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Firstsource
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US Healthcare - Claims Adjudication

US Healthcare - Claims Adjudication

Firstsource

1 - 3 years

2 - 3 Lacs

Hyderabad

Posted:1 week ago| Platform:

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Skills Required

Claims Adjudication Payer Side US Healthcare

Work Mode

Work from Office

Job Type

Full Time

Job Description

Greetings from Firstsource Solution!!!

Walk-in Time

Mode of Interview:

Eligibility Criteria:

Minimum 6 months experience is required in Claims/ Insurance or healthcare.
Processing and data entry for routine types of physician and contract linkage transactions such as:
Load new physician demographics and contract linkage using the appropriate loading instruction guidelines (i.e. Managed Care Forms, Provider Data Loading Templates, etc.)
Perform physician demographics and contract linkage data using the appropriate loading instruction guidelines (i.e. Managed Care Forms, Provider Data Loading Templates, etc.)
Responsible for ensuring all data elements necessary to complete the request are provided and responds to the submitter with a detailed outline if additional information is needed
Use desk-top macros whenever possible to ensure data loading accuracy and efficiency
Send large requests capable of being automated as defined by management to the AST
Provide excellent customer service to customers (physician, health plans, affiliates, delegates, insured, and all associated business partners) by:
Quickly and accurately identifying and assessing customer needs and taking appropriate action steps to satisfy those needs
Solve problems systematically using sound business judgment and following through on commitments using an automated approach whenever possible
Respond to customers in a polite and professional manner
Complete assigned work within established TAT and Quality metrics while remaining within downtime parameters to ensure customer satisfaction.

Interested candidates must directly walk-in to Firstsource office for the interview process.
Please carry updated resume and Govt. photo ID proof

ithra-HR

Venue Details:

Disclaimer:

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