Sr Associate

3 weeks ago

Noida, India Talent Advisors Solutions Full time

Job Responsibilities

  • Scrutinizing dental claim documents & settlements
  • Process claims as per the set healthcare guidelines
  • Follow HIPAA guidelines
  • Accurate processing of Dental claims and meeting productivity targets
  • Good understanding of Claims adjudication fundamentals
  • Good understanding of ICT & CPT Codes
  • Knowledge of policy concepts like Deductible, coinsurance, copay, out of pocket
  • Able to learn, adapt, implement process guideline into practice, work as a natural team-player in the process
  • Handle escalations
  • Need to ensure quality and productivity targets are met
  • Ensure compliance with internal policies and procedures, external regulations and information

Technical Skills/other skills

  • Computer navigation skills
  • Keyboarding and data entry speed (minimum 30 wpm with 90% accuracy)
  • Working knowledge of MS Excel and MS Word.
  • Process Specific Skills
  • Knowledge of Insurance principles in relation to the US Insurance industry
  • Knowledge about US Culture
  • Knowledge of Dental claims terminologies and processes will be an added advantage
  • Strong organizational skills
  • Good communication skills
  • Demonstrate ability to work independently and in a team environment
  • Self-disciplined and results oriented
  • Ability to multi task
  • Strong understanding and comprehension of the English language
  • Good PC skills
  • Attention to detail
  • Team player
  • Positive attitude

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