Hyderabad Telangana Claims specialist Jobs – 104 Open Jobs Today

Collections Representative
Optum —Hyderabad, Telangana
- Full-time
- Microsoft Excel
- Microsoft Outlook
- HIPAA
- Health insurance
Claims Specialist
Insurance & Broking —Hyderabad, Telangana
- ₹2,00,000 - ₹4,00,000 a year
- Full-time
- Microsoft Excel
- Analysis skills
- Bachelor's degree
Quick apply
Credentialing Specialist, Contracts
Nimble Solutions —Hyderabad, Telangana
- Microsoft Word
- Microsoft Excel
- Microsoft Outlook
Quick apply
Denials Specialist
Ventra Health, Inc. —Hyderabad, Telangana
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Basic math
Rejections Specialist
Ventra Health, Inc. —Hyderabad, Telangana
- Full-time
- 12th Pass
- Math
- Organisational skills
Sr. People Experience Partner - APAC
GlobalData PLC —Hyderabad, Telangana
- Full-time
- Microsoft Powerpoint
- Microsoft Excel
- Microsoft Office
Quick apply
AR Calling, Hospital Billing-Specialist- Revenue Cycle Management Services
PwC —Hyderabad, Telangana
- Full-time
- English
- Microsoft Office
- 12th Pass
9d
AR calling, Hospital Billing-Specialist-Revenue Cycle Management Service
PwC —Hyderabad, Telangana
- Full-time
- English
- Microsoft Office
- 12th Pass
9d
Accounts Receivable Specialist – Medical Billing
Gulf Coast RCM and Billing Solutions —Hyderabad, Telangana
- ₹35,000 - ₹45,000 a month
- Full-time
- Microsoft Excel
- Analysis skills
- In-person
- Health insurance
Quick apply
3d
AR Callers/SR AR Callers
DSIG IT SOLUTIONS PRIVATE LIMITED —Hyderabad, Telangana
- ₹15,000 - ₹70,000 a month
- Full-time
- Microsoft Excel
- Microsoft Outlook
- HIPAA
- Health insurance
Quick apply
Subject Matter Expert - Billing and Collections
Enovis —Hyderabad, Telangana
- Full-time
- Nursing
- Analysis skills
- Bachelor's degree
- Health insurance
- Life insurance
Associate - Customer Care - Blended 5A
Genpact India Pvt. Ltd. —Hyderabad, Telangana
- Full-time
- English
- Bachelor's degree
- Business Administration
Quick apply
Analyst - Process Analytics - Claims & Underwriting 5A
Genpact India Pvt. Ltd. —Hyderabad, Telangana
- Full-time
- Microsoft Excel
- Computer Science
- English
Quick apply
1d
Analyst - Process Analytics - Claims & Underwriting 5B
Genpact India Pvt. Ltd. —Hyderabad, Telangana
- Full-time
- Microsoft Excel
- Computer Science
- English
Quick apply
Claims Auditor
Cohere Health —Hyderabad, Telangana
- HIPAA
- English
- Analysis skills
Quick apply
Team Lead, Correspondence
Nimble Solutions —Hyderabad, Telangana
- Management
- Microsoft Office
- Analysis skills
Quick apply
AR Specialist I
WebPT India Private Limited —Hyderabad, Telangana
- Customer service
- Analysis skills
- Organisational skills
Quick apply
Senior Specialist - Program & Project Management
LTM —Hyderabad, Telangana
- Azure
- Microsoft Office
- Project management
Quick apply
Team Leader, Intake
Cohere Health —Hyderabad, Telangana
- Customer service
- HIPAA
- Microsoft Office
Quick apply
10d
Subject Matter Expert - Clinical Specialist
Enovis —Hyderabad, Telangana
- Full-time
- Nursing
- Analysis skills
- Bachelor's degree
- Health insurance
- Life insurance

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Collections Representative

Optum -
Hyderabad, Telangana

Apply Now

Job details

Full-time

Benefits

Health insurance

Qualifications

Microsoft Excel
Microsoft Outlook
HIPAA
English
Microsoft Office
Master's degree
12th Pass
Bachelor's degree
Accounting
Business Administration
Typing
MBA
Billing

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.

The AR Associate is responsible for the accounts receivable aspects of the client-focused revenue cycle operations and must display in-depth knowledge of and execute all standard operating procedures (SOPs) as well as communicating issues, trends, concerns and suggestions to leadership.

Eligibility: Graduate with 18+ months of experience in AR Calling, including both Physician Billing and Hospital Billing where Hospital Billing is mandatory and should have experience in Denial Management within the RCM/AR domain.

Primary Responsibilities:

Review outstanding insurance balances to identify and resolve issues preventing finalization of claim payment, including coordinating with payers, patients and clients when appropriate
Analyze and trend data, recommending solutions to improve first pass denial rates and reduce age of overall AR
Accounts Receivable Specialist that has an "understanding" of the whole accounting cycle / claim life cycle
Ensure all workflow items are completed within the set turn-around-time within quality expectations
Be able to analyze EOBs and denials at a claim level in addition they should find trends impacting dollar and leading to process improvements
Perform other duties as assigned
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:

Graduate (10+2+3) or Btech and MBA with AR experience
18+ months of experience in AR Calling
Domain Expertise: Hands-on experience in both Physician and Hospital Billing
Hospital Billing experience
Proven experience in Hospital Billing-UB04
Solid knowledge of Denial Management within the RCM/AR domain
Solid knowledge of medical insurance (HMO, PPO, Medicare, Medicaid, Private Payers)
In-depth working knowledge of the various applications associated with the workflows

If you are passionate about healthcare and meet the required criteria, we encourage you to attend and share this opportunity with your friends or colleagues who might be interested.

Knowledge / Skills / Abilities:

Solid knowledge and use of the American English language skills with neutral accent
Ability to communicate effectively with all internal and external clients
Ability to use good judgment and critical thinking skills; ability to identify and resolve problems
Proficient in MS Office software; particularly Excel and Outlook
Efficient and accurate keyboard/typing skills
Solid work ethic and a high level of professionalism with a commitment to client/patient satisfaction
Functional knowledge of HIPAA rules and regulations and experience related to privacy laws, access and release of information

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.

Apply Now

Refine Your Search

claims specialist jobs in hyderabad telangana

Collections Representative

Claims Specialist

Credentialing Specialist, Contracts

Denials Specialist

Rejections Specialist

Sr. People Experience Partner - APAC

AR Calling, Hospital Billing-Specialist- Revenue Cycle Management Services

AR calling, Hospital Billing-Specialist-Revenue Cycle Management Service

Accounts Receivable Specialist – Medical Billing

AR Callers/SR AR Callers

Subject Matter Expert - Billing and Collections

Associate - Customer Care - Blended 5A

Analyst - Process Analytics - Claims & Underwriting 5A

Analyst - Process Analytics - Claims & Underwriting 5B

Claims Auditor

Team Lead, Correspondence

AR Specialist I

Senior Specialist - Program & Project Management

Team Leader, Intake

Subject Matter Expert - Clinical Specialist

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