Roles and Responsibility
- Process claims according to company policies and procedures.
- Verify patient eligibility and benefits under various insurance plans.
- Review medical records and calculate benefit amounts accurately.
- Communicate effectively with clients and internal teams regarding claim status.
- Maintain accurate records of all interactions with customers.
- Identify and escalate potential issues or discrepancies to senior management.
Job Requirements
- Minimum 1 years of experience in claim processing, preferably in the US Health Care industry.
- Robust knowledge of claim processing principles and practices.
- Excellent communication and interpersonal skills.
- Ability to work in a fast-paced environment and meet deadlines.
- Proficient in using computer systems and software applications.
- Strong analytical and problem-solving skills. .
