Chennai Tamil Nadu Health insurance claims Jobs – 121 Open Jobs Today

Clinical Investigator
Optum —Chennai, Tamil Nadu
- Full-time
- Nursing
- B.Sc
- Analysis skills
- Health insurance
Senior Process Associate - Claims Adjudicator
CogNet —Ambattur, Chennai, Tamil Nadu
- Full-time
- English
- Microsoft Office
- Analysis skills
4d
Medical Claims Analyst
Med-Metrix —Chennai, Tamil Nadu
- Full-time
- Customer service
- 12th Pass
- Analysis skills
Executive / Sr. Executive – Payment Processing (Insurance TPA)
Link-K Insurance TPA Pvt Ltd —Anna Nagar, Chennai, Tamil Nadu
- ₹20,000 - ₹30,000 a month
- Full-time
- Finance
- Bachelor's degree
- Business Administration
- Cell phone reimbursement
Quick apply
Asst Manager - Employee benefits - Claims
Sriyah Insurance Brokers Pvt Ltd. —Chennai, Tamil Nadu
- ₹3,00,000 - ₹6,00,000 a year
- Full-time
- Analysis skills
- Bachelor's degree
- Organisational skills
- Health insurance
- Paid time off
Quick apply
5d
Total Rewards & Payroll Partner
Ventra Health, Inc. —Perungudi, Chennai, Tamil Nadu
- Full-time
- Microsoft Excel
- Master's degree
- Analysis skills
AR Analyst
Starlink Healthcare Administration —Chennai, Tamil Nadu
- ₹25,000 - ₹35,000 a month
- Full-time
- In-person
- Communication skills
- Health insurance
Quick apply
Health Operations New Associate
Accenture —Chennai, Tamil Nadu
- Full-time
Insurance Executive
SIMS HOSPITAL, Vadapalani —Vadapalani, Chennai, Tamil Nadu
- From ₹20,000 a month
- Full-time
- Bachelor's degree
- In-person
- Medical terminology
- Health insurance
- Food provided
Quick apply
9d
OP Billing Executive
SRI KAUVERY MEDICAL CARE (INDIA) LIMITED —Vadapalani, Chennai, Tamil Nadu
- ₹18,000 - ₹25,000 a month
- Full-time
- Bachelor's degree
- In-person
- Medical terminology
- Health insurance
Quick apply
Health Operations Senior Analyst
Accenture —Chennai, Tamil Nadu
- Full-time
- Analysis skills
- Communication skills
Recruiting For AR Callers- RCM
NSIGHT SOLUTION PVT LTD —Chennai, Tamil Nadu
- ₹20,000 - ₹40,000 a month
- Full-time
- Microsoft Word
- English
- Microsoft Office
- Health insurance
- Work from home
Quick apply
Claim Processor
Watchyourhealth.com India Private Limited —Chennai, Tamil Nadu
- ₹25,000 - ₹27,000 a month
- Full-time
- English
- Analysis skills
- Bachelor's degree
Quick apply
Registration/Eligibility Edits Specialist
Ventra Health, Inc. —Guindy, Chennai, Tamil Nadu
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Basic math
6d
Insurance Executive / Coordinator
Kauvery Hospital, Kovilambakkam —Kovilambakkam, Chennai, Tamil Nadu
- ₹19,000 - ₹32,000 a month
- Full-time
- Microsoft Word
- Microsoft Excel
- Microsoft Office
- Health insurance
Quick apply
CRM -Helpdesk executive - TPA - Chennai location
MEDI ASSIST INSURANCE TPA PRIVATE LIMITED —Chennai, Tamil Nadu
- ₹1,85,000 - ₹2,50,000 a year
- Full-time
- English
- Microsoft Office
- 12th Pass
- Health insurance
- Cell phone reimbursement
Quick apply
Claims Assessor
Good insurance brokers pvt ltd —Anna Nagar West, Chennai, Tamil Nadu
- ₹2,50,000 - ₹3,60,000 a year
- Full-time
- English
- In-person
- Communication skills
- Health insurance
Quick apply
6d
RCM Fresher (Day Shift / Night Shift)
SolvEdge —Chennai, Tamil Nadu
- Email
- Microsoft Word
- Microsoft Excel
- Microsoft Outlook
- Health insurance
Claim Processing Executive-Chennai
Watchyourhealth.com India Private Limited —Chennai, Tamil Nadu
- ₹23,000 - ₹27,000 a month
- Full-time
- English
- Analysis skills
- Bachelor's degree
Quick apply
Senior AR Caller – Revenue Cycle Management (US Healthcare)
Red Sky Health —Chennai, Tamil Nadu
- From ₹3,00,000 a year
- Full-time
- Microsoft Word
- English
- Microsoft Office
- Flexible schedule
- Paid sick time
Quick apply
5d

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Clinical Investigator

Optum -
Chennai, Tamil Nadu

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Job details

Full-time

Benefits

Health insurance

Qualifications

Nursing
B.Sc
BUMS
Analysis skills
Science
Medical records
Bachelor's degree
CPT coding
BAMS
MPT

Full job description

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

Positions in this function are responsible for investigating, recovering and resolving all types of claims as well as recovery and resolution for health plans, commercial customers and government entities. May include initiating telephone calls to members, providers and other insurance companies to gather coordination of benefits data. Investigate and pursue recoveries and payables on subrogation claims and file management. Process recovery on claims. Ensure adherence to state and federal compliance policies, reimbursement policies and contract compliance. May conduct contestable investigations to review medical history. May monitor large claims including transplant cases.

Primary Responsibilities:

Prevent the payment of potentially fraudulent and/or abusive claims utilizing medical expertise, knowledge of CPT/diagnosis codes, CMC guideline along with referring to client specific guidelines and member policies
Adherence to state and federal compliance policies and contract compliance
Assist the prospective team with special projects and reporting
Work is frequently completed without established procedures
Works independently
May act as a resource for others
May coordinate others' activities
Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so

Required Qualifications:

Graduation - Any Graduate, BHMS/BAMS/BUMS/BPT/MPT (preferred)
B.Sc. Nursing and BDS with 1+ years of corporate experience
Certified coder through AAPC
Certifications accepted - CPC Only
1+ years of experience (if not medical graduate) - specialty coding such as E&M, surgery, anesthesia etc., but not only HCC
Extensive work experience within own function
Proven attention to detail & Quality focused
Proven excellent analytical & comprehension skills

Preferred Qualifications:

Claims processing experience
Health Insurance knowledge, managed care experience
Knowledge of US Healthcare and coding
Medical record familiarity

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

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Refine Your Search

health insurance claims jobs in chennai tamil nadu

Clinical Investigator

Senior Process Associate - Claims Adjudicator

Medical Claims Analyst

Executive / Sr. Executive – Payment Processing (Insurance TPA)

Asst Manager - Employee benefits - Claims

Total Rewards & Payroll Partner

AR Analyst

Health Operations New Associate

Insurance Executive

OP Billing Executive

Health Operations Senior Analyst

Recruiting For AR Callers- RCM

Claim Processor

Registration/Eligibility Edits Specialist

Insurance Executive / Coordinator

CRM -Helpdesk executive - TPA - Chennai location

Claims Assessor

RCM Fresher (Day Shift / Night Shift)

Claim Processing Executive-Chennai

Senior AR Caller – Revenue Cycle Management (US Healthcare)

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