Claims- TLTMSME
Job Location:
Monthly Salary:
Posted on:
30+ days ago
Posted on:
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1 Vacancy
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Job Summary
#L1-PS1
Position: Claims - TL-TM-SME
Location: Kochi
Night Shift - WFO
Healthcare Operations leader with 6 years of experience in U.S. payer-side healthcare operations across Medicare Medicaid Commercial business Claims Adjudication Clean Claims Processing
Responsible for keyingprocessing and/or adjusting healthclaims inaccordance with claims policies and procedures
Good understanding of the application of benefit contracts pricing processingpolicies procedures govt regs coordination of benefits & amp; healthcare terminology.
Monitor team performance metrics including AHT claim resolution rate patient satisfaction. Coach mentor and develop staff through regular training and performance evaluations. Collaborate with clinical and operational teams to ensure alignment with healthcare regulations (e.g. HIPAA Claims adjudication Case Management).
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