Process Associates - Healthcare Claims

Responsibilities

Good knowledge of healthcare claim processing and medical terminologies

Entry of Information related to personal details, provider details, invoice information, procedure & impairment codes

Reading & taking appropriate action on Alerts related to Members & providers

Identify duplicate Claims and take appropriate action

Responsible to understand and comprehend, good customer service attitude to clearly articulate the resolution.

Responsible to handle multifaceted volumes of workloads and to reach targets and deadlines on a timely basis

Responsible to demonstrate and cultivate customer focus, collaboration, accountability, initiative and innovation.

Open to work in night shifts (9:30 PM to 06:30AM IST)

No fixed Saturday / Sunday off. 5 day working culture with weekend working

Qualifications we seek in you!

Minimum qualifications

Life Science Graduate in Bio-technology/ B.Pharma/ M.Pharma/ Biological science/bio-medical science/Micro-Biology/Bioinformatics/Nursing/Botany or Zoology

Relevant work experience in healthcare claim processing

Preferred qualifications

Good knowledge of using Excel, MS Access Database

Proficient in English language written and verbal communication

Health Insurance client experience preferred