HC & Insurance Operations Senior Rep.

In this Role you will be Responsible For :  Read and understand the process documents provided by the customer. Entry-level administrative operations support performing various basic tasks (mail, file services, reporting, project support, and general account support activities). Analyze the insurance request received from the customer and process...

In these roles you will be responsible for: - Ensuring accurate and timely completion of transactions to meet our or client service deliverables - 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...

In these roles you will be responsible for: -  *Ensuring accurate and timely completion of transactions to meet our or client service deliverables  *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...

In these roles you will be responsible for: - *Ensuring accurate and timely completion of transactions to meet our or client service deliverables *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...

**In this Role you will be Responsible For**: - Read and understand the process documents provided by the customer. - Entry-level administrative operations support performing various basic tasks (mail, file services, reporting, project support, and general account support activities). - Analyze the insurance request received from the customer and process as...

In this Role you will be Responsible For : Read and understand the process documents provided by the customer. Analyse the insurance request received from the customer and process as per standard operating procedures. Familiarize, navigate multiple client applications and capture the necessary information to process customer request. Clearing the enquiry...

In this Role you will be Responsible For :  Read and understand the process documents provided by the customer. Analyse the insurance request received from the customer and process as per standard operating procedures. Familiarize, navigate multiple client applications and capture the necessary information to process customer request. Clearing...

In this Role you will be Responsible For : Read and understand the process documents provided by the customer.Analyse the insurance request received from the customer and process as per standard operating procedures.Familiarize, navigate multiple client applications and capture the necessary information to process customer request.Clearing the enquiry from...

"- Checks for completeness and appropriateness of source data. - Involved in fact finding, information search and data gathering. - Verifies and compiles data. Identifies and resolves routine and recurring problems. Skills Required - Ability to analyze and process transactions based on rules. - Able to integrate knowledge as a skilled specialist. - Possess...

**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...

**In this Role you will be Responsible For**: - Read and understand the process documents provided by the customer. - Analyse the insurance request received from the customer and process as per standard operating procedures. **Requirements for this role include**: - Should have typing knowledge. - Type speed should be minimum 21 WPM - Ready to work in...

**In this Role you will be Responsible For**: - Read and understand the process documents provided by the customer. - Analyse the insurance request received from the customer and process as per standard operating procedures. **Requirements for this role include**: - Should have typing knowledge. - Type speed should be minimum 21 WPM - Ready to work in...

In this Role you will be Responsible ForProcessing member enrollment and change forms, including data entry Verifying proper completion of enrollment and change documentation. Requesting and verifying information as needed to expedite enrollment. Verifying payments, process adjustments, refunds and perform reconciliation of accounts Ensuring accurate and...

In this Role you will be Responsible For   Processing member enrollment and change forms, including data entry Verifying proper completion of enrollment and change documentation. Requesting and verifying information as needed to expedite enrollment. Verifying payments, process adjustments, refunds and perform reconciliation of...

In these roles you will be responsible for: - Review and process insurance claims. - Validate Member, Provider and other Claim’s information. - Determine accurate payment criteria for clearing pending claims based on defined Policy and Procedure. - Coordination of Claim Benefits based on the Policy & Procedure. - Maintain productivity goals, quality...

Provides front-line supervision to an operational team of 25 or more employees Supervised team typically responsible for manging US healthcare Payer claims adjudication process May assign work to direct reports. Makes hiring, firing, promotion, and disciplinary recommendations. Leads a team ensuring the highest quality of service is provided to...

**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...

**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...

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...

**In this Role you will be Responsible For** - Processing member enrollment and change forms, including data entry - Verifying proper completion of enrollment and change documentation. - Requesting and verifying information as needed to expedite enrollment. - Verifying payments, process adjustments, refunds and perform reconciliation of accounts - Ensuring...