Claim Adjudicator

Year    Uttar Pradesh, India

Job Description


Become ALL IN! as an (Claims Management Associate/Senior Associate)

As a pioneer in digital health our heart beats for the development and implementation of new technologies. For the next level of e-health evolution we are looking for creative minds who enjoy working with a variety of technologies, their own design freedom and professional development.

What you can expect from us:

  • A safe digital application and a structured and streamlined onboarding process
  • An extensive group health and accidental insurance program
  • Our progressive transportation model allows you to choose: You can either receive a self-transport allowance, or we can pick you up and drop you off on your way from or to the office
  • Subsidized meal facility
  • Term insurance in plan for 2023
  • Fun at Work: tons of engagement activities and entertaining games for everyone to participate
  • Various career growth opportunities as well as a lucrative merit increment policy in a work environment where we promote Diversity, Equity, and Inclusion
  • Best HR practices along with an open-door policy to ensure a very employee friendly environment
  • A recession proof and secured workplace for our entire workforce
  • Ample scope of reward and recognitions along with perks like marriage gift hampers and gifts for birth of a child
What you can do for us:
  • Responsible for calling Insurance companies (in US) on behalf of doctors/physicians and follow up on outstanding Accounts Receivable.
  • To prioritize the pending claims for calling from the aging basket.
  • Should be able to convince the claims company (payers) for payment of their outstanding claims.
  • To check the appropriateness of the insurance information given by the patient if it is inadequate or unclear.
  • To make a physical call by following the international norms and applicable rules for confidentiality and HIPAA compliance.
  • Escalate difficult collection situations to management in a timely manner.
  • Review provider claims that have not been paid by insurance companies.
  • Handling patients billing queries and updating their account information.
  • Post cash and write off the contractual adjustments accordingly while working on the accounts.
  • Meeting daily/weekly and monthly targets set for an individual.
  • Your Qualifications:
  • Should be willing to work in US Shift.
  • Graduation is Manadatory
  • Experience in Healthcare Revenue Cycle Management process.
  • Strong written and verbal communication skills.
  • Good computer skills including Microsoft Office suite.
  • Ability to prioritize and manage work queue.
  • Ability to work independently as well as in a team environment.
  • Strong analytical and problem-solving skills.
  • Good typing skills with a speed of min 30-35 words /min.
Convinced? Submit your persuasive application now online (including desired salary and earliest possible starting date).

Synchronizing Healthcare

Become ALL IN! with head, heart, and hand

CompuGroup Medical

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Job Detail

  • Job Id
    JD3068346
  • Industry
    Not mentioned
  • Total Positions
    1
  • Job Type:
    Full Time
  • Salary:
    Not mentioned
  • Employment Status
    Permanent
  • Job Location
    Uttar Pradesh, India
  • Education
    Not mentioned
  • Experience
    Year