Senior Executive
Year Chennai, Tamil Nadu, India
Job Description
:OverviewCandidates should have minimum 3+ years of experience and must have knowledge in claims adjudication process and its processing methods.Qualifications: * Graduation is Mandatory
- Claims adjudication experience is Mandatory
- Prefer candidates with experience in Post adjudication/overpayment projects (Not mandatory)
- Overpayment experience (Optional)
- Shift time: 08:00 AM TO 05:00 PM IST (It might be changed based on project requirements)
- Weekends : Off
- Must understand and adhere with telecommuter policy
- 3+ years of experience in claims processing or claims adjudication.
- Should have a strong US healthcare knowledge.
- Should know the payment determination. Which means candidates should calculate the allowable without system support.
- Should identify the gaps for realizing higher revenue for data mining program.
- Should have a good communication with neutral accent preferred.
- Follow every aspect of SOP without fail.
- Ensure assigned inventory should be completed with quality within TAT.
- Follow project related protocols and instructions.
- Production, quality and other reports should update on timely manner as required.
- Must ensure availability for meeting/calls as required.
- Should be able to work independently with minimal guidance.
- Ensure candidates should follow compliance protocols without fail.
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Job Detail
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Job IdJD3467520
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IndustryNot mentioned
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Total Positions1
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Job Type:Full Time
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Salary:Not mentioned
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Employment StatusPermanent
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Job LocationChennai, Tamil Nadu, India
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EducationNot mentioned
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ExperienceYear