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Associate
1 week ago
Walk-in drive on 1st June '24 at 11Am in HCL Sholinganallur Campus
HR Name :Dhivakar S
Timing :11 am to 4Pm
Address: ELCOT – SEZ Unit -I Special Economic Zone 602/3, Shollinganallur Medavakkam High Road, Sholinganallur
Chennai
JD:-
Configuration, Member enrolment & Claims
Associate , Senior Associate & SME
0 - 6 Months of experience in US Healthcare and in Benefit Configuration - Benefit coding / Auto Adjudication Set up processes.
Experience on Facets tool will be prefered
Excellent US Healthcare knowledge in Benefits coding and validation
Excellent communication skills and experience in working with US clients directly
Ability to complete the assigned tasks on time, Understand the SLAs and ensure they are met.
Ability to coordinate with the Leads and Onshore in work prioritization and able to track and report self-work. Ability to work independently with onshore/offshore team to deliver the assigned projects.
Good Analytical and problem-solving skills
1 - 2 Years of experience in US Healthcare and in Benefit Configuration - Benefit coding / Auto Adjudication Set up processes.
Experience on Facets tool will be prefered
Excellent US Healthcare knowledge in Benefits coding and validation
Excellent communication skills and experience in working with US clients directly
Ability to complete the assigned tasks on time, Understand the SLAs and ensure they are met.
Ability to coordinate with the Leads and Onshore in work prioritization and able to track and report self-work. Ability to work independently with onshore/offshore team to deliver the assigned projects.
Good Analytical and problem-solving skills
3-5 year overall experience in US healthcare plans handling BIM and facets configuration process.
Conduct training sessions for new hires and existing team members covering benefit coding principles, Facets configuration guidelines .
Provide hands-on training sessions on the utilization of the Facets system for benefit configuration
Conduct training needs assessments to identify gaps in knowledge and skills to ensure training thoughput
Excellent communication skills with minimum 1 year in training role in payor domain
Familiarity with healthcare policies, regulations, and compliance requirements, such as HIPAA and ACA.
Proficiency in different types of health insurance plans, including HMOs, PPOs, and government-sponsored programs like Medicare and Medicaid.
Comfortable with a rapidly-changing environment
Stay updated with the new trends
Thanks & Regards
Dhivakar S
Senior HR- TAG
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