4 Insurance Verification jobs in India

Insurance Verification Executive

Pune, Maharashtra Medtronic

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Job Description

At Medtronic you can begin a life-long career of exploration and innovation, while helping champion healthcare access and equity for all. You'll lead with purpose, breaking down barriers to innovation in a more connected, compassionate world.
**A Day in the Life**
Medtronic is expanding their footprint for Diabetes Care with a center in Pune and as the Insurance Verification Executive for Patient Financial Services, India, this role is responsible for all aspects of insurance eligibility, and benefit verification, including customer service, with the objective of minimizing controllable denials and maximizing the clean claim rate within Patient Financial Services.
The Diabetes Operating Unit focuses on improving the lives of those within the global diabetes community. As a business, we strive to empower people with diabetes to live life on their terms by delivering innovation that truly matters and providing support in the ways they need it.
Our portfolio of innovative solutions is designed to provide customers greater freedom and better health, helping them achieve better glucose control, while spending less time managing their disease.
**Responsibilities may include the following and other duties may be assigned:**
As an Insurance Verification Executive for Patient Financial Services, the role involves following prescribed policies and procedures, performs a variety of verification tasks using standard healthcare guidelines.
+ Provides eligibility and insurance verification support to product sales teams by working assigned tasks within service level agreements.
+ Utilizes the system, and/or contact the patient to obtain basic policy, plan and group numbers for all insurance carriers on the patient's account to confirm eligibility.
+ Interact with insurance carriers/patients/websites to conduct comprehensive insurance benefit verifications for all insurance carriers with confirmed eligibility on the patient's account.
+ Document insurance eligibility and benefits within the customer account to ensure accurate and timely billing for current and future customer orders.
+ Collaborate with internal and external customers to assist our patients with questions on obtaining Medtronic products, therapy, troubleshooting, health insurance coverage concerns, transferring patients to the appropriate department as needed.
+ Enters data into computer systems using defined resources and programs, and investigates questionable data, and recommends actions to resolve discrepancies.
**Required Knowledge and Experience:**
+ Bachelor's degree Business or Accounting major is preferred.
+ 1 to 2 years of insurance verification experience in a US healthcare environment.
+ Experience with various insurance plans offered by both government and commercial insurances (i.e., PPO, HMO, EPO, POS, Medicare, Medicaid, HRA's) and coordination of healthcare benefits, including requirements for referral, authorization, and pre-determination.
+ Experience with medical billing and collections terminology - CPT, HCPCS and ICD-9 coding.
+ Experience with HIPAA guidelines and healthcare compliance.
+ Previous experience in receiving and making outbound calls to patients to explain insurance benefits related to health insurance, and/or discussing patient financial responsibilities.
**Physical Job Requirements**
The above statements are intended to describe the general nature and level of work being performed by employees assigned to this position, but they are not an exhaustive list of all the required responsibilities and skills of this position. 
**Benefits & Compensation**
**Medtronic offers a competitive Salary and flexible Benefits Package**
A commitment to our employees lives at the core of our values. We recognize their contributions. They share in the success they help to create. We offer a wide range of benefits, resources, and competitive compensation plans designed to support you at every career and life stage.
This position is eligible for a short-term incentive called the Medtronic Incentive Plan (MIP).
**About Medtronic**
We lead global healthcare technology and boldly attack the most challenging health problems facing humanity by searching out and finding solutions.
Our Mission - to alleviate pain, restore health, and extend life - unites a global team of 95,000+ passionate people.
We are engineers at heart- putting ambitious ideas to work to generate real solutions for real people. From the R&D lab, to the factory floor, to the conference room, every one of us experiments, creates, builds, improves and solves. We have the talent, diverse perspectives, and guts to engineer the extraordinary.
Learn more about our business, mission, and our commitment to diversity here ( lead global healthcare technology and boldly attack the most challenging health problems facing humanity by searching out and finding solutions.
Our Mission - to alleviate pain, restore health, and extend life - unites a global team of 95,000+ passionate people.
We are engineers at heart- putting ambitious ideas to work to generate real solutions for real people. From the R&D lab, to the factory floor, to the conference room, every one of us experiments, creates, builds, improves and solves. We have the talent, diverse perspectives, and guts to engineer the extraordinary.
**We change lives** . Each team member, each day, helps to improve and redefine how the world treats the most pressing health conditions, from heart disease to diabetes. Our industry leadership comes from the passion and ingenuity of our people. That's who we are. Working alongside one another, we use science, medicine, and a profound understanding of the human body to build extraordinary technologies that can transform lives.
**We build extraordinary solutions as one team** . With one Medtronic Mindset defining how we work. Speed and decisiveness run through our DNA. Diverse perspectives inspire our bold answers to any challenge that comes our way. And we deliver results the right way, breakthrough after patient breakthrough.
**This life-changing career is yours to engineer** . By bringing your ambitious ideas, unique perspective and contributions, you will.
+ **Build** a better future, amplifying your impact on the causes that matter to you and the world
+ **Grow** a career reflective of your passion and abilities
+ **Connect** to a dynamic and inclusive culture that welcomes the challenge of life-long learning
These commitments set our team apart from the rest:
**Experiences that put people first** . Respect for people is the hallmark of our humanity. It fuels our team to positively impact even a single life. And it means we put our people first at Medtronic as well, creating a culture of belonging and always pushing to get you the career-building resources you need.
**Life-transforming technologies** . No matter your role, you contribute to technologies that transform lives. What we build empowers patients to live life on their terms.
**Better outcomes for our world** . Here, it's about more than the bottom line. Our Mission to improve human welfare drives us. We advance healthcare, society, and equity with every design, inside and outside our walls.
**Insight-driven care** . Fresh viewpoints. Cutting-edge AI, data, and automation. You're shaping the future of healthcare technology and defining the next generation of breakthroughs in care
It is the policy of Medtronic to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, Medtronic will provide reasonable accommodations for qualified individuals with disabilities.
For sales reps and other patient facing field employees, going into a healthcare setting is considered an essential function of the job and we expect our employees to comply with all credentialing requirements at the hospitals or clinics they support.
This employer participates in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program, please click here ( .
For updates on job applications, please go to the candidate login page and sign in to check your application status.
If you need assistance completing your application please email
To request removal of your personal information from our systems please email
This advertiser has chosen not to accept applicants from your region.

