Claims associate

Job Description: We are currently looking for dedicated professionals to fulfill the following job responsibilities: - Responsible for the accurate processing and completion of medical claims. - Process claims that route out of automatic adjudication, within current turnaround standards. - Proficiency in product lines applicable to processing unit. - Ability to understand and apply plan concepts to include: Deductible, Coinsurance, Co-pay, Out-of-pocket, State variations. Desired Candidate Profile: - Should be comfortable with Night Shifts (5:45 PM to 3:15 AM & 8:45 PM to 6:15 AM). - Should be a Graduate. - We are hiring for Chennai location. - BE/ B.tech/ BCA/ MCA are not eligible for claims hiring Contact: Akila HR Number: 9884844385

Responsible for calling Insurance companies (in the US) on behalf of doctors/physicians and follow up on outstanding Accounts Receivable. Good understanding of Accounts Receivable. Calling Insurance Companies to follow up on Claims filed, to expedite payment. Should possess knowledge in AR analysis, AR calling and denial management. Undertakes denial follow-up and appeals work wherever required. Reviewing, appealing and rejecting unpaid and denied claims. Documents and takes appropriate action of all claims which has been analyzed and followed-up in the clients software. Verifying patients insurance coverage Answering patient billing questions. Should possess knowledge in eligibility and verification calls (EV calls). Experience indirectly working with insurance companies. Analyses outstanding claims and initiates collection efforts as per the aging report.

Initiate telephone calls to in requesting status of claims in queue. Contact insurance companies for further explanation of denials and underpayments. Take appropriate action on claims to guarantee resolution. Ensure accurate and timely follow up where required. Review denials with Billing Account Liaison to determine necessary steps for claim review. Document actions taken in claims billing summary notes.

Company Name: Accenture Company Profile: Accenture is a global management consulting, technology services and outsourcing company, with more than people serving clients in more than 120 countries. Combining unparalleled experience, comprehensive capabilities across all industries and business functions, and extensive research on the world s most successful companies, Accenture collaborates with clients to help them become high-performance businesses and governments. The company generated net revenues of US$30.0 billion for the fiscal year ended Aug. . Company Website: www.accenture.com Job Description: Job Title: Backend Operations Insurance Brokerage(non Voice) Designation: Trainee Associate/ Associate Job Description: Client Onboarding set-up, documentation & maintenance of proprietary tools and resources including but not limited to client portals and communication tools Placement/Marketing information gathering, i.e. pulling claims reports, reviewing census data, gathering plan documentation; Create/ maintain Dashboard reports for clients and or coordinates with Mumbai team Develop client specific benchmarking reports Review and Analyze Benefit Booklets and Contracts from Carriers Handles billing activities for all policies Provide exceptional customer service by responding to local offices and via phone and email in a timely manner Must Skills: Graduates/Post Graduates Excellent verbal & written communication Preferred Skills: Basic Insurance knowledge preferred Knowledge of Word & Good Excel Skills required Ability to prioritize and organize tasks, work within stiff timelines Energetic, enthusiastic individuals with good academic track record Meeting /exceeding expectations on performance and behavior. Candidates who are motivated and excited to take on new and challenging roles Job Location: Thane, Vikroli, Powai (Should be Comfortable with all the 3 location) Salary: + Educational Qualification: B.Com, B.A, B.B.A Experience Required: 0 3 Years Please get your updated resume and on the top write Reference Teena Apply Mode: Walkin Important Dates: 30th & 31st July Walkin Dates: 30th & 31st July Walkin Time: PM 5:00 PM Walkin Venue: Accenture MDC 3 Level 1, Tower 1, Logitech Park, Andheri-Kurla Road, Saki Naka Andheri (East), Mumbai

Using coded data to produce and submit claims to insurance companies.. Working directly with the insurance company, healthcare provider, and patient to get a claim processed and paid. Reviewing and appealing unpaid and denied claims. Verifying patients insurance coverage. Answering patients billing questions. Handling collections on unpaid accounts.

Using Coded Data to produce & submit Claims to Insurance Companies. Working directly with the Insurance Company, Healthcare Provider & Patient. Reviewing and Appealing Unpaid and Denied Claims. Answering Patients' Billing Questions.

Should have experience in working with US federal insurances. Should be knowledgeable on denial codes. Should have experience in understanding all major insurance EOBs Work with AR reports to identify problems on accounts, research accounts/trends and take appropriate actions to promote reimbursement, bill primary and secondary carriers for services provided, and collect on past due accounts. Research accounts: request additional information such as referrals, scripts, medical reports, and/ or call hospitals. Efficient and timely processes of services for follow up. Work EOBs to post rejection codes, follow up on rejected claims, and appeal denials; develop and track written correspondence. Complete adjustments, check refund request forms, and special transaction forms. Work with edit reports to identify problems with transmission claims. Answer patient inquiries, maintain patient s account information, and resolve problems as needed. Identification of Issues. Review and Action on Call Notes.

