Sureminds Solutions Pvt Ltd
https://sureminds.co.inAbout
Company social profiles
Jobs at Sureminds Solutions Pvt Ltd
The recruiter has not been active on this job recently. You may apply but please expect a delayed response.
Position Insurance Follow Up - 2 (ISP-2)
Shift US Shift (05:30 PM to 03:00 AM)
Job function· Checking denials from EOBs, ERAs by calling the Insurance Companies. · Calling the insurance companies for the specification of denials. · Reprocessing the claim over the phone or reopening the claims on the online portals · Filing an appeal to the insurance companies with the required information · Checking status of the appeal filed and reprocessed claims through IVR, Calls and online payer’s portal · Refilling corrected claims with coding/demographic/authorization/referral corrections. · Disputing with the insurance companies on incorrect denials. · Working on FTH (Fix The Hole) to prevent future denials · Tasking to the clients and other teams for required information · Preparing Trending Analysis on the denials and escalating to Supervisors · Finding updates from payers via call or online for billing related information and sharing with the concern team/department to prevent denials. · Responsible for updating any internal databases, electronically storing and organizing patients' records, billing details, and registration forms.
Education +2 or Graduate in any stream
Training/Work
experience Billing & collections training and/or 1 year of industry experience in the relevant function
Other specifications Good English communication (reading, writing, listening, speaking) Understanding of US healthcare, HIPAA Good at Operating Computer - software and MS office
Capable of task execution based on work instructio
The recruiter has not been active on this job recently. You may apply but please expect a delayed response.
A senior technical candidate who has managed AFS (Anti Fraud Solutions),Risk & Anti money laundering (AML) projects.
Experience: 15+ years of experience in BFSI domain.
Location: Mumbai
Note- Candidate should be from IT product companies only.
Key Skills: Hands on BFSI Domain experience, Strong leadership Qualities, Excellent communication and presentation skills
Roles & Responsibilities:
- Understand and maintain awareness of Global Regulatory guide lines, Risk management, and industry leading practices and use cases for AML, Anti-Fraud and Tax Reg.
- Responsible for AML and AFS product development & support and activities including roadmap planning and strategic direction.
- Enhancing our value proposition in the product demos and presentations to the clients.
- Proactively managing all aspects of the product life cycle including strategic planning, budget planning, product development, and marketing and communication strategy.
- Constantly enrich the software functionality and enhance its competitiveness working closely with Product Delivery Team.
- Should be able to speak in events on RegTech.
Similar companies
About the company
Appknox, a leading mobile app security solution HQ in Singapore & Bangalore was founded by Harshit Agarwal and Subho Halder.
Since its inception, Appknox has become one of the go-to security solutions with the most powerful plug-and-play security platform, enabling security researchers, developers, and enterprises to build safe and secure mobile ecosystems using a system-plus human approach.
Appknox offers VA+PT solutions ( Vulnerability Assessment + Penetration Testing ) that provide end-to-end mobile application security and testing strategies to Fortune 500, SMB and Large Enterprises Globally helping businesses and mobile developers make their mobile apps more secure, thus not only enhancing protection for their customers but also for their own brand.
During the course of 9 years, Appknox has scaled up to work with some major brands in India, South-East Asia, Middle-East, Japan, and the US and has also successfully enabled some of the top government agencies with its On-Premise deployments & compliance testing. Appknox helps 500+ Enterprises which includes 20+ Fortune 1000 and ministries/regulators across 10+ countries and some of the top banks across 20+ countries.
A champion of Value SaaS, with its customer and security-first approach Appknox has won many awards and recognitions from G2, and Gartner and is one of the top mobile app security vendors in its 2021 Application security Hype Cycle report.
Our forward-leaning, pioneering spirit is backed by SeedPlus, JFDI Asia, Microsoft Ventures, and Cisco Launchpad and a legacy of expertise that began at the dawn of 2014.
Jobs
2
About the company
Certa’s no-code platform makes it easy to digitize and manage the lifecycle of all your suppliers, partners, and customers. With automated onboarding, contract lifecycle management, and ESG management, Certa eliminates the procurement bottleneck and allows companies to onboard third-parties 3x faster.
Jobs
7
About the company
Jobs
0
About the company
Quantiphi is an award-winning AI-first digital engineering company driven by the desire to reimagine and realize transformational opportunities at the heart of the business. Since its inception in 2013, Quantiphi has solved the toughest and most complex business problems by combining deep industry experience, disciplined cloud, and data-engineering practices, and cutting-edge artificial intelligence research to achieve accelerated and quantifiable business results.
Jobs
15
About the company
Jobs
1
About the company
Discovr AI is an agentic, AI-native creator advertising platform that helps brands and agencies plan, execute, and measure influencer campaigns with speed, control, and repeatable performance. We automate the campaign lifecycle—from briefs and creator selection to approvals, QA, and reporting—so teams can scale creator programs without scaling headcount. Built for enterprise workflows, Discovr AI brings structured processes, visibility, and measurable outcomes to creator-led advertising
Jobs
2
About the company
Outpilot is an AI-powered outreach engine that identifies decision-makers and produces human-grade outreach at scale for sponsorship and complex B2B.
Jobs
1
