Claims referral analysis

Excellent Communication Skill (UK) Able to Understand UK accent and Professional in deliverable Shift Timings: UK [EMEA] Job Responsibility Providing support to the wider insurance team. Ensuring individual and team targets are met. Processing payments, fees and new claims Knowledge of Computer packages e.g. Microsoft word & Excel Adhering to claims philosophies. Handling claims within client authority levels ensuring any referral requirements are adhered to. Adhere to Insurance Services policies and procedures. In particular to ensure operational controls are carried out in accordance with laid down procedures, to ensure the ongoing mitigation of business risk. (In this regard regular training should be agreed with the Team manager / Service Delivery Director). Undertake reasonable ad hoc tasks/projects as requested by Line Management. Job Related Experience: 0.5 - 3 years Qualifications and Skills: Graduate Freshers with Computer Knowledge Essential Investigation, evaluation and decision making skills A commitment to and evidence of first class customer service skills The ability to adapt to and implement change Initiative to identify and act upon process and service improvements Strong team-working skills A positive 'can do' attitude The drive to consistently meet challenging deadlines and achieve quality service standards Preferable Background knowledge of insurance preferably in a claims environment desirable but not essential

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.

Job Description Job Requirement: Cash posting is a process by which the payments received from insurance companies, patients and other entities, towards settlement of claims, applied to the respective claims / patient accounts or other accounts in the billing system. Cash team receives the cash files (Check copy and EOB) and applies the payments in the billing software against the appropriate patient account. During cash posting, overpayments are immediately identified and necessary refund requests are generated for obtaining approvals. 1. Accurately post third party payments, adjustments, denials, and patient payments within TA 2. Download EOB from respective payer web site and / or Bank lock Box 3. Analyze third-party payments, adjustments, and denials for appropriateness raising concerns and/or questions in a timely manner so that further reimbursement analysis may be initiated 4. Maintain accurate, clear, concise, and complete account notes and other relevant information 5. Identify, resolve and escalate major issues and service failures that impede success 6. Balance daily posting and daily dashboard 7. Ability to accurately interpret and compile information from a variety of sources and systems 8. Ability to function effectively in a team environment exercising good judgment 9. Ability to meet outlined and expected standards of timeliness and accuracy in completion of work. Industry: KPO / Research / Analytics Functional Area: ITES, BPO, KPO, LPO, Customer Service, Operations Role: Process Flow Analyst Keyskills: Banking, Payments, Non Voice, Accounting, Cash Posting, Web Technologies, Billing Desired Profile Qualification: 1. Any Graduate0- 6 months experience 2. US healthcare knowledge (Preferable) 3. Good comprehension of written English language 4. Good problem solving skills 5. Attention for detail and accuracy 6. Communication Intermediate 7. Voice for Query Resolution 8. Excel Skills Intermediate 9. MS Word- Intermediate

Cash posting is a process by which the payments received from insurance companies, patients and other entities, towards settlement of claims, applied to the respective claims / patient accounts or other accounts in the billing system. Cash team receives the cash files (Check copy and EOB) and applies the payments in the billing software against the appropriate patient account. During cash posting, overpayments are immediately identified and necessary refund requests are generated for obtaining approvals. 1. Accurately post third party payments, adjustments, denials, and patient payments within TA 2. Download EOB from respective payer web site and / or Bank lock Box 3. Analyze third-party payments, adjustments, and denials for appropriateness raising concerns and/or questions in a timely manner so that further reimbursement analysis may be initiated 4. Maintain accurate, clear, concise, and complete account notes and other relevant information 5. Identify, resolve and escalate major issues and service failures that impede success 6. Balance daily posting and daily dashboard 7. Ability to accurately interpret and compile information from a variety of sources and systems 8. Ability to function effectively in a team environment exercising good judgement 9. Ability to meet outlined and expected standards of timeliness and accuracy in completion of work.

