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Cognizant
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PE-Claims HC

PE-Claims HC

Cognizant

0 years

1 - 2 Lacs

Coimbatore

Posted:1 month ago| Platform: GlassDoor logo

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Skills Required

processing efficiency excel flexibility healthcare analyze data resolve regulations metrics support optimization reports management development service training collaborative analysis communication adaptability model learning certifications certification

Work Mode

On-site

Job Type

Part Time

Job Description

Job Summary Join our dynamic team as a Claims Processing Executive where you will play a crucial role in managing and processing Medicare Medicaid and Commercial claims. With a focus on accuracy and efficiency you will utilize your expertise in MS Excel to ensure seamless operations. This hybrid role offers night shifts providing flexibility and the opportunity to contribute to impactful healthcare solutions. Responsibilities Process Medicare Medicaid and Commercial claims with precision to ensure timely and accurate payments Utilize MS Excel to analyze and manage claim data enhancing operational efficiency Collaborate with team members to resolve claim discrepancies and improve processing workflows Maintain up-to-date knowledge of healthcare regulations and policies to ensure compliance Communicate effectively with stakeholders to provide updates and resolve issues related to claims Monitor claim processing metrics to identify areas for improvement and implement solutions Support the team in achieving departmental goals by contributing to process optimization initiatives Provide detailed reports on claim status and outcomes to management for strategic decision-making Assist in the development and implementation of best practices for claims processing Ensure high-quality service delivery by adhering to established protocols and guidelines Participate in training sessions to enhance skills and stay informed about industry changes Contribute to the companys mission by ensuring accurate and efficient claim processing impacting patient care positively Foster a collaborative work environment to achieve collective goals and enhance team performance Qualifications Demonstrate proficiency in MS Excel for data analysis and reporting Possess knowledge of Medicare Medicaid and Commercial claims processes Exhibit strong communication skills in English for effective stakeholder interaction Show attention to detail and problem-solving skills to manage claim discrepancies Display adaptability to work in a hybrid model with night shifts Have a proactive approach to learning and implementing industry best practices. Certifications Required Certified Professional Coder (CPC) or equivalent certification in healthcare claims processing.

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PE-Claims HC