Roles and Responsibilities:nn * Process Adjudication claims and resolve for payment and Denialsnnn * Knowledge in handling authorization, COB, duplicate, pricing and corrected claims processn * 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 variationsnnn * Ensuring accurate and timely completion of transactions to meet or exceed client SLAs n * Organizing and completing tasks according to assigned priorities. n * Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products,



services and processes performed by the team nnn * Resolving complex situations following pre-established guidelinesnnnnRequirements:nn * 1-3 years of experience in processing claims adjudication and adjustment processn * Experience of Facets is an added advantage.n * Experience in professional (HCFA), institutional (UB) claims (optional)n * Both under graduates and post graduates can applyn * Positive communication (Demonstrate strong reading comprehension and writing skills)n * Able to work independently, strong analytic skillsnnnn**Required schedule availability for this position is Monday-Friday 5.30PM/3.30AM IST (AR SHIFT). The shift timings can be changed as per client requirements. Additionally, resources may have to do overtime and work on weekendu2019s basis business requirement.n

📌 HC & Insurance Operations Associate (Coimbatore)
🏢 Recognized
📍 Coimbatore