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The Healthcare & Insurance Operations Associate role involves processing claims, resolving payment issues, and ensuring compliance with client SLAs. Candidates should have 1-3 years of experience in claims processing, strong analytical and communication skills, and a solid understanding of healthcare insurance policies. This position requires the ability to work independently and manage tasks effectively in a fast-paced environment.
Job Responsibility:
Process Adjudication claims and resolve for payment and Denials
Knowledge in handling authorization, COB, duplicate, pricing and corrected claims process
Knowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits and exclusions, state variations
Ensuring accurate and timely completion of transactions to meet or exceed client SLAs
Organizing and completing tasks according to assigned priorities
Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the team
Resolving complex situations following pre-established guidelines
Requirements:
1-3 years of experience in processing claims adjudication and adjustment process
Experience of Facets is an added advantage
Experience in professional (HCFA), institutional (UB) claims (optional)
Both under graduates and post graduates can apply
Good communication (Demonstrate strong reading comprehension and writing skills)
Able to work independently, strong analytic skills