Healthcare & Operations Insurance Associate

7 days ago

Delhi, Delhi, India Jain Capital Investment Full time ₹ 1,50,000 - ₹ 3,00,000 per year

Experience: 1-3 Years

Skills Required: Claims Adjudication, Claims Processing, Health Insurance, Payment Processing.

Roles and Responsibilities:

  • Process Adjudication claims and resolve for payment and Denials
    • Knowledge in handling authorization, COB, duplicate, pricing and corrected claims process

  • Knowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits and exclusions, state variations

  • Ensuring accurate and timely completion of transactions to meet or exceed client SLAs
    • Organizing and completing tasks according to assigned priorities.

  • Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the team

  • Resolving complex situations following pre-established guidelines

Requirements:

  • 1-3 years of experience in processing claims adjudication and adjustment process
    • Experience in professional (HCFA), institutional (UB) claims (optional)

  • Both under graduates and post graduates can apply

Job Types: Full-time, Permanent

Pay: ₹13, ₹25,000.00 per month

Benefits:

  • Paid time off

Ability to commute/relocate:

  • Delhi, Delhi: Reliably commute or planning to relocate before starting work (Required)

Application Question(s):

  • Do you have knowledge of insurance(health and general both)?

Experience:

  • total work: 1 year (Required)

Work Location: In person

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