Insurance Verification Subject Matter Expert

Pune, Maharashtra Medtronic

Posted 2 days ago

Job Viewed

Tap Again To Close

Job Description

At Medtronic you can begin a life-long career of exploration and innovation, while helping champion healthcare access and equity for all. You'll lead with purpose, breaking down barriers to innovation in a more connected, compassionate world.
**A Day in the Life**
Medtronic is expanding their footprint for Diabetes Care with a center in Pune and as the Insurance Verification Subject Matter Expert for Patient Financial Services, India, this role is responsible for all aspects of insurance eligibility, and benefit verification, including customer service, with the objective of minimizing controllable denials and maximizing the clean claim rate within Patient Financial Services.
The Diabetes Operating Unit focuses on improving the lives of those within the global diabetes community. As a business, we strive to empower people with diabetes to live life on their terms by delivering innovation that truly matters and providing support in the ways they need it.
Our portfolio of innovative solutions is designed to provide customers greater freedom and better health, helping them achieve better glucose control, while spending less time managing their disease.
**Responsibilities may include the following and other duties may be assigned:**
As an Insurance Verification SME for Patient Financial Services, the role involves following prescribed policies and procedures, performs a variety of verification tasks using standard healthcare guidelines.
+ Provides eligibility and insurance verification support to product sales teams by working assigned tasks within service level agreements.
+ Utilizes the system, and/or contact the patient to obtain basic policy, plan and group numbers for all insurance carriers on the patient's account to confirm eligibility.
+ Interact with insurance carriers/patients/websites to conduct comprehensive insurance benefit verifications for all insurance carriers with confirmed eligibility on the patient's account.
+ Document insurance eligibility and benefits within the customer account to ensure accurate and timely billing for current and future customer orders.
+ Collaborate with internal and external customers to assist our patients with questions on obtaining Medtronic products, therapy, troubleshooting, health insurance coverage concerns, transferring patients to the appropriate department as needed.
+ Enters data into computer systems using defined resources and programs, and investigates questionable data, and recommends actions to resolve discrepancies.
**Required Knowledge and Experience:**
+ Bachelor's degree in business or accounting major is preferred.
+ 4 to 6 years of Insurance Verification experience in a US healthcare environment.
+ Experience with reading, and understanding medical policy information, and utilizing insurance benefit and coverage information to calculate estimated patient responsibility, taking into consideration pre-determination, referral, authorization, and contract terms.
+ Experience with various insurance plans offered by both government and commercial insurances (i.e., PPO, HMO, EPO, POS, Medicare, Medicaid, HRA's) and coordination of healthcare benefits, including requirements for referral, authorization, and pre-determination.
+ Experience with HIPAA guidelines and healthcare compliance.
+ Previous experience in receiving and making outbound calls to patients to explain insurance benefits related to health insurance, and/or discussing patient financial responsibilities.
**Physical Job Requirements**
The above statements are intended to describe the general nature and level of work being performed by employees assigned to this position, but they are not an exhaustive list of all the required responsibilities and skills of this position. 
**Benefits & Compensation**
**Medtronic offers a competitive Salary and flexible Benefits Package**
A commitment to our employees lives at the core of our values. We recognize their contributions. They share in the success they help to create. We offer a wide range of benefits, resources, and competitive compensation plans designed to support you at every career and life stage.
