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Cognizant
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PE-Claims HC

PE-Claims HC

Cognizant

0 - 1 years

1 - 3 Lacs

Chennai

Posted:1 week ago| Platform:

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Skills Required

requirements process providing analytical medicaid us healthcare claims adjudication healthcare claims processing adjudication payment posting claims management compliance denial management claims medical billing medicare revenue cycle management communication skills

Work Mode

Work from Office

Job Type

Full Time

Job Description

Job Summary

Join our dynamic team as a PE-Claims HC specialist where you will play a crucial role in processing and adjudicating claims with precision and efficiency. This hybrid role requires a keen understanding of Medicare and Medicaid claims ensuring compliance and accuracy. With a focus on night shifts you will contribute to our mission of delivering exceptional healthcare solutions without the need for travel.

Responsibilities

Process claims with a high degree of accuracy ensuring compliance with Medicare and Medicaid regulations.

Analyze claims data to identify discrepancies and resolve issues promptly.

Collaborate with team members to streamline claims adjudication processes.

Maintain up-to-date knowledge of industry standards and regulatory changes.

Utilize technical skills to enhance claims processing efficiency.

Communicate effectively with stakeholders to ensure clarity and understanding of claims processes.

Implement best practices to improve overall claims management.

Monitor claims processing metrics to ensure timely and accurate adjudication.

Provide feedback and suggestions for process improvements.

Support the team in achieving departmental goals and objectives.

Ensure all claims are processed within established timelines.

Assist in the development of training materials for new team members.

Contribute to a positive work environment by fostering collaboration and teamwork.

Qualifications

Possess strong analytical skills to assess and adjudicate claims accurately.

Demonstrate proficiency in claims adjudication processes and tools.

Exhibit a solid understanding of Medicare and Medicaid claims requirements.

Show excellent communication skills to interact with various stakeholders.

Have the ability to work effectively in a hybrid work model.

Display a keen attention to detail to ensure compliance and accuracy.

Certifications Required

N / A

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PE-Claims HC