Claim Processing Executive - US Health Care

Purview Services; Greater Noida; On-site; INR 400,000 - 700,000; Full time

Job summary

Purview Services in Greater Noida, India is seeking a trained professional to process health care claims and verify patient eligibility across multiple plans. You will review medical records, calculate benefits, and communicate claim statuses to clients and internal teams.

The role requires solid analytical abilities, fast-paced execution, and proficiency with software systems. Join an organization focused on accuracy, timely responses, and strong customer service.

Qualifications

• Minimum 1 year 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.

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

Interpersonal skills

Analytical skills

Problem-solving skills

Software applications

Claim processing knowledge

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.