Process Executive

4 months ago


Chennai Tamil Nadu, India Cognizant Full time

**Job Summary**

**Responsibilities**
- Process healthcare claims accurately and efficiently to ensure timely adjudication.
- Review and analyze claims data to identify discrepancies and ensure compliance with industry standards.
- Collaborate with team members to resolve complex claims issues and provide support as needed.
- Maintain up-to-date knowledge of healthcare regulations and payer policies to ensure accurate claims processing.
- Utilize claims adjudication software to input and manage claims data effectively.
- Communicate with healthcare providers and payers to obtain necessary information for claims processing.
- Monitor and track claims status to ensure timely resolution and payment.
- Provide excellent customer service by addressing inquiries and resolving issues related to claims.
- Participate in training sessions to stay current with industry changes and updates.
- Assist in the development and implementation of process improvements to enhance claims adjudication efficiency.
- Generate reports and analyze claims data to identify trends and areas for improvement.
- Ensure confidentiality and security of patient information in compliance with HIPAA regulations.
- Support the team in achieving departmental goals and objectives through effective claims management.

**Qualifications**
- Possess a strong understanding of claims adjudication processes and procedures.
- Demonstrate excellent analytical and problem-solving skills.
- Exhibit strong attention to detail and accuracy in claims processing.
- Have good communication skills to interact with healthcare providers and payers.
- Show proficiency in using claims adjudication software and other relevant tools.
- Display the ability to work collaboratively in a team environment.
- Maintain knowledge of healthcare regulations and payer policies.
- Have a basic understanding of commercial claims claims and payer domains.
- Demonstrate the ability to manage multiple tasks and prioritize effectively.

**Certifications Required**

Certified Professional Coder (CPC) or equivalent certification in claims adjudication.


  • Voice Process

    7 months ago


    Chennai, India Tamil Voice Process Full time

    Cell phone reimbursement Flexible schedule Health insurance Internet reimbursement Leave encashment Provident Fund Role - Voice Process Location - Chennai Role Description This full-time, on-site role for a Voice Process Executive is located in Chennai. The Voice Process Executive will be responsible for handling customer calls, identifying and assessing...

  • Process Executive

    3 days ago


    Chennai, Tamil Nadu, India nexus point consultant Full time

    Job Description: The Process Executive is responsible for understanding and implementing process models, managing process improvements, and ensuring that the standard of work is maintained across all levels of the organization. Analyze, design, and implement process models for business operations. Maintaining a comprehensive understanding of the process,...

  • Process Executive

    3 months ago


    Chennai, Tamil Nadu, India Mazenet solution Full time

    We are looking for Process Executive ( Accounts Executive) for one of our clients Designation**:Process Executive (Accounts Payable)** CTC: INR 2.2 LPA Location: Chennai Training: 25 Days (Virtual) Shift: Rotational Benefits: 2 way Cab provided **Responsibilities**: Process invoices accurately and efficiently Review invoice details for accuracy and...


  • Chennai, Tamil Nadu, India Tanserv Business Process Pvt Ltd Full time

    Title: Accounts Receivable Executive Location: Chennai Company: TanServ Business Process Private Limited Experience: 4 years & above **Salary**: 40,000- 45,000 **Responsibilities**: - Handle the Accounts Receivables, Bank Reconciliation, MIS & Invoicing process. - Maintain accurate records of all collection activities, working in SAP and interactions...

  • Tamil Voice Process

    1 week ago


    Chennai, India TAMIL VOICE PROCESS Full time

    Job opening for Telecaller Executive(Lead Conversion Specialist)-Saligrama Chennai Qualification: Any degree Exp: 1 to 3 years **Salary**: As per your last drawn. Required Skill: - Contacting/Answering phones and explaining the treatment and services offered by the company. - Contacting existing customers as well as prospective customers using...


  • Chennai, Tamil Nadu, India People Process Teck Full time

    **Position : Accounts Executive - Tiruvallur, Chennai** **Exp : 3 yrs** **Qualification : B com/Mcom/Mba** **Location : Paparampakkam, Tiruvallur.** - _Accounts Receivables & Payables._ - _GST filing._ - _TDS Filing._ - _Taxation._ - _Experience in ZOHO Software._ - _Tally Operating Knowledge is Essential._ - _Invoicing._ - _General Ledger_ - _Bills...


  • Chennai, Tamil Nadu, India Tanserv Business Process Pvt Ltd Full time

    Title: Field Collection Executive Location: Chennai Company: TanServ Business Process Private Limited Experience: 3 years & above **Salary**: 20,000-30,000 **Responsibilities**: - Visit delinquent client in assigned areas for B2B payment collection & follow up. - Maintain accurate records of all collection activities and interactions with client. -...

  • Voice Process

    7 months ago


    Chennai, India Telecaller executive Full time

    **Pulled from the full job description** - Flexible schedule Handle customer complaints, provide appropriate solutions and alternatives within the time limits; follow up to ensure resolution. Keep records of customer interactions, process customer accounts and file documents. Positive, Listening, Adaptable, Calm, Empathetic. **Job Types**: Full-time,...


