
Healthcare Insurance Claims Specialist
4 days ago
As a Claims Operations Associate, you will be responsible for processing claims adjudication and adjustment processes. You will have experience in professional HCFA and institutional UB claims, as well as knowledge of healthcare insurance policy concepts.
Key Responsibilities:- Audit claims as outlined by Policies and Procedures.
- Utilize appropriate system-generated reports applicable for specialty claims.
- Document and track findings per organizational guidelines for reporting purposes.
- Conduct in-depth research of contract issues, system-related problems, and claims processing policies and procedures to confirm cause of trends.
- Recommend actions and resolutions to Senior Management.
- 2-3 years of experience in processing claims adjudication and adjustment process.
- Experience in professional HCFA and institutional UB claims.
- Good communication skills, with the ability to demonstrate strong reading comprehension and writing skills.
- Able to work independently, with strong analytical skills.
This role offers a competitive salary and benefits package, including overtime pay and weekend work opportunities.
OthersThe required schedule availability for this position is Monday-Friday, 5:30 PM - 3:30 AM IST (AR SHIFT). Shift timings can be changed as per client requirements.
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