Claim Processing Executive - US Health Care

Purview Services; New Delhi; On-site; INR 300,000 - 540,000; Full time

Job summary

Purview Services in Delhi is seeking a detail-oriented claims processing professional to join our team. You will process insurance claims, verify patient eligibility, and calculate benefits according to policy guidelines.

The role requires clear communication with clients and internal teams to update claim status and resolve issues, and strong analytical and problem-solving skills. 1+ year experience in claim processing is preferred, ideally in US health care.

Qualifications

• Minimum 1 year 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.

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

Analytical thinking

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.