Us Healthcare, Claim Adjudiation - Chennai, India - TekWisen Software Pvt. Ltd
Description
Position:
HC & Insurance Operations Associate
Location:
Chennai/Coimbatore
Experience: 1 to 3 years
Notice period:
Immediate joiners
Roles and Responsibilities:
- Process Adjudication claims and resolve for payment and Denials
- Knowledge in handling authorization, COB, duplicate, pricing and corrected claims process
- Knowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, copay, out of pocket, maximum inside limits and exclusions, state variations
- Ensuring accurate and timely completion of transactions to meet or exceed client SLAs
- Organizing and completing tasks according to assigned priorities.
- Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the team
- Resolving complex situations following preestablished guidelines
Requirements:
- 13 years of experience in processing claims adjudication and adjustment process
- Experience of Facets is an added advantage.
- Experience in professional (HCFA), institutional (UB) claims (optional)
- Both under graduates and post graduates can apply
- Good communication (Demonstrate strong reading comprehension and writing skills)
- Able to work independently, strong analytic skills
Benefits:
- Flexible schedule
- Health insurance
- Life insurance
- Paid time off
- Work from home
Schedule:
- Night shift
Supplemental pay types:
- Overtime pay
- Performance bonus
Ability to commute/relocate:
- Chennai,
Tamil Nadu:
Reliably commute or planning to relocate before starting work (required)
Experience:
- total work: 2 years (required)
- Health insurance
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