Claims Associate - Chennai, India - HCLTech

Description

Walk-in drive on 13th Apr-24 Saturday at 11am in HCL Sholinganallur Campus

HR Name:
Dhivakar STiming :11 am to 4pmAddress: ELCOT – SEZ Unit -I Special Economic Zone 602/3, Shollinganallur Medavakkam High Road,

SholinganallurChennai


JD:

• Claims Processing: 2 years experience in US Healthcare Payor operation handling claims specific to COB,authorization, duplicates, eligibility, and appeals process (UB04 & HCFA 837, NCCI edits)Knowledge with Facets application would be preferred.

Good English language skills spoken/written/grammar/sentence formationComfortable using PC and browsingHandling complaints and dispute resolutionTake ownership and follow up to resolveTyping skils @ 25 WPM


QA & Trainer:
5 years of experience in US Healthcare Payor operation.

Including, 1-2 year overall experience in US healthcare plans, claim denials & appealsPlan and schedule audits to review benefit coding and facet configurationDevelop checklist and procedures to systematically conduct auditsHands on experience on audits, coaching & feedbackKnowledge of quality tools is a mustCertification on six sigma Yellow/Green belt preferred.

Strong problem-solving skills and excellent attention to detail

• 5 Years of experience in US Healthcare Payor operation claim adjudication/ Payment integrity.

Including, 1-2 years of experience in managing teams as TL/supervisor.
Strong people management skill with experience of handling minimum of 20-25 employeesKnowledge with Facets application would be preferred.
Excellent communication & interpersonal skills; team oriented and strong consensus buildingAdvanced knowledge of MS Word, MS Excel, MS Power PointAbility to operate in a rapidly changing environment with a sense of urgency, and to develop and deploy changes positivelyDemonstrated analysis and problem solving abilitiesStrong organizational and time management skillsThe ability to multitask and self-manage workday is crucial

Thanks,Dhivakar S