Claims Processing Jobs in Hyderabad

JOB SPECIFICATIONS Qualification Bachelors / Masters degree in computer science or related technical field. Years of Experience 10 years of relevant experience. Skills and Capabilities Details People Management Skills N/A...

Key Responsibilities1. Team Leadership & Operational ManagementLead mentor and manage a team responsible for trade promotion management and claim processing.Define and monitor KPIs (TAT accuracy compliance adherence) for the trade claims team.Drive continuous improvement initiatives to enhance proce...

Primary Duties:ï Receive analyze and process assigned claims by product (medical dental vision FSA or HRA) andgroup. Ensure accurate processing based on benefit plan design and/or regulations.ï Evaluate underpayments resolve non-payments and rejected claims. Follow through until theclaim is complete...

Location: KondapurExperience: 8 to 10Work Hours: Eastern Time Role: Diagnosis Related Group (DRG) Coding & Clinical Audit SpecialistRole OverviewThe DRG Coding & Clinical Audit Specialist will be responsible for reviewing inpatient medical records and claims to ensure accurate coding clinical valida...

Staff SWE ApplicationOpportunity Overview:This is a unique opportunity to join a high-caliber software engineering team that is experiencing rapid growth. Youll play a key role in building impactful healthcare technology on a modern technology stack with a focus on our core data and AI platforms. Yo...

Opportunity Overview:Cohere Health is seeking a full-time in-office (Hyderabad) Sr. Product Analyst to join our AI-powered payment integrity this role you will partner closely with Product Management and Software Engineering teams to advance our payment audit workflows and data mining solutions.The...