Facets - US Healthcare

Aptita; Hyderabad; Sur place; INR 600 000 - 1 200 000; Plein temps

Résumé du poste

Aptita is actively seeking experienced professionals with US Healthcare experience to support payer operations and claims workflow using FACETS in a dynamic environment.

Successful candidates will handle member eligibility, benefits, provider data, and claims, while ensuring adherence to SLAs and regulatory requirements. Office-based role with flexibility for US shift schedules is expected.

Qualifications

• Hands-on experience with FACETS.
• Strong understanding of US healthcare / Health Insurance.
• Knowledge of claims/payer operations.
• Good communication and analytical skills.
• Willingness to work in US shifts.

Responsabilités

• Handle US Healthcare payer processes using the FACETS platform.
• Work on healthcare claims and related payer operations.
• Understand and process member eligibility, benefits, provider and claims-related information.
• Ensure accuracy and compliance with defined processes and SLAs.
• Identify and resolve process-related issues and discrepancies.
• Coordinate with internal teams for issue resolution and process improvements.
• Maintain quality and productivity standards.
• Follow US Healthcare policies, procedures and business requirements.
• Be flexible to work in US shifts as per business requirements.

Connaissances

FACETS

US Healthcare

Claims / payer ops

Communication

US shifts

Description du poste

We are hiring experienced professionals with US Healthcare experience for exciting opportunities with a leading organization.

Work Mode: Work from Office

Shift: US Shifts - Candidates should be flexible as per business requirements/schedules

Experience & CTC:

Role Overview :

We are looking for professionals with hands-on experience in FACETS and US Healthcare. The candidate will be responsible for supporting healthcare payer processes and operations, with a strong understanding of US healthcare insurance and claims-related workflows.

Key Responsibilities

• Handle US Healthcare payer processes using the FACETS platform.
• Work on healthcare claims and related payer operations.
• Understand and process member eligibility, benefits, provider and claims-related information.
• Ensure accuracy and compliance with defined processes and SLAs.
• Identify and resolve process-related issues and discrepancies.
• Coordinate with internal teams for issue resolution and process improvements.
• Maintain quality and productivity standards.
• Follow US Healthcare policies, procedures and business requirements.
• Be flexible to work in US shifts as per business requirements.

Mandatory Skills

• Hands-on experience with FACETS
• Strong understanding of US Healthcare / Health Insurance
• Knowledge of claims/payer operations
• Good communication and analytical skills
• Willingness to work in US shifts

• Relevant healthcare domain experience
• Flexibility to work in US shifts
• Immediate availability