This position is eligible for a short-term incentive called the Medtronic Incentive Plan (MIP).
**About Medtronic**
We lead global healthcare technology and boldly attack the most challenging health problems facing humanity by searching out and finding solutions.
Our Mission - to alleviate pain, restore health, and extend life - unites a global team of 95,000+ passionate people.
We are engineers at heart- putting ambitious ideas to work to generate real solutions for real people. From the R&D lab, to the factory floor, to the conference room, every one of us experiments, creates, builds, improves and solves. We have the talent, diverse perspectives, and guts to engineer the extraordinary.
Learn more about our business, mission, and our commitment to diversity here ( lead global healthcare technology and boldly attack the most challenging health problems facing humanity by searching out and finding solutions.
Our Mission - to alleviate pain, restore health, and extend life - unites a global team of 95,000+ passionate people.
We are engineers at heart- putting ambitious ideas to work to generate real solutions for real people. From the R&D lab, to the factory floor, to the conference room, every one of us experiments, creates, builds, improves and solves. We have the talent, diverse perspectives, and guts to engineer the extraordinary.
**We change lives** . Each team member, each day, helps to improve and redefine how the world treats the most pressing health conditions, from heart disease to diabetes. Our industry leadership comes from the passion and ingenuity of our people. That's who we are. Working alongside one another, we use science, medicine, and a profound understanding of the human body to build extraordinary technologies that can transform lives.
**We build extraordinary solutions as one team** . With one Medtronic Mindset defining how we work. Speed and decisiveness run through our DNA. Diverse perspectives inspire our bold answers to any challenge that comes our way. And we deliver results the right way, breakthrough after patient breakthrough.
**This life-changing career is yours to engineer** . By bringing your ambitious ideas, unique perspective and contributions, you will.
+ **Build** a better future, amplifying your impact on the causes that matter to you and the world
+ **Grow** a career reflective of your passion and abilities
+ **Connect** to a dynamic and inclusive culture that welcomes the challenge of life-long learning
These commitments set our team apart from the rest:
**Experiences that put people first** . Respect for people is the hallmark of our humanity. It fuels our team to positively impact even a single life. And it means we put our people first at Medtronic as well, creating a culture of belonging and always pushing to get you the career-building resources you need.
**Life-transforming technologies** . No matter your role, you contribute to technologies that transform lives. What we build empowers patients to live life on their terms.
**Better outcomes for our world** . Here, it's about more than the bottom line. Our Mission to improve human welfare drives us. We advance healthcare, society, and equity with every design, inside and outside our walls.
**Insight-driven care** . Fresh viewpoints. Cutting-edge AI, data, and automation. You're shaping the future of healthcare technology and defining the next generation of breakthroughs in care
It is the policy of Medtronic to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, Medtronic will provide reasonable accommodations for qualified individuals with disabilities.
For sales reps and other patient facing field employees, going into a healthcare setting is considered an essential function of the job and we expect our employees to comply with all credentialing requirements at the hospitals or clinics they support.
This employer participates in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program, please click here ( .
For updates on job applications, please go to the candidate login page and sign in to check your application status.
If you need assistance completing your application please email
To request removal of your personal information from our systems please email
This advertiser has chosen not to accept applicants from your region.

