Claim Processing Executive - US Health Care

Purview Services; Jaipur; On-site; INR 300,000 - 520,000; Full time

Job summary

Purview Services in Jaipur, India is seeking a dedicated professional for claim processing in the health care sector. You will verify patient eligibility, review medical records, and calculate benefits while maintaining clear communication with clients and internal teams to track claim status.

The role requires strong analytical skills, attention to detail, and the ability to work in a fast-paced environment to meet deadlines. Prior experience in US health care claim processing is preferred.

Qualifications

• Experience in claim processing and understanding of claim lifecycle.
• Strong communication and interpersonal skills.
• Ability to interpret policies and communicate findings clearly.
• Proven ability to work in a fast-paced environment and meet deadlines.
• Familiarity with 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

Communication skills

Analytical thinking

Attention to detail

US healthcare 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.