Job Description

Job Description – Healthcare Operations Associate (Health Payer Services)

Position Title

Healthcare Operations Associate - Health Payer Services

Work Location

Work from Office (WFO)

Work Mode

Hybrid Model

Shift Timings

5:00 PM to 2:30 AM IST

Career Level

Level 13

Role Overview

We are seeking detail-oriented and customer-focused professionals to support key healthcare payer operations. The role involves managing member enrollment activities, premium billing, payment application processes, provider demographic maintenance, medical claims processing, and handling provider/member inquiries. The ideal candidate should possess robust analytical skills, accuracy in data processing, and the ability to work effectively in a rapid-paced setting while ensuring adherence to quality and compliance standards.

Key Responsibilities

Member Enrollment & Eligibility
Process member enrollment, maintenance, and eligibility transactions accurately and within defined timelines.




Review and validate member information to ensure completeness and compliance with payer policies.
Perform updates, corrections, and changes related to member records.
Ensure data integrity across healthcare systems and databases.

Premium Billing & Payment Processing
Support premium billing activities and payment application processes.
Reconcile billing discrepancies and investigate payment-related issues.
Process adjustments, refunds, and account updates as required.
Maintain accurate financial records and documentation.

Provider Data Management
Update and maintain provider demographic information in the system.
Verify provider details and ensure accurate record maintenance.
Support provider onboarding and profile update activities.
Collaborate with internal stakeholders to resolve provider data issues.

Claims Processing
Review, validate, and process medical claims according to established guidelines and service-level agreements.
Identify and investig

📌 Healthcare Processor Chennai
🏢 Artech Infosystems Private
📍 Chennai