Client Partner - Claims Adjudication
If you want to do more with your healthcare career and deepen your knowledge of healthcare Payer Services management, you have to look at your healthcare business processes from the customer’s lens. Get smarter about the business of healthcare, join a company that values your work and enables you to become a true partner to your clients by investing in your growth besides empowering you to work directly on KPIs that matter to your clients.
Start your career as a Client Partner for Claims Adjudication Services. We are always interested in talking to inspired, talented, and motivated people. Many opportunities are available to join our vibrant culture. Review and apply online below.
Job Location: MUMBAI, India
Review and scrutinize claims and process claims into the computer system as per the provided Desk Level Procedures (DLPs) /guidelines
Determine accurate claims payment or denial, identify and address dubious claims or system issues to process the claim accurately
Process claims in a timely manner, as per the required TAT
Correct errors or omissions on claim and investigate questionable data
To maintain quality as per the SLA
To maintain productivity as per the SLA
Continuously meet and exceed the assigned targets
Performance should be maintained in accordance with the process performance parameters
To maintain confidentiality of work done
To follow all regulatory requirements and procedures as per the company policy
Display high levels of professionalism in the work delivered and overall conducts
To be considered for this position, applicants need to meet the following qualification criteria:
Experience in delivering claims adjudications services for 1-2 years.
Fresh graduates will be considered as well.
Good Typing skills (Min 25 WPM)
Good typing Accuracy (Min 90%)
Proficiency in MS Office
Good analytical/aptitude skills
Good English Knowledge – verbal and written (should able to understand the DLPs written in English, should able to understand claim notes and should able to provide the appropriate note(s) while processing claim).
Education - Graduate (Any Stream)