Claims Adjudicator
2 weeks ago
**Position**:Health Care & Insurance Operations Associate
**Experience**: 1 to 4 Years
**Location**: Remote
**Notice Period**:Immediate to 15 days
**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 exclusions, state variations
- Ensuring accurate and timely completion of transactions to meet or exceed client SLAs
- 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 the team
- Resolving complex situations following pre-established guidelines
**Requirements**:
- 1-3 years of experience in processing claims adjudication and adjustment process
- Experience of Facets is an added advantage.
- Experience in professional (HCFA), institutional (UB) claims (optional)
- Both under graduates and post graduates can apply
- Good communication (Demonstrate strong reading comprehension and writing skills)
- Able to work independently, strong analytic skills
- Able to work Night Shifts
**Job Types**: Full-time, Regular / Permanent
**Salary**: ₹100,000.00 - ₹290,000.00 per year
**Benefits**:
- Health insurance
Schedule:
- Monday to Friday
- Night shift
- US shift
Ability to commute/relocate:
- Chennai, Tamil Nadu: Reliably commute or planning to relocate before starting work (required)
**Experience**:
- Claims Adjudication: 1 year (preferred)
- Health insurance
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