Search Results: 16 vacancies
...metrics, and collaborating across one of the world’s most innovative financial organizations.
As a Senior Product Associate in Claims, Disputes and Fraud Operations, you contribute to the team by leveraging your expertise in product development and optimization to...
...Proposition
To drive the development and delivery of end-to-end data and analytics solutions for key insurance business functions such as claims service &operations, customer acquisition, customer engagement & retention, distribution, investments, marketing, risk management...
metlife
Hyderabad
1 day ago
...reporting of all client billing
Take ownership of Accounts Payable/Receivable, ensuring timely fee collection
Facilitate subsidy claims for IBF accredited trainings
Maintain good relationships with external Accountants and Auditors
Assist the Business to...
BondbloX
Hyderabad
3 days ago
...story telling . In-depth knowledge of Rare disease and common databases like IQVIA, APLD, LAAD, Speciality Pharma and Distributor, Claims data etc.
Soft skills: Strong learning agility; Ability to manage ambiguous environments, and to adapt to changing needs of the...
Sanofi
Hyderabad
2 days ago
...member complaints, provider payment appeals, provider payment disputes, customer service, utilization management, medical management, claims, regulatory affairs / compliance, and 5-7 years in healthcare claims review, customer service and/or member appeals and grievances....
PwC
Hyderabad
2 days ago
...Proposition
To lead the development, delivery and execution of end-to-end data solutions for key insurance business functions such as claims service &operations, customer acquisition, customer engagement & retention, distribution, investments, marketing, risk management...
metlife
Hyderabad
5 days ago
...analytical skills, focused on completion of task and be supportive of everyone on the team.
What you will be doing?
Reviewing customer claims at an order level to identify behavioural data that can be indicative of whether the customer is an abuser or not, i.e. check...
Deliveroo
Hyderabad
3 days ago
...critical solutions. Our top leadership come from Professionals Services where Certifications are important to the area of expertise we claim, most of our consultants have more than one certification in the integration products we support. Since 2016, we have grown to...
ProwessSoft
Hyderabad
2 days ago
...Improvement
US Healthcare Revenue Cycle Performance Management Reporting
US Healthcare Commercial and Managed Care Insurance Claim Management/Billing/Claim Edit Resolution
US Healthcare Medicare and Medicaid Insurance Claim Management/Billing/Claim Edit Resolution...
PwC
Hyderabad
4 days ago
...complaints , provider payment appeals, provider payment disputes, c ustomer service , utilization management, medical management, claims, regulatory affairs / compliance
Responsibilities:
As a Specialist , you’ll work as part of a team of problem solvers with...
PwC
Hyderabad
4 days ago
...experience with appeals and grievances
Desired Knowledge and Skills
O perational managed care experience (call center, appeals or claims environment).
Health claims processing background, including coordination of benefits, subrogation, and eligibility criteria ....
PwC
Hyderabad
4 days ago
...Responsibilities:
Manages the internal clinical denial and appeals team in a manner that diligently investigates Payer denied claims;
Direct overarching, results-driven activities on multiple large projects by developing the project team, assessing engagement risks...
PwC
Hyderabad
4 days ago
...-4 years is required in the following areas:
Medical collections (Medical Collections Specialist II preferred), billing and/or claims experience
Customer service experience
All payer knowledge required (government and non-government)
Responsibilities:
As...
PwC
Hyderabad
2 days ago
...people/ etc.)
Review Customer Satisfaction results and touchpoint plans/outcomes from visits.
Review of outstanding Warranty claims.
Review of Teams' utilization (billable and non-billable hours).
Intended Outcome:
Development of monthly forecast along with...
...welcome opposing and conflicting ideas.
Uphold the firm's code of ethics and business conduct.
Job Description
1. Insurance Claim Follow-Up: Review and analyze unpaid or underpaid insurance claims. Contact insurance companies to identify reasons for denials, delays...
PwC
Hyderabad
2 days ago
...revenue cycle with specialization in hospital billing, follow-up, and the account resolution process to include, but not limited to: claims submission, acceptance, and adjudication, transaction reviews, adjustment posting, identification of patient responsibility, etc....
PwC
Hyderabad
4 days ago
