FIND YOUR DREAM JOB

Sign In
 [New User? Sign Up]
Mobile Version

Senior Process Associate


Source:
TIMESJOBS.COM
Location:
Secunderabad, Telangana
Date:
13-11-2016
Job Code:
58279071
Categories:
  • IT
Applying for this job will take you to an external site
  •  
  • Shortlist
  • Email Friend
  • Print

Job Details

Overall responsible and accountable for Claims processing for Tier 1 and Tier 2 processes. This includes following activitiesShould have very good exposure towards US health careAdhere to HIPAA compliance requirements and practice standards.Review, validate and verify the claims and process them as per the Guidelines provided by the clientInput data into appropriate systems.Ensure that all the claims processed are at 100% accuracy.Determine covered and non-covered services as per guidelines and pay / deny with appropriate decision / explanation reasons by using appropriate codes.Interpret and apply fundamental policy language to claim scenarios.Escalate cases that are in need of investigation.Communicates with Team Leads / SMEs with special handling of non-routine claim situation.Meeting the deadlines of the claim based on aging and turnaround time.Need to work as per requirement/FlexibleMake suggestions to improve departmental workflow, processes and procedures. Other duties as assigned.
Degree: M.Com. (Commerce) | M.Pharm. (Pharmacy) | M.Sc. (Science) | MA (Arts) | MBA/ PGDM | MCA/ PGDCA

Additional Degree: BA (Arts) | B.Com. (Commerce) | B.Pharm. (Pharmacy) | B.Plan. (Planning) | B.Sc. (Science) | BBA/ BBM/ BBS | BCA (Computer Application) | Diploma-Other Diploma | B.Ed. (Education) | BHM (Hotel Management)

Experience: 3-8

Requirements

Claims/Collection Mgmt
Applying for this job will take you to an external site

FEATURED JOBS

© Copyright 2015 Al Nisr Publishing LLC - powered by Gulf News