Vijayanagar Bengaluru Karnataka Payment lifecycle specialist Jobs – 82 Open Jobs Today

Healthcare Support Representative
XO Health Inc. —Bengaluru, Karnataka
- ₹5,00,000 - ₹15,00,000 a year
- Rotational shift
- Remote
- Spanish
- English
- Research
- Health insurance
Quick apply
Sr. Accounts Receivable (AR) Specialist
Rapid Claims —Bangalore City, Bengaluru, Karnataka
- Full-time
- Mentoring
- In-person
- Communication skills
Quick apply
6d
Sourcing Specialist
Machinemaze integrtion Services Pvt Ltd —Indiranagar, Bengaluru, Karnataka
- From ₹8,00,000 a month
- Full-time
- CRM software
- Microsoft Excel
- ERP systems
- Health insurance
- Life insurance
Quick apply
Category Specialist
ABB India Limited —Bengaluru, Karnataka
- Online application
- Microsoft Excel
- Electrical experience
- Bachelor's degree
Quick apply
Senior Specialist, Oracle Giving & CSR, India
Oracle —Bengaluru, Karnataka
- Full-time
- Oracle
- Master's degree
- Analysis skills
Technical Specialist
ABB Global Industries and Services Private Limited —Bengaluru, Karnataka
- Online application
- Software troubleshooting
- Analysis skills
- Bachelor's degree
Quick apply
8d
Procurement Specialist
ABB India Limited —Bengaluru, Karnataka
- Online application
- Microsoft Excel
- Electrical experience
- Bachelor's degree
Quick apply
Customer Support Specialist - Billing
Rippling —Bengaluru, Karnataka
- Full-time
- Hybrid work
- English
- Bachelor's degree
- Communication skills
Software Development Senior Specialist
NTT Ltd —Bengaluru, Karnataka
- Weekend availability
- Analysis skills
- Linux
- Communication skills
Messaging Services Senior Specialist
NTT Ltd —Bengaluru, Karnataka
- Full-time
- Computer Science
- Bachelor's degree
- SharePoint
Android Developer - Specialist
Transaction Network Services —Bengaluru, Karnataka
- Full-time
- Computer Science
- Java
- Electrical experience
Employee Experience Specialist
Harness.io —Bengaluru, Karnataka
- Hybrid work
- Project management
- Presentation skills
- Bachelor's degree
2d
Procurment Specialist
ABB India Limited —Bengaluru, Karnataka
- Online application
- Microsoft Excel
- Electrical experience
- Bachelor's degree
Quick apply
Senior Product Specialist
HCLTech —Bengaluru, Karnataka
- Accounting
- APIs
- Agile
India Payroll Operations Specialist
Rippling —Bengaluru, Karnataka
- Full-time
- Hybrid work
- Google Suite
- Microsoft Excel
- Salesforce
3d
CX Consumer Computers & Accessories Senior Specialist
ABB Business Services Private Limited —Bengaluru, Karnataka
- Online application
- English
- Bachelor's degree
- Business Administration
Quick apply
8d
Veeva Vault Product Specialist Clinical
Bayer —Bengaluru, Karnataka
- English
- Research
- Master's degree
3d
Senior Technical Specialist
HCLTech —Bengaluru, Karnataka
- Computer Science
- Software troubleshooting
- Master's degree
MASTER DATA SPECIALIST
ABB Global Industries and Services Private Limited —Bengaluru, Karnataka
- Online application
- Hybrid work
- English
- Master's degree
- Analysis skills
Quick apply
1d
Strategic Sourcing & Procurement Specialist
Cell Tech Inc —Bengaluru, Karnataka
- Full-time
- Remote
- Inventory control
- ERP systems
- Analysis skills
Quick apply
7d

I want to receive the latest job alerts for payment lifecycle specialist in vijayanagar bengaluru karnataka

