Healthcare Insurance Specialist
2 weeks ago
We are seeking a professional to join our team in Noida, India.
About the RoleThe successful candidate will be responsible for process adjudication claims and resolving for payment and denials. They should have knowledge of handling authorization, COB, duplicate, pricing, and corrected claims processes. The ideal candidate will also understand healthcare insurance policy concepts, including in-network, out-of-network providers, deductible, coinsurance, co-pay, out-of-pocket maximum, inside limits, and exclusions.
Key Responsibilities:
- Process Adjudication Claims
- Resolve Payment and Denial Issues
- Handle Authorization, COB, Duplicate, Pricing, and Corrected Claims Processes
- Understand Healthcare Insurance Policy Concepts
To be considered for this role, you should have 1-3 years of experience in processing claims adjudication and adjustment processes. Experience with Facets is an added advantage. You should also have good communication skills, strong reading comprehension, and writing skills. Additionally, you should be able to work independently and have strong analytical skills.
Requirements:
- 1-3 Years of Experience in Claims Adjudication and Adjustment
- Good Communication and Writing Skills
- Ability to Work Independently
- Strong Analytical Skills
This role offers a competitive salary, opportunities for growth and development, and a dynamic work environment.
Benefits:
- Competitive Salary
- Growth and Development Opportunities
- Dynamic Work Environment
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