ESSENTIAL DUTIES AND RESPONSIBILITIES include the following.
· Ensure all cases should be process as per the guidelines.
· Responsible for timely request and follow-up of any/all required additional information for proper claim adjudication.
· Operate within company regulations regarding HIPAA, fraud, confidentiality, and private health information guidelines.
· Interact professionally with other business units to gather and analyze data needed to properly adjudicate claims and documentation of claims files.
· Work as a member of special or on-going projects that are important to area/process improvement
· Responsible for suggesting methods to improve area operations, efficiency and service to both internal and external customers
QUALIFICATIONS EDUCATION and/or EXPERIENCE
· Should have 0 to 2 years on work experience in US Health care Insurance claims Domain
· Strong knowledge of claims, customer care processes and techniques
· Demonstrated ability to work well in a team environment
Pay: Up to ₹400,000.00 per year
Work Location: Remote
