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Payment Salary in Noida - PayScale

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BPO HC and Insurance Operations Senior Associate
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In this Role you will be Responsible ForReview and Processes Healthcare payer claims including HCFA and UB forms.Validate Member, Provider and other Claims information.Determine accurate payment criteria for clearing pending claims based on defined Policy and Procedure.Coordination of Claim Benefits based on the Policy and Procedure.Maintain productivity goals, quality standards and aging timeframes.Scrutinizing Medical Claim Documents and settlements.Organizing and completing tasks per assigned priorities.Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the teaResolving complex situations following pre:established guidelinesRequirements for this role include:University degree or equivalent that required formal studies of the English language and basic Math3+ Year of experience where you had business rules to varying fact situations and make appropriate decisions3+ Year of data entry experience that required a focus on quality including attention to detail, accuracy, and accountability for your work product.3+ Year of experience using a computer with Windows PC applications that required you to use a keyboard, navigate screens, and learn new software tools.3+ Year of experience that required prioritizing your workload to meet deadlines
HC and Insurance Operations Associate
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In this Role you will be Responsible For- Review and process insurance claims.- Validate Member, Provider and other Claims information.- Determine accurate payment criteria for clearing pending claims based on defined Policy and Procedure.- Coordination of Claim Benefits based on the Policy and Procedure.- Maintain productivity goals, quality standards and aging timeframes.- Scrutinizing Medical Claim Documents and settlements.- Organizing and completing tasks per assigned priorities.- Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the tea- Resolving complex situations following pre:established guidelinesRequirements for this role include:- 0 :1 year of experience in any Healthcare BPO- University degree or equivalent that required 3+ years of formal studies- 1+ year(s) of experience using a computer with Windows PC applications that required you to use a keyboard, navigate screens, and learn new software tools.- Ability to work scheduled shifts from Monday:Friday 06:00 PM to 04:00 AM (weekend's if required) and to be flexible to accommodate extra hours due to business requirements - Ability to communicate (oral/written) effectively in English to exchange information with our client.
HC and Insurance Operations Senior representative
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