Sembiam Chennai Tamil Nadu Care home care Jobs – 229 Open Jobs Today

SPE-Claims HC
Cognizant —Chennai, Tamil Nadu
- Full-time
- Remote
- English
- Work from home
6h
Home Care Nurse
Keystone Travel Pvt. Ltd —Chennai, Tamil Nadu
- ₹75,000 - ₹95,000 a month
- Full-time
- Nursing
- B.Sc
- Bachelor's degree
- Health insurance
- Life insurance
Quick apply
Home Nurse Manager
Book My Nurse —Chennai, Tamil Nadu
- ₹35,000 - ₹45,750 a month
- Full-time
- Supervising experience
- Bachelor's degree
- Team management
- Cell phone reimbursement
Quick apply
6d
Home Care Nurse
Book My Nurse —Chennai, Tamil Nadu
- ₹25,000 - ₹40,000 a month
- Full-time
- Bachelor's degree
- Patient care
- In-person
- Cell phone reimbursement
Quick apply
Staff Nurse - Home Care
Kauvery Hospital —Chennai, Tamil Nadu
- Nursing
- Care plans
- Communication skills
11h
Elderly Caregiver
Latha Home Healthcare Services Keelkattalai chennai —Chennai, Tamil Nadu
- ₹12,116.69 - ₹42,159.94 a month
- Bachelor's degree
- Patient care
- In-person
- Flexible schedule
- Food provided
Quick apply
14d
Sr. Customer Care Officer
Run Service Infocare Pvt Ltd —Lakshmipuram, Chennai, Tamil Nadu
- ₹18,000 - ₹25,000 a month
- Microsoft Word
- Microsoft Excel
- Bachelor's degree
Quick apply
16h
Home Care Professional
RMC Health Care Pvt Ltd —Chennai, Tamil Nadu
- ₹25,000 - ₹35,000 a month
- Full-time
- Bachelor's degree
- Patient care
- In-person
Quick apply
Co-Founder and Medical Doctor (MBBS)
AEVEVO TECHNOLOGY PRIVATE LIMITED —Chennai, Tamil Nadu
- ₹4,00,000 - ₹10,00,000 a year
- Full-time
- Hybrid work
- Medicine
- Bachelor's degree
- Travel
Quick apply
14d
Home Nursing Patience Care
SSK Home Nursing Care Service —Chennai, Tamil Nadu
- ₹15,000 - ₹60,000 a month
- Part-time
- Nursing
- B.Sc
- Bachelor's degree
- Flexible schedule
- Food provided
Quick apply
Medical Coding - OP
R1 RCM, Inc. —Chennai, Tamil Nadu
- Full-time
- Anatomy knowledge
- Bachelor's degree
- Medical terminology
- Health insurance
- Work from home
Medical Coding - OP Chennai
R1 RCM, Inc. —Chennai, Tamil Nadu
- Full-time
- Anatomy knowledge
- Bachelor's degree
- Medical terminology
- Health insurance
- Work from home
Babysitter/Nanny
GRAH Care —Chennai, Tamil Nadu
- ₹9,135.40 - ₹30,345.42 a month
- Part-time
- Childcare
- English
- 12th Pass
- Flexible schedule
Quick apply
Tele-Caller / Well being Coordinator
Radiant Home Health Services —Chennai, Tamil Nadu
- English
- Microsoft Office
- Bachelor's degree
- Health insurance
- Flexible schedule
Nurse with Home healthcare experience
GRAH Care —Chennai, Tamil Nadu
- ₹13,750.91 - ₹41,489.73 a month
- Part-time
- Nursing
- B.Sc
- ICU experience
- Commuter assistance
- Cell phone reimbursement
Quick apply
Story Editor / Reviewer (Children’s Writing)
Spinircle India pvt.ltd —Chennai, Tamil Nadu
- ₹5,000 - ₹7,500 a month
- Full-time
- Remote
- Writing skills
- English
- Bachelor's degree
Quick apply
Staff Nurse
Flexi Nursing HomeHealth Care Private Limited —Chennai, Tamil Nadu
- ₹35,000 - ₹45,000 a month
- Full-time
- Nursing
- Patient monitoring
- Bachelor's degree
- Work from home
Quick apply
Home Care Nurse
HIREXPERT —Chennai, Tamil Nadu
- ₹28,000 - ₹31,000 a month
- Full-time
- Nursing
- B.Sc
- Master's degree
- Food provided
Quick apply
Senior Sales Executive
Ashiana Housing Ltd —Chengalpattu, Chennai, Tamil Nadu
- ₹40,494.94 - ₹85,361.30 a month
- Full-time
- Sales
- Customer service
- Salesforce
Quick apply
5d
Diploma Nurse Home HealthCare
Latha Home Healthcare Services Keelkattalai chennai —Chennai, Tamil Nadu
- ₹21,000.00 - ₹44,004.15 a month
- Part-time
- Patient monitoring
- Bachelor's degree
- In-person
- Flexible schedule
- Food provided
Quick apply
14d

