Claim Processing Executive - US Health Care

Purview Services; Chandigarh; On-site; INR 300,000 - 420,000; Full time

Job summary

Purview Services is seeking a candidate in Chandigarh to process health-care claims, verify eligibility, and calculate benefits. The role requires strong communication and analytical skills to ensure accuracy and timeliness in a fast-paced setting.

Responsibilities include handling patient records, communicating claim status to clients and teams, and escalating discrepancies to senior management as needed.

Qualifications

• Minimum 1 year of experience in claim processing in health care.
• Strong understanding 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

US Health Care knowledge

Communication skills

Analytical skills

Computer systems proficiency

Tools

Claim processing software

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.