Claim Processing Executive - US Health Care

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

Job summary

Purview Services in Coimbatore is seeking a claim processing associate to handle medical claims, verify patient eligibility, and calculate benefits with accuracy. The role requires effective communication with clients and internal teams and meticulous record-keeping, ensuring adherence to company policies.

The candidate should possess knowledge of claim processing principles, strong analytical skills, and the ability to work in a fast-paced environment while meeting deadlines.

Qualifications

• Strong communication and interpersonal skills.
• Analytical and problem-solving abilities.
• Proficient in using computer systems and software applications.
• Knowledge of claim processing principles and practices.
• Ability to work in a fast-paced environment and meet deadlines.

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

Communication skills

Analytical thinking

Problem solving

Attention to detail

Team work

Tech proficiency

Tools

Computer systems & 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.