Healthcare Claims Processor

Job Junction; Pune District; On-site; INR 300,000 - 540,000; Full time

Job summary

Job Junction in Pune, India, is seeking a dedicated Healthcare Claims Processor with experience in US healthcare and claims processing to join our team. The role focuses on accurate processing and delivering high-quality customer support to global clients.

You will review claims, resolve discrepancies with providers and clients, maintain detailed records, and contribute to process improvements in a fast-paced international call center environment.

Qualifications

• Experience in US healthcare claims processing.
• Experience in international call center environment.
• Excellent communication and interpersonal skills.
• Detail-oriented with strong analytical abilities.

Responsibilities

• Review and process healthcare claims per policies.
• Communicate with clients and providers to resolve discrepancies.
• Maintain accurate records and follow up on outstanding claims.
• Collaborate to improve processing efficiency and customer satisfaction.
• Stay updated on healthcare regulations affecting claims.

Skills

US healthcare

Claims processing

Customer support

Communication skills

Teamwork

Job description

We are seeking a dedicated Healthcare Claims Processor to join our team in Maharashtra. The ideal candidate will have a strong background in insurance and healthcare, particularly in US healthcare systems. This role is crucial for ensuring the accurate processing of claims and providing exceptional customer support to our clients.

Key Responsibilities

• Review and process healthcare claims in accordance with company policies and regulatory requirements.
• Communicate effectively with clients and healthcare providers to resolve any discrepancies or issues related to claims.
• Maintain accurate records of claims processed and ensure timely follow-up on outstanding claims.
• Collaborate with team members to improve claims processing efficiency and customer satisfaction.
• Stay updated on industry trends and changes in healthcare regulations that may impact claims processing.

Required Skills

• Strong knowledge of insurance and healthcare systems, particularly US healthcare.
• Experience in claims processing and customer support within an international call center environment.
• Excellent communication and interpersonal skills.
• Detail-oriented with strong analytical skills to assess claims accurately.
• Ability to work independently and as part of a team in a fast-paced environment.

If you are passionate about healthcare and have the necessary experience in claims processing, we encourage you to apply for this exciting opportunity to contribute to our mission of providing quality service in the healthcare sector.