Job Description

Job description Job title Senior (Sr.) Transaction Processing Officer Claims Registration (Band 5, Level 3) SME Reports to Unit Manager / Asst Unit Manager Job purpose Provides customer service support for third party administrat

Job description Job title Senior (Sr.) Transaction Processing Officer Claims Registration (Band 5, Level 3) SME Reports to Unit Manager / Asst Unit Manager Job purpose Provides customer service support for third party administrators, Health Maintenance organizations, preferred provider organizations, managed care organizations and many more in US healthcare insurance market by identifying and updating information. The ultimate motive is to ensure commendable service standards and maintain very high customer satisfaction. Duties and responsibilities Listed below are the primary job duties and responsibilities that are required: . Primary responsibility is to key claim details from claim images into the healthcare software. . Staying current with knowledge of products/ processes & services offered by the client . Ensure full adherence to all the quality parameters. . Ensure 100% adherence to schedule. . Meeting all defined targets like Productivity, quality, Maintenance of required reports in Excel. Essential Job Functions . Look up for relevant information and update (type into) the client systems as per set procedures and policies. . Attention to detail while accomplishing tasks, meeting Weekly / Daily targets with required quality in the given timelines . Enter updates relating to pertinent healthcare data into the computer system in a timely manner ensuring accuracy, completeness, and adherence to department procedures. . Review data for deficiencies or errors, correct any incompatibilities if possible. . Adhere to the team norms for making the overall team a cohesive one. . Ability to prioritize and manage workload. . Must be ready to work in night shifts Experience and Skills requirement for this role: . Minimum One (1) year experience in examining and processing claims required. . Experience and knowledge in Provider Maintenance, Enrollment process, Claims Data Entry. . Medical claims processing (Claims Adjudication) experience and in-depth knowledge a must. . Should be good with MS Office and training reporting. Qualification Requirement . Undergraduate (10+2)/Diploma / Graduate (Only Arts or Science) - Non-Technical Only . Typing speed 35 to 40 wpm with 95% accuracy (without looking at the keyboard) . Good communication skills. Skills PRIMARY COMPETENCY : Health Care PRIMARY SKILL : Transaction Processing PRIMARY SKILL PERCENTAGE : 100

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