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SPE-Claims HC

Cognizant -
Chennai, Tamil Nadu

Apply Now

Job details

Full-time
6 hours ago

Benefits

Work from home

Qualifications

English

Full job description

Job Summary
Serve as a specialist in health care claims processing for Medicare and Medicaid claims and commercial claims within a remote work from home environment focusing on accurate adjudication compliance with health care product guidelines and timely resolution of member and provider claim inquiries during night shift operations while communicating effectively in English to support business quality and service goals.

Responsibilities
Review health care product claim submissions for Medicare and Medicaid and commercial programs to ensure accurate data capture and alignment with policy and benefit rules minimizing errors and rework to support operational efficiency and member satisfaction.
Analyze claim details and supporting documentation to validate eligibility coverage and pricing logic and to identify discrepancies or potential issues that could negatively impact members providers or company financial outcomes.
Process assigned claims queues within established service levels by applying adjudication rules and regulatory requirements ensuring that each claim outcome supports organizational quality standards and customer commitments.
Collaborate with internal operations and configuration teams through clear written and spoken English communication to resolve claim processing issues share insights on recurring defects and contribute to continuous improvement of health care product workflows.
Investigate claim escalations from customer service or provider relations by reviewing transaction history and system notes then provide detailed resolutions that address root causes and enhance trust in company claims handling.
Maintain up to date knowledge of Medicare and Medicaid regulations and commercial plan guidelines related to claims handling so that daily decisions remain compliant and reduce risk of audit findings or penalties.
Utilize claims administration systems and reporting tools to track claim status identify aging or backlog trends and propose practical actions that help the team meet productivity and accuracy targets.
Document all claim actions in the system with clear concise and complete notes to ensure transparency for downstream teams and support accurate reporting to business stakeholders.
Coordinate with quality review teams when claim samples are audited by responding to findings explaining processing decisions and integrating feedback into future claim handling practices.
Support night shift operations by managing workload independently escalating only complex or policy sensitive scenarios and ensuring continuous coverage that upholds service commitments in a work from home model.
Contribute to knowledge sharing by updating procedure references and claim processing tips based on new health care product features or regulatory changes helping colleagues deliver consistent service and outcomes.
Identify patterns in claim denials or adjustments across Medicare and Medicaid and commercial segments to recommend improvements in messaging configuration or provider education that reduce avoidable rework and member dissatisfaction.
Engage in periodic training and calibration sessions to refine adjudication skills strengthen regulatory understanding and align individual performance with company objectives and societal impact through fair and accurate claims decisions.

Qualifications
Demonstrate practical experience working with health care products and claim administration platforms for at least one year and not more than three years with a proven record of accurate and timely claims processing within a structured environment.
Show strong domain expertise in Medicare and Medicaid claims by confidently interpreting benefit rules cost sharing structures and regulatory requirements involved in claim adjudication and resolution activities.
Apply solid knowledge of commercial claims operations including plan variations network considerations and pricing approaches so that decisions consistently reflect product intent and contractual obligations.
Communicate fluently in English in both written and spoken forms to collaborate effectively with peers supervisors and cross functional teams and to craft clear claim notes and responses that support transparency and service quality.
Thrive in a work from home night shift setting by maintaining focus self discipline and reliable connectivity while meeting defined productivity quality and attendance expectations without direct physical supervision.
Adapt quickly to changes in health care product features claim rules and system enhancements by engaging in ongoing learning and applying updated guidance accurately to daily claim processing tasks.

Certifications Required
Preferred certification in health care claims or medical billing such as Certified Professional Coder or equivalent industry credential.

Apply Now

Refine Your Search

care home care jobs in sembiam chennai tamil nadu

SPE-Claims HC

Home Care Nurse

Home Nurse Manager

Home Care Nurse

Staff Nurse - Home Care

Elderly Caregiver

Sr. Customer Care Officer

Home Care Professional

Co-Founder and Medical Doctor (MBBS)

Home Nursing Patience Care

Medical Coding - OP

Medical Coding - OP Chennai

Babysitter/Nanny

Tele-Caller / Well being Coordinator

Nurse with Home healthcare experience

Story Editor / Reviewer (Children’s Writing)

Staff Nurse

Home Care Nurse

Senior Sales Executive

Diploma Nurse Home HealthCare

I want to receive the latest job alerts for care home care in sembiam chennai tamil nadu

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