Claim Processing Executive - US Health Care

Purview Services; Gurugram District; On-site; INR 400,000 - 600,000; Full time

Job summary

Purview Services in India is seeking a Claims Processing Associate to handle patient claims, verify eligibility, and compute benefit amounts under various insurance plans. The role emphasizes accuracy, adherence to policies, and timely processing from Gurugram.

Candidates should have at least one year of experience in claim processing, strong communication skills, and proficiency with common software. You will work with clients and internal teams to resolve inquiries and ensure precise records.

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

Communication skills

Claim processing knowledge

Analytical thinking

Time management

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.