PE-Claims HC

Job Summary

Join our dynamic team as a PE-Claims HC professional where you will leverage your skills in MS Office UiPath and Claims Adjudication to streamline processes and enhance efficiency. With a focus on the Payer and Provider domains you will play a crucial role in ensuring accurate claims processing. This hybrid role offers the flexibility of night shifts allowing you to balance work and personal commitments effectively.

Responsibilities

• Analyze and process claims efficiently to ensure timely adjudication and payment.
• Utilize MS Office tools to organize and manage claims data effectively.
• Implement UiPath automation to streamline claims processing workflows.
• Collaborate with team members to resolve discrepancies in claims adjudication.
• Ensure compliance with industry standards and regulations in claims processing.
• Provide support in the Payer and Provider domains to enhance service delivery.
• Monitor claims processing metrics to identify areas for improvement.
• Communicate effectively with stakeholders to address claims-related queries.
• Maintain accurate records of claims processed for audit and reporting purposes.
• Assist in the development of process improvement initiatives to optimize claims operations.
• Participate in training sessions to stay updated on industry trends and technologies.
• Support the team in achieving departmental goals and objectives.
• Contribute to the companys mission by ensuring high-quality claims processing. Qualifications
• Demonstrate proficiency in MS Office for data management and reporting.
• Exhibit experience in UiPath for process automation in claims adjudication.
• Possess knowledge of claims adjudication processes and best practices.
• Have experience in the Payer and Provider domains to support claims operations.
• Show adaptability to work in a hybrid model with night shifts.
• Display strong analytical skills to identify and resolve claims discrepancies.
• Communicate effectively with team members and stakeholders.