Job Title Hiring for F&B or Food and Beverage Director Job Description* SNR CONSULTANTS is hiringF&B or Food and Beverage Directorfor Pan India. We required all hotels staff and team for 1-5* hotel. Job Description for F&B or Food and Beverage Director JOB TITLE: FOOD & BEVERAGE DIRECTOR / MANAGER REPORTS TO: General Manager POSITION SUMMARY: The Director of Food & Beverage is responsible for co-ordinating all phases of group meeting/banquet functions held in the Hotel; coordinate these activities on a daily basis; assist clients in program planning and menu selection. Solicit local group Food & Beverage business; maintain the services and reputation of Your Hotel and act as a management representative to group clients. DUTIES AND RESPONSIBILITIES: 1. Achievement of budgeted food sales, beverage sales, labour costs and profitability. 2. Completion of Customer Follow-up calls on a timely basis. 3. Timely analysis of Food & Beverage Prices in relation to competition. 4. Participation and input towards F&B Marketing activities. 5. Entertainment of potential and existing customers. 6. Preparation of Sales Promotions & Mailings. 7. Competitive analysis every six months by calling competition and gathering data such as banquet kits, room rental rates, etc. 8. Telemarketing to previous clients to inquire about possible future bookings. 9. Development and maintenance of all department control procedures. 10. Handle all Food & Beverage inquiries and ensure timely follow up on the same business day. 11. To co-ordinate with all large group meeting/banquet planners their specific group requirements with the services & facilities offered. This includes proposals, contracts, estimated and actual function statements. With banquet or conferences, the Chef is to be included in food related discussions. 12. To confirm all details relative to group functions with meeting/banquet planners. 13. Supervision of daily paper flow including Proposals, and Function Contracts. 14. Maintenance of Hotel credit policies. 15. Directly responsible for large function billings and overseeing medium/small function billings with particular regard to accuracy and timeliness (48 hours) 16. Evaluation forms must accompany all invoices. 17. Gather for large events, oversee for medium/small events, guaranteed attendance numbers. They are required 3 business days in advance of functions. 18. Completion of monthly forecast. 19. Attendance and participation at weekly F & B meeting and Department Head meeting. 20. To assist in menu planning and pricing. 21. Development and maintenance of department manual. 22. Supervision of weekly payroll input. 23. Be available to Hotel Staff at all times in case of emergency. 24. Must have a complete knowledge of Fire Procedures. 25. All other duties as directed by the General Manager or Assistant General Manager. 26. Participation in Manager on Duty shifts as required. 27. Assure bar inventory for functions, including opening and closing inventories, accurate bar summaries and cash deposits are prepared. 28. Assure the maintenance of bar control policies. 29. Assure completion of requisitions where deemed necessary. 30. Assure the completion of weekly schedule and shift duties while:a. Maintaining a labour cost below the maximum of 15%. b. Assuring adequate and consistent 31. Completion of monthly inventory. 32. Assure timely completion of function bills. 33. Assure the ordering and purchasing of beer, wine, liquor, premix canisters and canned soft for Food& Beverage and vending. 34. Purchasing of purchase requirements of small wares, linens requirements etc. 35. Directly responsible for larger groups overseeing medium and smaller groups: 36. Consistent check of Banquet Food and Beverage quality, Banquet services and pallet presentation. 37. Ensuring that services meet customer specifications. 38. Quality of meeting room set-up. 39. Liaise on an on-going basis with the Sales Department to ensure all client needs and requirements will be met. 40. Work with the Chef, Assistant Director of Food & Beverage and Food & Beverage Supervisor to ensure all arrangements and details are dealt with. 41. Establish a rapport with groups to ensure guest satisfaction and repeat business. 42. Minimize number of customer complaints. 43. Ensure a professional attitude and proper business attire when on property, ready to meet or service a client at any time. 44. Staff professional attitude and proper meeting Company appearance and uniform standards. 45. Teamwork-Relations with co-workers and management. 46. Quality of Food & Beverage services and department phone handling. 47. Meeting with convenors and confirming proper set-up of Function Room at time of Function while on duty. 48. Responsible for staff training and development. 49. Ensure all staff have Smart Serve certification. 50. Personnel selection. 51. Proper hiring procedures followed. For management positions, either the HR Manager or the Asst. General Manager must join the Director of Food & Beverage for all interviews. For line personnel, the Assistant to the Director of Food & Beverage must be present with the Food & Beverage Supervisor. 52. Proper termination procedures must be followed. 53. Department meeting being held monthly. General Manager, Assistant General Manager and Human Resources Manager to be notified of meetings in a timely fashion. 54. High employee retention. 55. Personal development and growth. 56. Discipline of personnel when required. 57. Responsible for overseeing all scheduling within the department. 58. Participation towards overall Hotel Maintenance and cleanliness. 59. Achieving service that exceeds expectations. 60. Overall maintenance of the operation at a level in keeping with the standards prescribed. 61. Minimize the number of Workmen's Compensation claims. 62. Report any deficiencies in equipment and facilities. PREREQUISITES: Education: Post Graduate or Degree or three years Diploma in hotel Management or equivalent. Experience: Previous experience in similar Job role or minimum 4 years experience as Banquet Supervisor. Proven track records. How to Apply: Please send resume on our e-mail and call back to us for more info. ContPerson:Ritesh Mishra Mob: +918738057484. E-mail: Consultantssnr@gmail.com || contact.snrconsultants@gmail.com Ansh Mishra - Mob: +917836944068

