| Hyderabad Jobs |
| Banglore Jobs |
| Chennai Jobs |
| Delhi Jobs |
| Ahmedabad Jobs |
| Mumbai Jobs |
| Pune Jobs |
| Vijayawada Jobs |
| Gurgaon Jobs |
| Noida Jobs |
| Hyderabad Jobs |
| Banglore Jobs |
| Chennai Jobs |
| Delhi Jobs |
| Ahmedabad Jobs |
| Mumbai Jobs |
| Pune Jobs |
| Vijayawada Jobs |
| Gurgaon Jobs |
| Noida Jobs |
| Oil & Gas Jobs |
| Banking Jobs |
| Construction Jobs |
| Top Management Jobs |
| IT - Software Jobs |
| Medical Healthcare Jobs |
| Purchase / Logistics Jobs |
| Sales |
| Ajax Jobs |
| Designing Jobs |
| ASP .NET Jobs |
| Java Jobs |
| MySQL Jobs |
| Sap hr Jobs |
| Software Testing Jobs |
| Html Jobs |
| Job Location | Noida |
| Education | Not Mentioned |
| Salary | Not Disclosed |
| Industry | IT - Software |
| Functional Area | Finance / Accounts / Tax |
| EmploymentType | Full-time |
Process Associate - ClaimsIn this role, you will be responsible of Data Entry of Information related to personal details, provider details, invoice information, procedure & impairment codesValidation of information entered by indexerCheck & Select correct Pre-authorizationIdentify duplicate Claims and take appropriate actionReading & taking appropriate action on Alerts related to Members & providers.Referring case to calling team for further informationValidating information entered by data Entry OperatorDealing with Policy & Non-Policy messagesInterpreting, analyzing & further investigating the Policy messages on various tools like support point, info site etc.Interpretation of hospital contracts & taking appropriate action basis thatReferring cases to various department like HCS, TMT, Triage after adjudication as and when requiredIdentify Front End Savings by investigating claims to Identify any over charge, ineligible chargers, contract compliance, Provider or Member FraudQualifications we seek in youMinimum qualificationsGraduate (Preferably B. Com. or B.Sc. Life Science)Freshers are eligiblePreferred qualificationsGood knowledge of healthcare & medical terminologiesEye for detail & investigative skillsGood interpretation & comprehension skillsRelevant experience,
Keyskills :
customerfocus insurance dataentry sales posting customerrelations quality sap dataentryoperation lifesciences frontend socialnetworking iversityinclusion