We are Hiring for US Healthcare Operations (Appeals & Grievances)
Process: Healthcare Operations
Job Location: Mumbai
Work Mode: Work From Office (WFO)
Experience: 3-5 Years
- Shift: US Shift (24*7 rotational shifts)
- Weekly Off: Rotational; fixed Saturday/Sunday off is not available.
Job Overview: We are hiring candidates for US Healthcare Operations with mandatory experience in Appeals and Grievances. Candidates must have prior international healthcare experience, preferably in US Healthcare, with hands-on experience in end-to-end appeal processing and grievance handling.
Key Responsibilities:
- Handle end-to-end appeals and grievances processing.
- Review and process healthcare appeals as per defined guidelines.
- Manage and resolve grievances within the prescribed timelines.
- Ensure accurate documentation and maintain process quality.
- Review healthcare claims-related appeals and supporting documents.
- Follow US healthcare regulations, policies, and process guidelines.
- Work in a non-voice environment and meet productivity and quality targets.
Mandatory Skills & Keywords:
- US Healthcare Operations
- Appeals and Grievances
- End-to-End Appeal Processing
- Appeals Handling
- Grievance Handling
- International Healthcare Experience
- Non-Voice Process
Key: Prior US Healthcare experience along with Appeals and Grievances handling is mandatory. Only candidates with international experience will be considered. Interested candidates can share their updated resumes along with their current CTC, expected CTC, notice period, and total experience.