Role & responsibilities
- Review incoming healthcare claims for accuracy and completeness, ensuring all necessary information is provided for adjudication.
- Analyze claims data against payer policies and industry regulations to determine eligibility for payment or denial.
- Communicate effectively with healthcare providers, policyholders, and internal teams to resolve discrepancies or gather additional information.
- Utilize claims processing systems and software to enter, update, and retrieve claims information accurately.
- Identify and report any trends or patterns in claims submissions that may indicate potential fraud or abuse.
- This role includes Night Shift.
Interested candidates kindly contact
Soumya - (phone hidden)
[email protected]
Role: Back Office - Other, Industry Type: BPM / BPO, Department: Customer Success, Service & Operations, Employment Type: Full Time, Permanent Role Category: Back Office Education UG: Any Graduate read more
Key Skills FreshersNon Voice Process
📌 Non-Voice Back Office || US Healthcare || Freshers (Navi Mumbai)
🏢 Hexaware Technologies
📍 Navi Mumbai