LOOKING FOR AR CALLER JOBS IN CHENNAI Qualification: Any Graduation Exp: Freshers to 4 Years Freshers Salary: 12k to 15k Exp Salary: 20k to 25k Vacancy: 12 Location: Chennai Pre-Call Analysis Call the Payer /use other resource like IVR or Web portal to obtain Status Appropriate Documentation of the claims is required on ARC and Client Software Post Call Analysis/After Call Actions to be taken on the claim Utilizes completely all process automation tools in delivery Achieve Productivity targets as per the grid set by the Manager Role Other Industry Type IT Services & Consulting Functional Area Other Employment TypeFull Time, Permanent Role Category Other Regards Anika Hr 91504 and 61060

Best Cognos Training in Chennai Adyar-9566183028*brPeridot Systems is one of the best IT training institute in Chennai, we conceived our institute on 2009 and we trained more than 1 lakh students and nearly 80% of students were placed in top level MNC and still we training and made them to place in a very high level companies. Our trainers have well in knowledge and they are innovational, motivational and highly skilled in their field. Getting trained by Peridot systems will bring you to the next level in Carrier.brWhy Peridot?br• Peridot has the best quality of training and very good quality of infrastructurebr• Highly skilled facultybr• 100% practical oriented classesbr• Placement assistance and referral interviewsbr• One year technical supportbr• Six unlimited Lab facilitybrCognos training in PeridotbrWe are the No.1 Cognos training institute in Chennai, we offer the best quality of education from basics to updated, and we will cover all modules in Cognos like basics of BI, DW-Connection- various studios like query, report, adv report, analysis, event studio. Including BI we cover building, dashboards. With this we teach how to prepare and build up object and metadata from modeling tool – framework- manger and other things.brFor Further details feel free to contact us- 9566183028*brContact Person – Sinduja*brContact number – 9566183028*, 044-45501165brMail ID – sinduja.raja@peridotsystems.inbrWebsite URL – http://www.peridotsystems.inbrVenue – Venkatarathinam Nagar, AdyarbrTags: Best Cognos Training in Chennai || Best Cognos Training institute in Chennai || Best Cognos Course in Chennai

Job Description: 1. SEO strategy planning and complete keyword research. 2. Concentrate the business on SEO best practices. 3. Creating search engine optimization strategies for a variety of sites. 4. Research and develop new and current services. 5. Work with editorial and marketing teams to drive SEO in content creation and content programming. 6. Recommend changes to website architecture, content, linking and other factors to improve SEO positions for target keywords. 7. In-depth experience with website analytics tools (Sitemap.Xml; Robots.TxT). 8 FTP management. 9. Facilitates effective team interaction. Eligibility: 1. Minimum Graduate required. 2. Minimum 3-5 years work experience in SEO/PPC role. 3. Extensive experience in SEO Strategy Planning, for overall management: supervision and implementations of SEO programs. 4. Strong communicator with the ability to ensure execution of the time bound deliverables. 5. Responsible for managing day-to-day operations of web sites, establishing site maintenance procedures, security, performing traffic analysis, generating site reports. 6. Hands-on experience with search engine optimization projects and a proven track record of bringing in cost effective results from the major search engines. 7. Problem- solving skills and the ability to adapt to new technologies. Additional Benefits: 1.Transport facility available 2. Complimentary lunch available 3. Referral bonus 4. Lucrative incentives based on performance SALARY: upto 25K; hike of 20-30% for experienced candidates Maven Profile - Maven Infotech offers you a rare opportunity to grow and excel in your career through various positions in the field of customer support, technical support, business analytics and software. We are an equal opportunities employer and thus we believe that each employee is equally important. Everyone gets the fair opportunity to learn and grow in a healthy environment, backed with the most modern technological platforms. Some of the highest standards of training have been put in place at Maven Infotech, allowing the trainees to get a firsthand experience of the professional world. Contact Numbers 9874744517, 9830531292, 9163139487, 9874744309, 9883011122, 8697657486, 9830540993, 9674741946, 9830933443 Maven Infotech Pvt Ltd Ecospace Rajarhat, Newtown, Kolkata-700156 Building 4A, 2nd floor

