01Overview
About the RoleJoin a reputable organization as a US Health Insurance Claims Processor specializing in voice-based operations. This position involves handling healthcare claims, ensuring accuracy, compliance, and effective communication across various stakeholders. The role is stationed in Kochi, India.Key ResponsibilitiesProcess and review healthcare claims following company guidelines and industry-level standards.Verify patient eligibility and available benefits to confirm claim validity.Analyze claims thoroughly to detect any errors, missing information, or inconsistencies.Liaise with healthcare providers, patients, and insurance firms to address inquiries related to claims.Adhere strictly to HIPAA and other regulatory mandates during claims handling.Keep meticulous records regarding every claim processed to maintain data integrity.Candidate RequirementsMust hold a graduate degree.Prior experience in handling healthcare or insurance claims, specifically life or group benefits claims, is preferred.Exceptional attention to detail along with strong analytical capabilities.Effective communication and interpersonal interaction skills.Ability to type at least 25 words per minute with a minimum accuracy level of 80%.EligibilityOpen to all graduates interested in acquiring or applying their knowledge in US health insurance claims processing.ResponsibilitiesReview and process healthcare claims in line with company policies and industry regulations.Confirm patient eligibility and benefits to validate claims.Examine claims for correctness and completeness, spotting discrepancies.Engage with healthcare providers, patients, and insurance entities to resolve claim issues.Comply with HIPAA and other regulatory requirements throughout claims processing.Maintain comprehensive and accurate records of all processed claims.RequirementsGraduate degree required.Experience in healthcare, life insurance, or group advantages claims processing preferred.High attention to detail and strong analytical skills.Excellent communication and interpersonal skills.Typing speed of at least 25 words per minute with 80% accuracy. . .
