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Claims Associate - US Healthcare ( 4 Plus years) - Male Candidates - Immediate Joiners

Keywords / Skills : Claims associate, Claims, US healthcare, Claim adjustment, process executive, Claims executive, AR calling, Healthcare life cycle, HCFA, UB, communication Skills

3 - 6 years
Posted: 2019-04-02

Industry
ITES/BPO
Hospitals/Healthcare/Diagnostics
Function
Customer Service/Call Centre/BPO
Role
Customer Service Executive (Voice)
Education
Any graduate
Salary
0.00 - 2.50 lacs
Posted On
2nd Apr 2019
Job Description
Immediate Joiners required.  Male candidates required

Please read the below details before applying.

Experience : 4 plus to 6 years Max

Salary : 2.5 LPA

No cabs provided

Location : Begumpet 

Candidate Attributes: 

• Knowledge on US Healthcare

• Evaluate online entry, error connection and final adjudication of paper/electronic claims

• Determine if the claims are complete and correct

• Resolve claims edit, review history records and determine the benefits eligibility for service, review payment levels to arrive at final payment determination

• Hands on experience on the lifecycle of claims processing

• Knowledge of operating systems specific to claims processing

• Knowledge on HCFA and UB claim forms

• Good oral and written communication skills

• Problem solving skills, attention to detail, and analytical abilities

• Good office skills

• Understanding of Health Care Domain

• Interpersonal skills

• Team Leadership skills

• Training Skills 


Job Responsibilities: 

• Accountable for the team and delivery of SLA targets

• Responsible for team productivity, quality and process objectives/ metrics

• Responsible for individual and team load balancing.

• Preparation of MIS reports

• Process Documentation

• Process Improvements

• Training of Resources

• Reports to Assistant Manager Operations


Please apply or refer someone who is in need of a job.


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