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

payment lifecycle specialist jobs near vijayanagar bengaluru karnataka

Customer Specialist jobs in Bengaluru, Karnataka

Product Specialist jobs in Bengaluru, Karnataka

Data Specialist jobs in Bengaluru, Karnataka

Android Developer jobs in Bengaluru, Karnataka

Technical Specialist jobs in Bengaluru, Karnataka

Payroll Specialist jobs in Bengaluru, Karnataka

Sourcing Specialist jobs in Bengaluru, Karnataka

Procurement Specialist jobs in Bengaluru, Karnataka

Senior Product Specialist jobs in Bengaluru, Karnataka

Senior Technical Specialist jobs in Bengaluru, Karnataka

Customer Specialist jobs in Delhi

Customer Specialist jobs in Alleppey, Kerala

Customer Specialist jobs in Lajpat Nagar, Delhi, Delhi

Swiggy, Customer Service jobs in Bhopal, Madhya Pradesh

Zepto , Customer Support jobs in West Bengal

Swiggy, Customer Service Work From Home jobs in Remote

No Experience jobs in Guwahati, Assam

Data Entry, Ms Office, No Experience jobs in Guntur, Andhra Pradesh

Daily Payment, Work From Home,no Experience jobs in Bengaluru, Karnataka

Software Developer 3 Years Experience jobs in Remote

Healthcare Support Representative

XO Health Inc. -
Bengaluru, Karnataka

Quick apply

Job details

₹5,00,000 - ₹15,00,000 a year

Benefits

Health insurance

Qualifications

Spanish
EDI
English
Research
Microsoft Office
Analysis skills
Quality assurance
Bachelor's degree
Medical billing
ServiceNow
Billing
Communication skills

Full job description

XO Health believes healthcare is fixable. Become part of the community changing the face of the industry.

XO Health is the first health plan designed by and for self-insured employers that delivers a more unified health experience for everyone – from those who receive care, to those who deliver it, to those who pay for it.

We are growing a multi-disciplinary team of diverse and digitally empowered employees ready to rebuild trust in healthcare through comprehensive and unified transformation.

XO Health Healthcare Support Representative

About the job

XO Health believes healthcare is fixable. Become a part of the community changing the face of the industry. XO Health is the first health plan designed by and for self-insured employers that delivers a more unified health experience for everyone-from those who received care, to those who deliver it, to those who pay for it. We are growing a multi-disciplinary team of diverse and digitally empowered employees ready to rebuild trust in healthcare through comprehensive and unified transformation.

About the Role:

Remote- USA, India -Virtual Contact Center and Claims Operations

The Operations Specialist is a key member of XO Health's operations team, supporting both member/provider service (Advocacy) and claims processing and resolution (Claims Operations).

This blended role serves as a primary point of contact for members and providers through an omni-channel environment (phone, email, chat), while also functioning as a claim's operations expert responsible for accurate claim processing, research, adjudication, adjustments, and issue resolution.

This position requires a strong service-first mindset, high attention to detail, and the ability to move seamlessly between real-time support and behind-the-scenes operational work. The Operations Specialist partners cross-functionally with internal teams and third-party vendors to ensure members and providers receive timely, compliant, and high-quality support across the operations.

Key Responsibilities:

Member & Provider Advocacy

Handle inbound and outbound member and provider inquiries via phone, email, and chat with professionalism and empathy.
Initiative member outreach to provide information and assistance regarding benefits.
Provide accurate information regarding benefits, eligibility, and coverage; claims status and adjudication details; prior authorization requirements and submissions; billing and reimbursement policy questions; and provider portal navigation and support.
Resolve inquiries, complaints, grievances, and escalations promptly while ensuring complete documentation and proper routing when needed.
Conduct follow-up outreach to ensure resolution, satisfaction, and continuity of care or claim outcomes.
Build trust with members and providers through early, frequent, and personalized engagement.

