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Cognizant
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PE-Claims HC

PE-Claims HC

Cognizant

0 - 1 years

1 - 3 Lacs

Coimbatore

Posted:16 hours ago| Platform:

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Skills Required

bpo process providing analytical software health insurance hipaa us healthcare customer service claims adjudication healthcare claims processing adjudication payment posting compliance claims medical billing non voice general insurance health claims communication skills

Work Mode

Work from Office

Job Type

Full Time

Job Description

Job Summary

Join our dynamic team as a Claims Processing Specialist where you will play a crucial role in ensuring the accuracy and efficiency of claims adjudication. With a focus on Medicare and Medicaid claims you will contribute to the seamless processing of claims enhancing our service delivery. This hybrid role offers the flexibility of working both remotely and on-site during night shifts.

Responsibilities

Process claims with precision ensuring adherence to Medicare and Medicaid guidelines.

Analyze claims data to identify discrepancies and resolve issues promptly.

Collaborate with team members to streamline claims adjudication processes.

Utilize claims adjudication software to enhance processing efficiency.

Provide feedback on process improvements to enhance service delivery.

Maintain up-to-date knowledge of industry regulations and compliance standards.

Communicate effectively with stakeholders to ensure clarity and resolution of claims issues.

Document claims processing activities accurately for audit and reporting purposes.

Support the team in achieving departmental goals and objectives.

Participate in training sessions to stay informed about the latest claims processing techniques.

Ensure confidentiality and security of sensitive claims information.

Contribute to a positive work environment by supporting colleagues and fostering teamwork.

Adapt to changing priorities and work effectively under pressure.

Qualifications

Demonstrate proficiency in claims adjudication processes and software.

Possess strong analytical skills to identify and resolve claims discrepancies.

Exhibit excellent communication skills for effective stakeholder interaction.

Show a keen understanding of Medicare and Medicaid claims requirements.

Display attention to detail in processing and documenting claims activities.

Have the ability to work independently and collaboratively in a hybrid work model.

Certifications Required

Not required

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PE-Claims HC