  • Chennai, Tamil Nadu, India CIEL HR Services Full time

    **Hiring at Leading BPO at chennai** Designation**:Claim process executive or Senior Claim Process Executive** Experience**:Minimum 6 month to 5 years from voice process only** Qualification: Any Degree **Night Shift US,UK Voice Process** Good communication skill and typing skill must **Job Description**: International medical and non medical claim...


  • Chennai District, Tamil Nadu, India People Process Teck Full time

    Position Brief**:Executive Secretary to Corporate Head** **Key Qualifications**: - **Strong communication skills, a pleasing personality and executive presence.**: - Excellent interpersonal abilities with proven capacity to manage a top management office efficiently. - Flexibility to travel, as required. **Compensation**: Competitive package, best in the...


  • Chennai, Tamil Nadu, India Reqwiz Consultant and Sourcing Pvt ltd Full time

    Role - Process Excellence Executive Experience - 3 Years Skills - Process Analysis and Improvement, Mapping ,Continuous Improvement Initiatives, Stakeholder Collaboration, Performance Monitoring, Compliance and Quality Assurance, process improvement frameworks like Lean, Kaizen, or Six Sigma Location - Chennai Pay: ₹35,000.00 - ₹45,000.00 per...

  • Process Executive

    7 months ago


    Chennai, Tamil Nadu, India Equiniti Full time

    Management Level I **Process Executive**: **Team**:Customer Processing **Reports to**:Team Leader **Role**: To carry out a range of assigned clerical / support duties in accordance with predetermined procedures and service standards under appropriate guidance and direction. **Business Function**: Equiniti is a leading provider of technology and solutions...

  • Process Executive

    4 weeks ago


    Chennai, Tamil Nadu, India Mazenet solution Full time

    We Are Hiring Freshers for Process Executive! **Job Details**: Designation: Process Executive CTC: 2.2 LPA Job Location: Chennai Shift: Rotational **Responsibilities**: Review invoice details to ensure accuracy and completeness. Identify and review unprocessable or parked invoices for resolution. Maintain high-quality standards in all work...

  • Process Executive

    2 months ago


    Chennai, Tamil Nadu, India Equiniti Full time

    Management Level I **Process Executive**: **Team**:TA ops **Reports to**:Team Leader Equiniti ('˜EQ') is a leading international provider of shareholder, pension, remediation, and credit technology. With over 6,000 employees, it supports 37 million people in 120 countries. EQ helps organisations to meet their regulatory requirements and undertake complex...

  • Process Executive

    3 weeks ago


    Kilpauk, Chennai, Tamil Nadu, India ikclassiva Full time

    As a Process Associate, your primary responsibility is to **execute and monitor key business processes, ensuring accuracy, compliance, and optimal performance**. Pay: ₹12,000.00 - ₹25,000.00 per month Schedule: - Day shift **Experience**: - total work: 1 year (preferred) Work Location: In person **Speak with the employer** +91 9342958343

  • Process Executive

    7 months ago


    Chennai, Tamil Nadu, India Equiniti Full time

    Management Level I **Process Executive**: **Team**:Central Reconciliations **Reports to**:Team Leader **Role**: To carry out a range of assigned clerical / support duties in accordance with predetermined procedures and service standards under appropriate guidance and direction. **Business Function**: Equiniti is a leading provider of technology and...

  • Process Executive

    2 months ago


    Chennai, Tamil Nadu, India OMH HealthEdge Holdings Full time

    Omega Healthcare Management Services Private LimitedTAMIL NADUPosted On - 12 Nov 2024 - Required Experience - 0 - 1 Years Basic SectionNo. Of Openings 9 Grade 1B Designation PROCESS EXECUTIVE - AR Closing Date 26 Nov 2024 - OrganisationalCountry IN State TAMIL NADU City CHENNAI Location Chennai-I - SkillsSkill ACCOUNTS RECEIVABLE PROCESS...

  • Bpo -voice Process

    7 months ago


    Chennai, India Telecaller executive Full time

    Opening for VOICE PROCESS (Outbound /Inbound) JOB LOCATION: Chennai REGIONAL LANGUAGES: TAMIL WALK-IN TIME: 9.30:AM LOCATION: habibullah road, koddambakam, chennai-600 034. **Job Description**: *Excellent Bonus and incentives based on performance SALARY : 15k to 35k EXPERIENCE: 0- 3+ years DAY SHIFT: 9:00 AM - 5.00 PM Holidays: 4 Sunday fixed...

  • Process Executive

    3 weeks ago


    Kilpauk, Chennai, Tamil Nadu, India Ik Classiva Full time

    **Documentation**: Ensure accurate documentation of processes, procedures, and systems used in day-to-day activities. - **Operational Support**: Assist in executing business processes, supporting process flow, and resolving issues in daily operations. - **Customer Interaction**: Communicate with internal teams and customers to clarify process details, manage...

  • Tamil Voice Process

    7 months ago


    Chennai, India Telecaller executive Full time

    Flexible schedule Handle customer complaints, provide appropriate solutions and alternatives within the time limits; follow up to ensure resolution. Keep records of customer interactions, process customer accounts and file documents. Positive, Listening, Adaptable, Calm, Empathetic. **Job Types**: Full-time, Fresher **Salary**: ₹15,000.00 - ₹25,000.00...