Dental Claims Approver Iii

Year    Noida, Uttar Pradesh, India

Job Description


Location(s)

  • Posting Location: Noida, India
CountryIndiaWorking ScheduleFull-TimeWork ArrangementHybridRelocation Assistance AvailableNoPosted Date24-May-2024Job ID3150Description and RequirementsJob Responsibilities
  • Scrutinizing dental claim documents & settlements
  • Process claims as per the set healthcare guidelines
  • Follow HIPAA guidelines
  • Accurate processing of Dental claims and meeting productivity targets
  • Good understanding of Claims adjudication fundamentals
  • Good understanding of ICT & CPT Codes
  • Knowledge of policy concepts like Deductible, coinsurance, copay, out of pocket
  • Able to learn, adapt, implement process guideline into practice, work as a natural team-player in the process
  • Handle escalations
  • Need to ensure quality and productivity targets are met
  • Ensure compliance with internal policies and procedures, external regulations and information security standards
Knowledge, Skills and AbilitiesEducation
  • Bachelor\xe2\x80\x99s degree (Any Stream) or diploma with a minimum of 15 years of education
Experience
  • 2 years of work experience in US Health Claims processing preferably in claims adjudication
Knowledge and skills (general and technical)Technical Skills
  • Computer navigation skills
  • Keyboarding and data entry speed (minimum 30 wpm with 90% accuracy)
  • Working knowledge of MS Excel and MS Word.
  • Process Specific Skills
  • Knowledge of Insurance principles in relation to the US Insurance industry
  • Knowledge about US Culture
  • Knowledge of Dental claims terminologies and processes will be an added advantage
Soft Skills
  • Strong organizational skills
  • Good communication skills
  • Demonstrate ability to work independently and in a team environment
  • Self-disciplined and results oriented
  • Ability to multi task
  • Strong understanding and comprehension of the English language
  • Good PC skills
  • Attention to detail
  • Team player
  • Positive attitude

MetLife

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Job Detail

  • Job Id
    JD3352761
  • Industry
    Not mentioned
  • Total Positions
    1
  • Job Type:
    Full Time
  • Salary:
    Not mentioned
  • Employment Status
    Permanent
  • Job Location
    Noida, Uttar Pradesh, India
  • Education
    Not mentioned
  • Experience
    Year