Medical Billing executive

Bengaluru, Karnataka Spandana Hospital

Posted 23 days ago

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Job Description

full-time

Company Overview

Spandana Hospital is a highly reputed healthcare institution located in Bangalore, dedicated to offering world-class health services at affordable costs. Our experienced team of medical and administrative professionals is committed to delivering high-quality tertiary and critical care. As a leader in the Hospital and Health Care industry, we are focused on patient-centered service for optimal health outcomes. For more information, visit our website .


Job Overview

We are seeking a Junior Medical Billing Executive to join our team in Bengaluru on a full-time basis. The ideal candidate will have 1 to 3 years of experience in the medical billing field. The individual will be responsible for handling multiple aspects of medical billing and collections while ensuring accurate billing processes are followed consistently.


Qualifications and Skills

  • Proficient experience with Electronic Health Records (EHR) Software (Mandatory skill).
  • Expertise in Claim Submission processes, ensuring timely and accurate transactions (Mandatory skill).
  • Skilled in Payment Posting, efficiently processing payments and adjustments (Mandatory skill).
  • Knowledge in CPT Coding, successfully using the correct code to expedite the billing process.
  • Understanding of ICD-10 Coding, ensuring correct diagnostic labeling for insurance claims.
  • Familiarity with HCPCS, effectively categorizing a variety of healthcare services and supplies.
  • Revenue Cycle Management capability, overseeing the financial aspects from service delivery to payment.
  • Proficient in Denial Management, identifying and appealing denied claims effectively.


Roles and Responsibilities

  • Manage patient billing processes, ensuring timely and accurate charge entry into the system.
  • Review and verify coding accuracy to comply with standard protocols and prevent rejections.
  • Prepare and process claims, adhering to various insurance and billing guidelines.
  • Resolve billing issues by routinely examining accounts and addressing discrepancies promptly.
  • Post payments received from patients and insurance companies, maintaining precise records.
  • Communicate effectively with insurance representatives and patients to reconcile account balances.
  • Conduct regular follow-ups on unpaid claims and handle insurance denial appeals.
  • Collaborate with the healthcare team to streamline billing operations and enhance efficiency.
This advertiser has chosen not to accept applicants from your region.

Claims Processing Manager - Health Insurance

226001 Lucknow, Uttar Pradesh ₹1000000 Annually WhatJobs

Posted 10 days ago

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Job Description

full-time
Our client, a leading provider of health insurance solutions, is seeking a skilled and experienced Claims Processing Manager to lead their operations in Lucknow, Uttar Pradesh, IN . This position utilizes a hybrid work arrangement, offering the best of both worlds: in-office synergy and remote flexibility. You will oversee the entire claims processing department, ensuring efficient, accurate, and timely settlement of all health insurance claims in compliance with company policies and regulatory requirements. Key responsibilities include managing a team of claims adjusters and processors, setting performance targets, monitoring key performance indicators (KPIs), and implementing process improvements to enhance efficiency and customer satisfaction. You will also be responsible for identifying and mitigating potential fraud, ensuring compliance with legal and ethical standards, and liaising with other departments, medical providers, and policyholders. The ideal candidate possesses extensive experience in health insurance claims processing, a strong understanding of medical terminology and coding, and proven leadership and team management skills. Excellent analytical, problem-solving, and decision-making abilities are crucial. Proficiency in claims management software and a thorough knowledge of insurance regulations are essential. This is a significant opportunity to lead a critical function within a growing insurance organization and make a tangible impact on member satisfaction. Strong communication and interpersonal skills are required to manage a diverse team and interact effectively with various stakeholders. A commitment to upholding the highest standards of service and integrity is paramount. Join us to shape the future of claims management in the health insurance sector.
This advertiser has chosen not to accept applicants from your region.
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