Walk-In Drive
7 hours ago
We have huge opportunities in US Healthcare operations for non-technical graduates (Pre-authorization & Claims Adjudication - Fresher).
Are you a recent graduate with excellent communication skills and willing to start your career in US Healthcare operation? Please go through below mentioned job description and walk in along with your resume and ID proof.
Walk In Date - 08-Nov-25; Saturday
Walk In Time AM to 12.00 PM
Venue: Building No12D, 6th floor, M/s, Mindspace, HITEC City, Hyderabad, Telangana 500081, India
Intake Fax Coordinator:
Role Summary:
Intake Coordinator is responsible for reviewing the fax that we receive and understand the medical terminology on each page of the fax. Should be able to identify the type of fax and provide authorization within TAT.
Essential Responsibilities:
- Build cases based on the documentation on the fax after thorough review and complete the case build with in the TAT based on SLA.
- Ensure login timings are adhered to as the process is time-bound and the TAT is 4-6 hours.
- Ensure cases are built based on updated and current tip sheets following all essential rules.
- To ensure quality and productivity is met based on our SLAs.
- Flexible enough to meet overtime requirements and take responsibility to deliver all cases assigned.
- Other job responsibilities as assigned from time to time.
- Other additional duties as assigned or requested.
Claims Adjudication:
Role Summary:
Claims adjudicator usually analyze, validate, update, process and adjudicate claims to meet customer requirements that adhere to Highmark standards and policies. Claims Adjudicators provide general support to maintain TAT, meet SLAs, performance and quality levels required by their customers. May mentor less experienced team members.
Essential Responsibilities
• Analyzing, validating, updating & processing claims, as well as meeting defined scope, targets and SLAs.
• Collaborating with customers, business analysts, partners, and IT team members to understand business requirements that drive the innovation and quality. Concentrates on providing innovative solutions to more complex business needs.
• Providing required support for new joiners once they gain experience.
• Performs work in compliance with all Highmark and Highmark IT standards, policies and procedures.
• Effectively communicates with team members, customers, partners and management, including assisting with or conducting more complex walkthroughs, reporting production & quality status.
• Other duties as assigned or requested.
Requirements:
- Good communication skills including listening, reading, and speaking with ability to communicate effectively.
- Analytical skills and clinical orientation with a service mentality to cater to the needs of patients waiting for treatment.
- Ability to work in rotational shifts with rotational week offs and different US shifts/night shifts continuously.
- Ability to thrive in an environment of change and fluctuating priorities.
Preferred:
- Knowledge of the US Healthcare industry
- Ability to use independent judgement and critical thinking.
- Any Clinical certification
Educational Qualification:
- Bachelor or masters in pharmacy; BSc. or MSc. in Nursing, Microbiology, Biotechnology, Radiology, Optometry, Speech and Hearing, Life sciences, etc.
- BDS, BAMS, BUMS, BHMS
- Any other degree (Technical graduates are not preferable)
Thryve Digital Health LLP is an emerging global healthcare partner that delivers strategic innovation, expertise, and flexibility to its healthcare partners. Being a US healthcare conglomerate captive, we have direct access to deeper insights that help us accelerate our learning process and keeps us ahead of the curve. Thryve delivers next-generation solutions that enable our healthcare partners to provide positive experiences to their consumers.
Our global collaborative of healthcare, operations, and IT experts creates innovative and sustainable processes for our clients, which keeps the ever-evolving consumers engaged and assists them in managing the future of their healthcare better. We recognize that our people are our strength and the diverse talents they bring to our global workforce are directly linked to our success. Thryve is an equal opportunity employer and places a high value on integrity, diversity, and inclusion in the organization. We do not discriminate based on any protected attribute. For more information about the organization, please visit
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