Claims Processing, Adjudication & Resolution

Process, research, and adjudicate institutional and professional medical claims (including behavioral health), ensuring accuracy, timeliness, and compliance.
Verify eligibility, coverage, and medical necessity under policy guidelines using established systems and workflows.
Investigate and resolve claim denials, appeals, discrepancies, overpayments, and billing errors and payment issues.
Conduct overpayment reviews, coordinate recovery actions, and correct claim financial histories as required.
Support high-cost claim and claimant processes as needed.

Provider Data, Outreach & Operational Support

Perform provider outreach as necessary to support claims resolution, documentation needs, and payment accuracy.
Collect W-9s and maintain accurate provider information within XO systems to support claims processing, reporting, directory publication, and data transfers.

Cross-Functional Collaboration & Continuous Improvement

Collaborate with Business Operations, Network Performance, Product, and Experience teams to resolve complex cases and improve service delivery.
Coordinate with third-party claims vendors to maintain accuracy, compliance, and service excellence.
Identify recurring issues, system gaps, or process inefficiencies and provide feedback to leadership.
Perform quality assurance reviews to ensure claims financial and procedural accuracy.
Document procedures, workflows, and operational guidance as needed.

Performance & Compliance Expectations

Meet performance goals in areas such as efficiency and productivity, quality and accuracy, customer satisfaction, compliance, follow-up completion, and attendance.
Maintain confidentiality and compliance with HIPAA, ERISA, and XO Health policies.

Experience Required:

The qualified candidate will have:

3–5 years of experience in a healthcare payer, TPA, or health insurance environment, with a blend of contact center/member-provider support and/or medical claims processing/adjudication/claims operations.
Strong knowledge of health insurance concepts, benefits and eligibility, medical terminology, and claims lifecycle management.
Strong English language verbal and written communication skills, with an empathetic, solution-oriented approach.
High attention to detail, sound judgment, and strong analytical problem-solving skills.
Ability to multitask in a fast-paced, digital-first environment while maintaining accuracy and professionalism.
Proficiency in Microsoft Office Suite and customer service and/or claims processing systems.

Preferred Skills:

Associate or bachelor's degree in healthcare administration, business, or a related field.
Experience with consolidated billing/payment platforms and/or alternative payment models (bundled payments).
Familiarity with Availity Essentials, payer portals, and EDI standards.
Familiarity with Genesys, Service Now, and other CRM tools
Familiarity with Facility, DME, Behavioral Health, and Stop-Loss claim types.
Experience in payment integrity, provider relations, or medical billing.
Spanish language proficiency (written and verbal) is a plus.

Additional Details:

Must be able to support USA contact center hours.
Must be able to participate in a rotating on-call schedule for urgent member and provider support needs.

XO Health is an equal opportunity employer committed to diversity and inclusion in the workplace. All qualified applicants will receive consideration for employment without regard to sex (including pregnancy, childbirth or related medical conditions), race, color, age, national origin, religion, disability, genetic information, marital status, sexual orientation, gender identity, gender reassignment, citizenship, immigration status, protected veteran status, or any other basis prohibited under applicable federal, state or local law. XO Health promotes a drug-free workplace.

Quick apply

Refine Your Search

payment lifecycle specialist jobs in vijayanagar bengaluru karnataka

Healthcare Support Representative

Sr. Accounts Receivable (AR) Specialist

Sourcing Specialist

Category Specialist

Senior Specialist, Oracle Giving & CSR, India

Technical Specialist

Procurement Specialist

Customer Support Specialist - Billing

Software Development Senior Specialist

Messaging Services Senior Specialist

Android Developer - Specialist

Employee Experience Specialist

Procurment Specialist

Senior Product Specialist

India Payroll Operations Specialist

CX Consumer Computers & Accessories Senior Specialist

Veeva Vault Product Specialist Clinical

Senior Technical Specialist

MASTER DATA SPECIALIST

Strategic Sourcing & Procurement Specialist

I want to receive the latest job alerts for payment lifecycle specialist in vijayanagar bengaluru karnataka

Explore jobs in more locations

Jobseeker tools

Employer Tools

Browse

Stay Connected