Non Customer Service Healthcare Claims Adjudication Team Member

1 week ago


Bengaluru Navi Mumbai Noida, India Hexaware Technologies Full time ₹ 8,00,000 - ₹ 12,00,000 per year

Education Mandatory : Any Graduate (BSC/BCOM/BA)

Desirable : Nil Experience Minimum 6 Months eligibility/enrolment experience (preferred)

Technical Competencies : (Job related) Exceptional data entry skills with high attention to detail, strong organization skills and ability to multi-task Should have working knowledge of MS-Office: (Teams, Outlook, Excel, Word, OneNote)

Soft Skills : (Job related)

  • Effective verbal and written communication skills and excellent interpersonal skills
  • Ability to work effectively with team members, employees/members, providers, and clients and vendors
  • Ability to use common sense understanding to carry out instructions furnished in oral, written or diagram form
  • Flexible; open to continued process improvement, with a positive attitude and willingness to learn
  • Ability to work remotely; o Secure, reliable high speed internet access
  • HIPAA complaint workspace; preferably in a room that can be secured
  • Ability to work independently and free from distractions to productivity and accuracy
  • Demonstrated critical thinking and problem-solving skills Others

Mandatory: Nil Desirable:

  • Bachelors degree
  • 1 year Eligibility experience
  • Prior EDI experience (ANSI 834s)
  • Prior experience in a medical office or provider billing environment
  • Self-Funded Insurance/Benefits and/or TPA experience
  • Prior experience with COBRA, FMLA, LOA and retiree administration/coordination experience.
  • Knowledgeable in handling various types of Federal, State and Company leave programs.
  • Customer service experience in a professional setting
  • Prior PowerStepp or other AS400 system experience
  • Knowledge of COBRA laws, HIPAA portability and eligibility laws

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