Claim Processing Executive - US Health Care

Purview Services; Ahmedabad District; On-site; INR 250,000 - 400,000; Full time

Job summary

Purview Services in Ahmedabad seeks a candidate to process health insurance claims with accuracy and compliance. You will verify eligibility, review medical records, and calculate benefits while communicating status to clients and internal teams.

Ideal candidates have 1+ year experience in US health care claim processing, strong analytical and communication skills, and proficiency with claim processing software. Join a fast-paced environment with deadlines.

Qualifications

• Minimum 1 year of experience in claim processing.
• Strong knowledge of claim processing principles and practices.
• Excellent communication and interpersonal skills.
• Ability to work in a fast-paced environment and meet deadlines.
• Proficient in using computer systems and software applications.
• Strong analytical and problem-solving skills.

Responsibilities

• Process claims according to company policies and procedures.
• Verify patient eligibility and benefits under various insurance plans.
• Review medical records and calculate benefit amounts accurately.
• Communicate effectively with clients and internal teams regarding claim status.
• Maintain accurate records of all interactions with customers.
• Identify and elevate potential issues or discrepancies to senior management.

Skills

Claim processing

Analytical skills

Communication

Fast-paced

Computer proficiency

Job description

Roles and Responsibility

• Process claims according to company policies and procedures.
• Verify patient eligibility and benefits under various insurance plans.
• Review medical records and calculate benefit amounts accurately.
• Communicate effectively with clients and internal teams regarding claim status.
• Maintain accurate records of all interactions with customers.
• Identify and elevate potential issues or discrepancies to senior management.

Job Requirements

• Minimum 1 years of experience in claim processing, preferably in the US Health Care industry.
• Strong knowledge of claim processing principles and practices.
• Excellent communication and interpersonal skills.
• Ability to work in a fast-paced environment and meet deadlines.
• Proficient in using computer systems and software applications.
• Strong analytical and problem-solving skills.