A radiology information system (RIS) is a networked software system useful, to track the imaging orders and view the billing information, and is often used in conjunction with PACS and VNAs to manage image archives, record-keeping and billing. Features of Radiology Information System: * Registration * Configuration of Services Offered. * Receive Investigation Request from Outpatient & Inpatient Modules. * Investigation Sample Collection * Integration with Patient Billing Module * Generate Investigation Reports. * Consultant wise Test Report. * Department wise Test Analysis. * Doctor Referral

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Procurement Engineer- (min 3-5 years of Gulf experience will be preferred). Salary - to QAR according the experience of the candidates. Job Description Responsibilities: • Develop and float RFQ documents from the Project Specifications/Input from Engineering. • Co-ordinate Technical Bid Evaluation, Do commercial Bid Evaluation and process activities to Purchase Order / Sub- Contract award • Work within the established procedures to achieve a professional, ethical, reliable and cost effective total Procurement service through Market Research, Budget, and Estimating evaluations. • Assist the Procurement & Contracts Management Manager in the implementation of the procurement guidelines, policies & procedures. • Develop and implement sourcing strategies. • Investigate potential suppliers. • Propose enquiries to specified and non-specified vendors and obtain quotations on time. • Receive and evaluate bids (by Purchasing Committee, if applicable) as per standard evaluation criteria and negotiate payment terms and discounts with suppliers. • Evaluate vendors’ proposals technically in compliance with project specifications. • Prepare and issue Purchase Orders (POs), Request for Quotations (RFQs), Request for Proposals (RFPs) and other related documents. • Revise the costing for the post tender clarifications received and provide price and technical inputs to generate official Purchase Order. • Suggest suitable technical alternatives whenever possible in coordination with the Design & Studies section and the Project Management section. • Evaluate the supplier quotations against the tender requirements such as capacity, quantity, specifications, deviations, etc. Make comparative analysis of all the quantity & use the optimum solution. • Interview supplier representatives regarding specifications, costs, inspection, and similar problems relating to materials, parts and equipment. • Maintain an updated supplier database that consists of reliable and trustworthy sources. • Ensure materials purchased are in line with the project specifications and industry practice. • Review the terms and conditions of subcontract documentation to ensure contractual protection. Skills Required Skills/Experience: • The candidate should have a minimum of 5 to 7years of related experience, preferable in contracting company in Construction Industry. • Must be fluent in written and spoken English with an excellent understanding of Business Law and Contract Management. • Should possess proven Negotiation Skills and Commercial expertise on a world wide basis. • Should have exposure to and experience in application of ISO Quality Management concept is a must. • Extensive experience in dealing with Suppliers, Contractors, and Consultants particularly those involved in the Construction Industry • Thorough understanding of Post award activities like Vendor document follow up, vendor claims, change orders, Expediting, Third Party Inspection, shipping co-ordination, material receipt and payment until close out of the Order. Competencies: • Excellent communication skills with ability to liaise at all levels • Proactive, Goal-oriented, and accountable  • Capable of multi-tasking • Team player and self motivated  • Strong analytical thinking  • Detail oriented  Qualification: • Bachelor’s degree in Engineering discipline (Civil/Structural/Mechanical/Electrical etc)

