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| Job Location | Hyderabad |
| Education | Not Mentioned |
| Salary | Not Disclosed |
| Industry | Medical / Healthcare |
| Functional Area | Back Office OperationsCustomer Service (Domestic) |
| EmploymentType | Full-time |
Provide expertise or general claims support by reviewing, researching, investigating, negotiating, processing and adjusting claims Analyze and identify trends and provide reports as necessary Consistently meet established productivity, schedule adherence and quality standardsThis is a challenging role that takes an ability to thoroughly review, analyze and research complex health care claims in order to identify discrepancies, verify pricing, confirm prior authorizations and process them for payment. Youll need to be comfortable navigating across various computer systems to locate critical information. Attention to detail is critical to ensure accuracy, which will impact the timely processing of the members claim.Required Qualifications An education level of at least a high school diploma or GED OR equivalent years of work experience Proficiency with Windows PC applications, which includes the ability to navigate multiple programs and learn new and complex computer system applications Preferred Qualification 1+ year of experience in a related environment (i.e. office, administrative, clerical, customer service, etc.) using phones and computers as the primary job tools 1+ year experience processing medical, dental, prescription or mental health claimsMaking claims a positive experience for our members can drive your sense of impact and purpose. Join us as we improve the lives of millions. Learn more about how you can start doing your lifes best work.SM,
Keyskills :
auditing insurance adjudication ustomerservice systemapplications highperformanceteams