Claim Processing Executive - US Health Care

Purview Services; Indore District; On-site; INR 350,000 - 700,000; Full time

Job summary

Purview Services in Indore is seeking an experienced claims processor to handle health-care related claims. You will verify eligibility, review medical records, and calculate benefits while maintaining accurate records and communicating with clients and internal teams.

The role requires 1 year in claim processing, excellent communication skills, and the ability to work in a fast-paced environment. Proficiency with billing software and EMR/EHR systems is a plus.

Qualifications

• Minimum 1 year of experience in claim processing, preferably in US Health Care.
• 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 escalate potential issues or discrepancies to senior management.

Skills

Claim processing knowledge

Communication skills

Analytical skills

Problem solving

Computer literacy

Time management

Tools

Billing software

EMR/EHR systems

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 escape 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.