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Healthcare Insurance Claims Specialist

2 weeks ago

Chennai, Tamil Nadu, India beBeeOperations Full time US$ 40,000 - US$ 80,000

Healthcare Insurance Operations Position

Job Description:

This role involves processing adjudication claims and resolving payment and denial issues in a timely and accurate manner. It requires knowledge of healthcare insurance policy concepts, including in-network and out-of-network providers, deductibles, coinsurance, copays, out-of-pocket maximums, and exclusions. The ideal candidate will have experience in claim processing and adjustment, as well as strong analytical skills and the ability to work independently.

Required Skills and Qualifications:
  • 1-3 years of experience in claim adjudication and adjustment process
  • Knowledge of healthcare insurance policy concepts
  • Strong analytical skills
  • Ability to work independently
  • Good communication skills
Benefits:

This position offers a competitive salary and benefits package, as well as opportunities for professional growth and development. Additionally, resources may be required to work overtime and on weekends as business requirements dictate.

Requirements:

The successful candidate will have a solid understanding of the healthcare insurance industry and its processes. They will also have excellent communication and analytical skills, as well as the ability to work independently and prioritize tasks effectively.