Health Admin Services Associate

1 Month ago • 1-3 Years

Job Description

This role involves embedding digital transformation in healthcare operations, focusing on end-to-end processes to drive superior outcomes. As part of the Healthcare Claims team, you will administer health claims, including registering, editing, verifying, evaluating, examining, and litigating claims for health, life, and property & causality. You will solve routine problems, interact within your team, and work as an individual contributor with a focused scope, potentially in rotational shifts.
Must Have:
  • Administer health claims, including registering, editing, verification, evaluation, examination, and litigation.
  • Solve routine problems largely through precedent and general guidelines.
  • Interact within your own team and with your direct supervisor.
  • Work as an individual contributor with a predetermined, focused scope.
  • Be prepared to work in rotational shifts.

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Job Description

Skill required: Claims Appeals - Claims Administration

Designation: Health Admin Services Associate

Qualifications: Any Graduation

Years of Experience: 1 to 3 years

What would you do?

Embedding digital transformation in healthcare operations end-to-end, driving superior outcomes and value realization today, and enabling streamlined operations to serve the emerging health care market of tomorrow. You will be a part of the Healthcare Claims team which is responsible for the administration of health claims. This team is involved in core claim processing such as registering claims, editing & verification, claims evaluation, and examination & litigation. Includes the administration of health, life, and property & causality claims. Includes activities involved in core claim processing such as registering claims, editing & verification, claims evaluation, and examination & litigation.

What are we looking for?

  • Healthcare Management
  • Commitment to quality
  • Ability to work well in a team
  • Adaptable and flexible
  • Written and verbal communication
  • Process-orientation
  • Health Insurance Portability & Accountability Act (HIPAA)

Roles and Responsibilities:

  • In this role you are required to solve routine problems, largely through precedent and referral to general guidelines
  • Your expected interactions are within your own team and direct supervisor
  • You will be provided detailed to moderate level of instruction on daily work tasks and detailed instruction on new assignments
  • The decisions that you make would impact your own work
  • You will be an individual contributor as a part of a team, with a predetermined, focused scope of work
  • Please note that this role may require you to work in rotational shifts

Qualification

Any Graduation

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