Healthcare Claim Operations Specialist

4 days ago


Hyderabad, Telangana, India beBeeAnalyzer Full time ₹ 9,60,000 - ₹ 12,72,000

Job Summary

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The role of UAT Analyst is a pivotal position in the Out of Network Department. The primary responsibility of this role is to ensure claim opportunities are maximized through monitoring inventory, routing claims, and applying quality measures for optimal outcomes.

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Key Responsibilities:

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  • Monitor claim volume and turnaround time">
  • Review claim routing decisions made by associates">
  • Identify claim savings opportunities">
  • Perform end-to-end testing to ensure appropriate functionality, product integrity, accuracy, and quality of all changes and enhancements related to the OON product">
  • Analyze operational and technical requirements and define the scope of UAT testing">
  • Setup, develop and maintain detailed test scenarios, test suites, data, checklist and/or other documents as specified, ensuring scenarios are directly aligned to requirements">
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Requirements:

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- 3 years of healthcare insurance experience preferred

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- Exceptional verbal, written and visual communication skills

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- SQL Experience preferred but not mandatory

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Benefits:

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Professional Growth Opportunities

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- Hybrid work flexibility

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- Comprehensive healthcare benefits

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- Financial wellness programs

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- Cultural celebrations

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Dynamic Work Environment

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- Collaborative work culture

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- Leadership development

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- Global exposure

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