Process Consultant/Sr Process Consultant

1 month ago


Bengaluru Bangalore, India timesjobs Full time
ELIGIBILITY:
1. Minimum 1+ years of Claims adjudication experience [both Medical & Hospital claims];
Rework experience is preferred

a. Those with past Claims adjudication experience and currently working with non-
claims business areas [Ex: Overpayment, Correspondence, CG&A, MCM, etc] are

also eligible to apply
b. Preferred working knowledge of Provider/Provider correspondence or
engagement platforms

2. Good written communication skills to respond to Provider conveying a positive and
professional image [of our Client] is essential
3. Ideal candidate should possess probing skills necessary to request for additional
information that may be required to resolve Provider issues
4. Able to self-direct and monitor their case management [ sending letters, follow ups, and
resolving the case with appropriate actions/notes]
5. Ability to meet and exceed Quality, Production and TAT goals as per set expectations

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