Claim Adjudication jobs

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following.

· Ensure all cases should be process as per the guidelines.

· Responsible for timely request and follow-up of any/all required additional information for proper claim adjudication.

· Operate within company regulations regarding HIPAA, fraud, confidentiality, and private health information guidelines.

· Interact professionally with other business units to gather and analyze data needed to properly adjudicate claims and documentation of claims files.

· Work as a member of special or on-going projects that are important to area/process improvement

· Responsible for suggesting methods to improve area operations, efficiency and service to both internal and external customers

QUALIFICATIONS EDUCATION and/or EXPERIENCE

· Should have 0 to 2 years on work experience in US Health care Insurance claims Domain

· Strong knowledge of claims, customer care processes and techniques

· Demonstrated ability to work well in a team environment

Pay: Up to ₹400,000.00 per year

Work Location: Remote