Walk in Drive- Claim Adjudication- US healthcare

2 weeks ago


Noida, Uttar Pradesh, India Coforge Full time
COFORGE is conducting Walk In drive for Claims Adjudication process in US Healthcare.

Interview Date- 27th May 2024Interview timings- 12pm-6pmInterview Venue- Coforge SmartServe Limited (Known as Coforge BPS)(Erstwhile known as NIIT SmartServe Limited , Udyog Vihar, Phase - 1, Gurgaon Haryana , IndiaJob Location- Greater NoidaShift Timings- US ShiftsBoth Sides cabs are provided.

Work Experience

  • 2-3 years- experience in US Health Insurance Claims adjudication processes
  • Preference – In-depth knowledge of health insurance policies, procedure, coding systems and familiar with medical terminology
Agreement to work in 24/7 shift environment Agreement to work from office, full time Soft Skills :

  • Ability to write, speak and comprehend in English
  • Ability to understand claim related documents and make deductions on member history

Typing speed of 35+ WPM PreferredQualification:

Graduate/Post GraduatePreferred Technical Skills:

  • Minimum 2 Years' experience in Claims Adjudication Operations
  • Sound understanding of CPT, HCPC, ICD-10 codes and UB-04 & CMS-1500
  • Demonstrate experience of reviewing medical records, physician notes, EOBs and COBs
  • Ability to calculate patient responsibility, accumulators and process appropriate payments or denialsB

Position Summary:

  • US shift timings
  • Work from Office EEssential duties and responsibilities include the following (other duties may be assigned) ●Ability to work in teams
  • Ability to take on additional responsibilities to support leads/team members
  • Proficiency in MS Office suite
  • Good analytical skills & Numerical ability
  • Ability to read and interpret documents and suggest process improvementsSHOULD BE FLEXIBLE TO WORK IN CONTINUOUS NIGHT / ROTATIONAL SHIFTS AS PER BUSINESS NEE

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