Urgent opening For Claims Processing For Ghansoli Location

Hexaware Technologies; Thane, Navi Mumbai; On-site; INR 320,000 - 440,000; Full time

Job summary

Hexaware Technologies Limited in Navi Mumbai (Ghansoli) is seeking a candidate to understand and follow established processes for initiating and adjudicating US healthcare claims. You will process claims using various tools, enter and verify data, and maintain thorough documentation to ensure accuracy and timeliness.

The role involves collaborating with providers, payers, and other stakeholders to resolve queries, while keeping knowledge up-to-date with policy and regulatory changes in the US

Qualifications

• Understand and follow established processes for claim initiation and adjudication in the US Healthcare domain.
• Utilize various tools and systems to process claims, including data entry, verification, and validation of information.
• Collaborate with cross-functional teams, such as providers, payers, and other stakeholders, to resolve queries or issues related to claims.
• Continuously update knowledge and skills to stay abreast of changes in policies, regulations, and best practices in the US Healthcare domain.

Responsibilities

• Understand and follow established processes and guidelines for claim initiation and adjudication in the US Healthcare domain.
• Utilize various tools and systems to process claims, including data entry, verification, and validation of information.
• Ensure accurate and timely processing of claims, adhering to service level agreements and quality standards.
• Maintain detailed documentation and records for each claim processed.
• Collaborate with cross-functional teams, such as providers, payers, and other stakeholders, to resolve queries or issues related to claims.
• Continuously update knowledge and skills to stay abreast of changes in policies, regulations, and best practices in the US Healthcare domain

Job description

Understand and follow established processes and guidelines for claim initiation and adjudication in the US Healthcare domain.

• Utilize various tools and systems to process claims, including data entry, verification, and validation of information.
• Ensure accurate and timely processing of claims, adhering to service level agreements and quality standards.
• Maintain detailed documentation and records for each claim processed.
• Collaborate with cross-functional teams, such as providers, payers, and other stakeholders, to resolve queries or issues related to claims.
• Continuously update knowledge and skills to stay abreast of changes in policies, regulations, and best practices in the US Healthcare domain

Location - Navi Mumbai (Ghansoli)