Claim Processing Executive - US Health Care

Purview Services; Lucknow; On-site; INR 250,000 - 400,000; Full time

Job summary

Purview Services in Lucknow, India, seeks a claims processor to support our healthcare operations.

As part of the team, you will process claims, verify eligibility and benefits, review medical records, and calculate benefits accurately. US health-care industry experience is preferred.

You will communicate with clients and internal teams, maintain records, and flag discrepancies to senior management in a fast-paced environment.

Qualifications

• 1+ year experience in claim processing, preferably in healthcare.
• Strong knowledge of claim processing principles.
• Excellent communication and interpersonal skills.
• Able to work in fast-paced environment and meet deadlines.
• Proficient with computer systems and software applications.

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

Analytical skills

Deadline-driven

Tech savvy

Tools

Claims software

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.