Claim Processing Executive - US Health Care

Purview Services; Kolkata District; On-site; INR 300,000 - 500,000; Full time

Job summary

Purview Services in Kolkata seeks a dedicated Claims Processor to handle claims according to company policies, verify eligibility and calculate benefit amounts accurately.

You will communicate with clients and internal teams, review medical records, maintain detailed records, and escalate issues to senior management as needed. The role requires at least 1 year in claim processing, strong analytical abilities, and the ability to work in a fast-paced environment.

Qualifications

• Excellent communication and interpersonal skills.
• Strong analytical and problem-solving skills.
• 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

Interpersonal skills

Analytical skills

Problem-solving skills

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.