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Job Location | Hyderabad |
Education | Not Mentioned |
Salary | Not Disclosed |
Industry | Medical / Healthcare |
Functional Area | General / Operations Management |
EmploymentType | Full-time |
Provide expertise or general claims support by reviewing, researching, investigating, negotiating, processing and adjusting claimsAnalyze and identify trends and provide reports as necessaryConsistently meet established productivity, schedule adherence and quality standardsBe accurate and support timely processing of the members claimThis is a challenging role that takes an ability to thoroughly review, analyze and research complex healthcare 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 support timely processing of the members claim.Required Qualifications:GraduateMinimum of 1 year to maximum of 6 years of experience exclusively into US Healthcare - Denial Management, AR Calling ProcessExperience in a related environment (i.e. office, administrative, clerical, customer service, etc.) using phones and computers as the primary job toolsProficiency with computer and Windows PC applications, which includes the ability to learn new and complex computer system applicationsExcellent communication skillsComfortable working in Night ShiftPreferred Qualification:Experience processing medical, dental, prescription or mental health claims,
Keyskills :
olicy analysis denial management us healthcare claims processing communication skills high performance teams ar calling customer service