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Hexaware Technologies; Thane, Navi Mumbai, Mumbai; Sur place; INR 350 000 - 500 000; Plein temps

Résumé du poste

Hexaware Technologies in Maharashtra is seeking a Claims Processor for the US Healthcare domain. The incumbent will process claims using various tools, perform data entry, verification, and validation to ensure timely completion and SLA compliance.

You will maintain detailed records of each claim, collaborate with providers, payers, and stakeholders to resolve queries, and continuously update knowledge on policy changes, with ongoing training to sharpen job-related skills.

Responsabilités

• 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.
• Participate in training and development programs to enhance job-related skills and knowledge.

Description du poste

Role:

The incumbent will be responsible for processing claims in the US Healthcare domain. They will use various tools to complete transactions and ensure timely processing. This role requires efficient and accurate handling of jobs to meet service level agreements.

Job 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.
• Participate in training and development programs to enhance job-related skills and knowledge.