11 Claim Processing Jobs

Urgent Opening for Back Office Executive Good English Communication required (Verbal and Written) Min 6 months to maximum 2 years experience in back office Ready to work in early morning shift 4.30AM to 1.30PM 2 Rotational week offs Salary based on last drawn (Max 25000) Pick up provided. Location : Thane, Kalwa, Airoli, Mulund, Bhandup Immediate joiners required Interested candidates can share the updated CV on whatsapp 7900117773 Email to: [HIDDEN TEXT]

Role & responsibilities A key member of Customer Service Operations team, responsible for providing an efficient, effective and compliant service to policyholders. Key accountabilities include handling of simple and complex cases, quality in service delivery, accuracy in providing and capturing information while adhering to compliance guidelines and support to team managers. Preferred candidate profile Good verbal and written communication skills Freshers eligible ; Preference would be given to individuals from an insurance background with approximately 1 years experience (Insurance Associate) with experience in handling written communication Perks and benefits Hybrid working mode - 3 days in office

Role & responsibilities 1. Making the inpatients billing without errors. 2. Maintaining the transparency in billing. 3. Proper updation of chargeable items in the patients bills. 4. Before finalizing the bills to be confirmed with few departments like OT Blood bank regarding any costly item to be used to the patients. 5. If it is company Patients to be confirmed with approval letters and supporting documents before finalizing the bills & collection of non-medical charges, co-payments etc. 6. Giving proper explanation to the patient's attender regarding the final bill. 7. Proper collection of cash and deposit e to the Bank. 8. Day to day transactions, cash handling details, and petty cash details Daily reports will be reported to the Finance. 9. Rectify any errors from the previous shift so as to minimize the error rate. 10. Work towards streamlining the process and identify and implement process improvements throughout. Preferred candidate profile

1) Receiving of claims courier sent by employees 2) Segregation of claims according to department, 3) Validation of employee claims as per the Travel policy, GST requirements and Eligibility by following internal processes and SOPs in CRM 4) Communication of status of claim process and related queries and updates by e-mail and CRM 5) Co-ordinate by calling the employees on disputed balance confirmations and clarifying the doubts and get the confirmations 6) Preparing of weekly exception and pending claims report and GST sheets 7) Follow up mails in case of no revert 8) Accounting of Claims into weekly batch, 9) Writing file numbers on the accounted claims and filing of the hard copies of the claim in order of file numbers 10) Capture of GST details and Invoice segreegation and scanning of invoices to handover to tax team

Key Responsibilities: Process insurance claims efficiently and accurately. Ensure compliance with company policies and industry regulations. Coordinate with internal teams and external stakeholders to resolve claim-related issues. Maintain detailed records and documentation of all claims. Key Skills: Mandatory:Claim Processing Preferred:Experience in insurance domain, familiarity with healthcare processes, and prior experience in a startup environment. Additional Criteria: Candidates with experience in startups will be given preference. Strong attention to detail and ability to work in a fast-paced environment.

Description We are looking for enthusiastic AR Callers to join our team in India. This role is ideal for freshers or entry-level candidates who are eager to start their career in accounts receivable and finance. The successful candidates will be responsible for managing calls related to outstanding payments, ensuring timely collection, and maintaining accurate records. Responsibilities Handle inbound and outbound calls related to accounts receivable. Follow up with clients to collect outstanding payments and resolve discrepancies. Maintain accurate records of calls and payments received. Communicate effectively with clients and internal teams to resolve issues. Prepare and send invoices to clients in a timely manner. Assist in the reconciliation of accounts and prepare reports as needed. Skills and Qualifications Excellent verbal and written communication skills in English. Basic knowledge of accounts receivable processes and procedures. Proficiency in using MS Office Suite (Excel, Word, etc.). Ability to handle multiple tasks and work under pressure. Strong attention to detail and problem-solving skills. Familiarity with accounting software is a plus. Good interpersonal skills and a customer-oriented approach.

R1 RCM India is proud to be recognized amongst India's Top 50 Best Companies to Work Fo2023 by Great Place To Work Institute. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare simpler and enable efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 14,000 strong in India with offices in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities. Responsibilities: Follow up with the payer to check on claim status. Responsible for calling insurance companies in USA on behalf of doctors/physicians and follow up on outstanding accounts receivables. Identify denial reason and work on resolution. Save claim from getting written off by timely following up. Candidates must be comfortable with calling on denied claims. Interview Details: Interview Mode: Face-to-Face Interview Walk-in Day : 07-Jun-2025 (Saturday) Walk in Timings :11 AM to 3 PM Walk in Address: Candor Tech Space Tower No. 3, 6th Floor, Plot 20 & 21, Sector 135, Noida, Uttar Pradesh 201304 Desired Candidate Profile: Candidate must possess good communication skills. Only Immediate Joiners can apply & Candidate must be confortable with Gurgaon Location. Provident Fund (PF) Deduction is mandatory from the organization worked. B.Tech/B.E/LLB/B.SC Biotech aren't eligible for the Interview. Candidates not having Healthcare experience shouldnt have more than 24 Months Exp. Undergraduate with Min. 12 Months Exp is mandatory. Benefits and Amenities: 5 days working. Both Side Transport Facility and Meal. Apart from development, and engagement programs, R1 offers transportation facility to all its employees. There is specific focus on female security who work round-the-clock, be it in office premises or transport/ cab services. There is 24x7 medical support available at all office locations and R1 provides Mediclaim insurance for you and your dependents. All R1 employees are covered under term-life insurance and personal accidental insurance.

Handle incoming calls &emails related to insurance claims with professionalism, empathy Provide accurate information and support to policyholders regarding claim status, documentation, procedures Proficient in CRM software and Microsoft Office tools Required Candidate profile Assist in claim intake, verification, and documentation in accordance with company and regulatory standards. Collaborate with internal claims Excellent verbal and written communication skills. Perks and benefits Perks and Benefits

I. Primary Responsibilities Prepare placement slips, generate UMR, calculate premiums, issue debit and credit notes for Cedants and Re-insurers Perform sanction checks on booked accounts, verify policies booked after inception, and organize debit notes, credit notes, and tax invoices for future reference Suggest and implement improvements to accounting processes for enhanced efficiency and accuracy Collaborate with internal teams, communicate with clients and liaise with regulatory bodies to ensure smooth operations and compliance II. Additional Responsibilities Understanding of best practices in business processes and quality assurance Ability to work independently and as part of a team to achieve quality and compliance objectives Commitment to maintaining confidentiality and handling sensitive information appropriately Willingness to continuously learn and develop new skills to enhance audit effectiveness Publish dashboards to suggest the improvement in matched and unmatched revenues III. Skills and Competencies Technical Proficiency and Understanding of Insurance service Excellent Written and Oral communication skills Interpersonal skills Ownership and Accountability Insurance domain knowledge IV. Minimum Qualifications Education Graduate in Finance/Accounting or Postgraduate with any Specialization Degree Bachelor / Master Licenses/Certificates Insurance Certification will be the additional advantage Work Experience Minimum 1+ year of experience of Quality Analysis in Insurance domain & reconciliation process Collaborate with Underwriters and Claims Adjusters. Experience with Post Policy Placements

* Updating records and files in portal * Knowledge in computers like MS office. * Usage of company platform for patients data updation. * Database management. * Good interpersonal skill. * Coordination with other team members and internal department of the hospital * Share daily activity report to the reporting manager Note: Apply only if fine to work at hospital and location

Manages the processing of health insurance claims incld. coordinating with hospitals, patients, and insurance companies to ensure efficient and accurate claim processing, pre-authorization, document verification, and report generation & compliances.