Process Specialist

1.00 to 5.00 Years Mangalore 27 May, 2023

Job Location	Mangalore
Education	Not Mentioned
Salary	Not Disclosed
Industry	IT - Software
Functional Area	Operations Management / Process AnalysisGeneral / Other Software
EmploymentType	Full-time

Job Description

Key Responsibilities: *US healthcare payer domain - Complaints, Greivences and Appeals (OR) Claims adjudication experience only preferred. Good communication Skills (Verbal & Written) and analytical skills. This role involves extensive healthcare/medical doucments analysis , should be analytically strong in intrepreting the healthcare verbiages. A drive to exceed targets. Good knowledge on US Healthcare payer domain. Preferrably having Complaints, Greievences and appeals experience. In-depth knowledge of US healthcare Privacy HIPAA rules & laws. Subject expert in US healthcare payer claim adjudication process. Added advantage if worked on Provider/Member appeals domain. Added advantage if having Quality check experience in US healthcare payer domain. Support to newly joined employees and having trainer experience is an added advantage for SME roles. Job Location : Mangalore Qualification : Bcom, BBA ,BA, BSc & (BE graduates if having complete experience on claims adjucation process in the US healthcare payer domain only) Shifts : 24*7 & Continuous night shifts. Experience : JL2A - Minimum 12 months if having complaints and appeals process experience (OR) Minimum 18 months experience in the claims adjudication process (US healthcare payer domain only) Experience : JL3A - minimum 24 months experience in the claims processor / Appeals analyst role (US healthcare payer domain only),

Keyskills :
sapslacustomer relationsqualityreportingus healthcarequality checkclaims adjudicationcommunication skillsbscsmehipaapayerclaimsappeals

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Process Specialist

Job Description

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