Hc & Insurance Operations Associate
Year Chennai, Tamil Nadu, India
Job Description
Job Role
Domain
Years of Experience
HC & Insurance Operations Associate
Grade 4
BPO
Roles and Responsibilities:
- 1-3 years of experience in processing claims adjudication and adjustment process
- Experience in professional (HCFA), institutional (UB) claims (Optional)
- Knowledge in handling authorization, COB, duplicate process
- Knowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits and exclusions, state variations
- Audit claims as outlined by Policies and Procedures. Utilize appropriate system-generated reports applicable for specialty claims.
- Assist in the development of Claims Department Policies and Procedures.
- Attend organizational meetings as required
- Adhere to organizational Policies and Procedures.
- Both under graduates and post graduates can apply
- Good communication (verbal and written)
- Able to work independently, strong analytic skills
Required schedule availability for this position is Monday-Friday 5.30PM/3.30AM IST (AR SHIFT). The shift timings can be changed as per client requirements.
1-3 years
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Job Detail
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Job IdJD2927731
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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