One of our client has urgent requirement for Associate- Operations Voice Based – Inbound & Outbound Please go through the following details: Company Profile: Insurance Company Responsibilities: Handling the customer queries - related to policy, claims, endorsement queries, resolving customer complaints and providing product information to new & existing customers, in addition to responding to customer emails. Shift Type: 24X7 process with 5 day shifts (cab support for night shifts, woman candidates are not hired for night shifts. Bus shuttle support for day shifts, from Apollo & Golf Course metro stations) Location: Noida Role Title: Associate – Operations Experience Range: 1-6 years CTC: INR Lacs Employment Type: Permanent & On-rolls If interested Please contact or mail ur cv

We have Fresher openings for the below position, Position: AR Associate (US Voice Process) Industry: Medical Billing MNC Job Location: Chennai (Tharamani, Perungudi and Vadapalani) Job Summary: Desired Profile: Understand the client requirements and specifications of the project Ensure targeted collections are met on a daily / monthly basis Ensure follow up on pending claims. Prepare and Maintain status reports Required Experience, Skills and Qualifications: Skills: Excellent Communication Skill Basic Computer Skills Basic Typing Skills Experience: Freshers Qualification: Any Graduate (HSC / Diploma) Salary: 11 K - 14 K (Training Period) Job Types: Full-time, Regular / Permanent, Fresher Benefits: Health insurance HR Details, Ms. Brindha HR 73582 / 32554

Should have 1 to 2 years of experience in Payment posting. To understand Medical billing concepts and terminologies to post payments in the billing software. Exposure to Payment posting and denials. Downloading EOBs from the website, Analyzing and posting the Bank statement vs Reconciliation log missing payments. Apply for insurance payments according to specific dates and procedures according to the EOB. Having basic knowledge of insurances to identify Par /Non-Par/ WC / MVA/ etc. Review and assess adjudicated claims for timely and proper payment of outstanding balances. Verify the validity of account balance by researching, reviewing and ensuring accuracy of payment and adjustment posting. Review and interpret Explanation of Benefits (EOB) for denials and underpayment of codes. Responsible for achieving the team s performance standards (KPIs and SLAs).

Walk in Freshers in Backend Operations(Non Voice) Hiring freshers with excellent communication skills & a drive to work with a winning environment Job Title: Trainee Associate/ Associate (UK Backend Process Data Processing) Roles and responsibilities Backend Role -Client On boarding set-up, documentation & maintenance of proprietary tools and resources including but not limited to client portals and communication tools Placement/Marketing information gathering, i.e. pulling claims reports, reviewing census data, gathering plan documentation; -Create/ maintain Dashboard reports for clients and or coordinates with Mumbai team -Develop client specific benchmarking reports -Review and Analyze Benefit Booklets and Contracts from Carriers -Handles billing activities for all policies -Provide exceptional customer service by responding to local offices and via phone and email in a timely manner Must Skills -Graduates/Post Graduates -Excellent verbal & written communication Preferred Skills -Basic Insurance knowledge preferred -Knowledge of Word & Good Excel Skills required -Ability to prioritize and organize tasks, work within stiff timelines -Energetic, enthusiastic individuals with good academic track record -Meeting /exceeding expectations on performance and behavior. -Candidates who are motivated and excited to take on new and challenging roles. Contact Details:- Ms.Simran Ms.Natasha Ms.Mansi Walk in with Updated C.V.& 2 Passport Size Photographs Between Am - 5:00 Pm (Monday to Saturday) Send your resume at:- Interview Venue:- EXCELLENT JOB SOLUTIONS PVT. LTD. D-246,Balaji Chamber,2nd Floor, Near Laxmi Nagar Metro Station Gate No.1,Opposite Dr.Khullar Clinic, Lalita Park,Laxmi Nagar, Delhi- Website: www.excellentjobssolution.com

Role: Associate/Senior Associate -(Nontechnical) Qualification: Graduate Minimum 2 years plus of experience in AR Calling US Healthcare Process Excellent written and oral communication skills Should be available to work in the night shifts (US timings) Proficient in key board, MS word and MS excel and excellent voice culture Job Description 1. Responsible for calling Insurance companies in USA on behalf of doctors/physicians and follow up on outstanding Accounts Receivables 2. Strong convincing power and knowledge to dispute the claims that are pending with Payers 3. Sound domain knowledge on the Revenue cycle management (RCM) for US healthcare process 4. Adherence to company policies rules and regulations. 5. Adherence to HIPAA guidelines and policy recommended for the process Salary: As per Industry

Company International KPO Brief Job Profile: 1. Designation- Process Associate (Non voice, back office job profile) • back end processing of insurance claims • Back Office/Transaction Processing Role 2. Timing (office hour)-6 am to 2:45 pm & 3 pm to pm 3. Weekly leave-Sat & Sun 4. Drop and pickup facility is available or not. - Drop & Pick up available 5. Beside salary any other benefits - Overtime, Quarterly incentives etc Both Male / Female Preferred Contact: Ranu / email Id: