modernize the age-old workflows and processes. · We are looking at hiring an Operation Associate with the primar ...
-
Operation Associate
1 week ago
ArabEasy LLC Gurugram, Haryana, India**Role Summary** · EZ Works is a suite of Business Support Services that has disrupted the traditional marketplace through innovation and use of advanced technology to modernize the age-old workflows and processes. · We are looking at hiring an Operation Associate with the primar ...
-
Operations Associate
6 days ago
EZ Gurgaon, Gurugram, Haryana, IndiaEZ is a suite of Business Support Services that has disrupted the traditional marketplace through innovation and theuse of advanced technology to modernize age-old workflows and processes. · We are looking at hiring an Operation Associate with the primary responsibility of handli ...
-
Operation Associate
1 week ago
ArabEasy LLC Gurugram, Haryana, India**Role Summary** · EZ Works is a suite of Business Support Services that has disrupted the traditional marketplace through innovation and use of advanced technology to modernize the age-old workflows and processes. · We are looking at hiring an Operation Associate with the primar ...
-
Operation Associate
1 week ago
ArabEasy LLC Gurugram, Haryana, India**Role Summary** · EZ Works is a suite of Business Support Services that has disrupted the traditional marketplace through innovation and use of advanced technology to modernize the age-old workflows and processes. · We are looking at hiring an Operation Associate with the primar ...
-
Associate - Operations
1 week ago
Guardian Life Insurance Company Gurgaon, IndiaJob Description: · The Team Member (TM) is the associate responsible to ensure we are delivering timely and accurate information to each and every participant. The TM works with the Delivery Manager (DM) to identify process improvements by identifying issues, process delays, and ...
-
Associate - Operations
3 days ago
WNS Global Services Gurugram, Haryana, India**Company Description** · WNS (Holdings) Limited (NYSE: WNS), is a leading Business Process Management (BPM) company. We combine our deep industry knowledge with technology and analytics expertise to co-create innovative, digital-led transformational solutions with clients across ...
-
Operations Associate
1 day ago
ReBuilt India Gurgaon, India**About Rebuilt**: · Rebuilt is a leading B2B service provider specialising in Repair & Maintenance, Procurement, Transformation & Automation Services. With a team of certified technicians and vendors, we offer top-quality services for both B2B clients across India. Our mission i ...
-
Operations Associate
3 days ago
S&P Global Gurgaon District, Haryana, IndiaPosition Requirements · - Experience in KYC Onboarding and Remediation (Full Review, Risk Assessment), Outreach to clients and Screening (Alert disposition on entitles and related parties) with a demonstrated track-record supporting international clients. · - Must have detailed u ...
-
Operation Associate
1 day ago
Whiteforce Gurgaon, India| **0 - 4 Years**: · - | ** ** · Job ID · **JB_JOB26959** · Description · **Skills**: · operation · Experience requirements · 0 - 4 Years · Company Profile · Contact : Pooja · Mobile : +91- · +91-XXXXXXXXXX | ...
Associate Operations - Gurugram, India - WNS
Description
Excellent communication skills – written and verbal
Good knowledge of MS Office and computer skills
Permanent evening US shift – 5 days working (Depends on the process requirement)
Qualifications
Other details:
Interested candidates can share their CV at or call at #