Procurement Engineer-  (min 3-5 years of Gulf experience will be preferred). Salary - to QAR according the experience of the candidates.I have attached job description of Procurement  Engineer. Job Description Responsibilities: • Develop and float RFQ documents from the Project Specifications/Input from Engineering. • Co-ordinate Technical Bid Evaluation, Do commercial Bid Evaluation and process activities to Purchase Order / Sub- Contract award • Work within the established procedures to achieve a professional, ethical, reliable and cost effective total Procurement service through Market Research, Budget, and Estimating evaluations. • Assist the Procurement & Contracts Management Manager in the implementation of the procurement guidelines, policies & procedures. • Develop and implement sourcing strategies. • Investigate potential suppliers. • Propose enquiries to specified and non-specified vendors and obtain quotations on time. • Receive and evaluate bids (by Purchasing Committee, if applicable) as per standard evaluation criteria and negotiate payment terms and discounts with suppliers. • Evaluate vendors’ proposals technically in compliance with project specifications. • Prepare and issue Purchase Orders (POs), Request for Quotations (RFQs), Request for Proposals (RFPs) and other related documents. • Revise the costing for the post tender clarifications received and provide price and technical inputs to generate official Purchase Order. • Suggest suitable technical alternatives whenever possible in coordination with the Design & Studies section and the Project Management section. • Evaluate the supplier quotations against the tender requirements such as capacity, quantity, specifications, deviations, etc. Make comparative analysis of all the quantity & use the optimum solution. • Interview supplier representatives regarding specifications, costs, inspection, and similar problems relating to materials, parts and equipment. • Maintain an updated supplier database that consists of reliable and trustworthy sources. • Ensure materials purchased are in line with the project specifications and industry practice. • Review the terms and conditions of subcontract documentation to ensure contractual protection. Skills Required Skills/Experience: • The candidate should have a minimum of 5 to 7years of related experience, preferable in contracting company in Construction Industry. • Must be fluent in written and spoken English with an excellent understanding of Business Law and Contract Management. • Should possess proven Negotiation Skills and Commercial expertise on a world wide basis. • Should have exposure to and experience in application of ISO Quality Management concept is a must. • Extensive experience in dealing with Suppliers, Contractors, and Consultants particularly those involved in the Construction Industry • Thorough understanding of Post award activities like Vendor document follow up, vendor claims, change orders, Expediting, Third Party Inspection, shipping co-ordination, material receipt and payment until close out of the Order. Competencies: • Excellent communication skills with ability to liaise at all levels • Proactive, Goal-oriented, and accountable • Capable of multi-tasking • Team player and self motivated  • Strong analytical thinking  • Detail oriented  Qualification: • Bachelor’s degree in Engineering discipline (Civil/Structural/Mechanical/Electrical etc)

Job Profile of LIC Agent The main job of LIC Agent involves: Prospecting: Identifying the prospective customers and fixing appointment. Need Analysis: Identifying the needs and getting the prospect agree that need exists. (i.e. Family Income Provision, Children Education and Marriage Provision or Retirement Income Provision.) Plan Presentation: Suggesting suitable plans that fulfill the needs as agreed by the prospect. Closing the Sale: Convincing the prospect that you have suggested the best possible solution for his needs and ask for the order. After Sales Service: Provide efficient after sales service and claims settlement.

MGSI has the experience to provide you with multi-specialty medical billing services utilizing a management team that has been together for over 25 years. As an A+ rated company with the Better Business Bureau and having met mandatory Compliance/HIPAA standards, MGSI can assure you the highest level of security and protection of PHI. Operating for more than 25 years providing healthcare revenue cycle management to over 600 physicians across the country. MGSI and its dedicated team of experienced professionals take on the task of coding and billing, medical claims processing, healthcare denial management, procedure/diagnosis analysis by certified coders, physician practice management, while keeping you informed of the health of your practice/financials. For more detail logon to our website. https://www.mgsionline.com/medical-insurance-billing.html

Urgent Openings for Medical Billing... A Reputed medical company, is seeking a qualified and dedicated Medical Biller to join their administrative office. In this position, you will be responsible for a variety of tasks requiring data analysis, in-depth evaluation, and sound judgment. As a Medical Biller, your daily duties will include maintaining billing software, appealing denied claims, and recording late payments. Qualification: Any Qualification Position: Medical Billing Experience: Freshers Salary: 10k to 15k Work Location: Chennai Further Details Contact Nandhini HR 99623@@21948