Roles and Responsibilities:
-Process Adjudication claims and resolve for payment and Denials
-Knowledge in handling authorization, COB, duplicate, pricing and corrected claims process
-Knowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits and exclusions, state variations
-Ensuring accurate and timely completion of transactions to meet or exceed client SLAs
-Organizing and completing tasks according to assigned priorities.
-Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the team
-Resolving complex situations following pre-established guidelines
Requirements:
-1-3 years of experience in processing claims adjudication and adjustment process
-Experience of Facets is an added advantage.
-Experience in professional (HCFA), institutional (UB) claims (optional)
-Both under graduates and post graduates can apply
-Good communication (Demonstrate strong reading comprehension and writing skills)
-Able to work independently, strong analytic skills
Required schedule availability for this position is Monday-Friday 5.30PM/3.30AM IST (AR SHIFT). The shift timings can be changed as per client requirements. Additionally, resources may have to do overtime and work on weekend’s basis business requirement.
