Openings For Immediate Joiners For Claims
- Thryve Digital
- 1 - 3 years
- Hyderabad
- 4 years ago
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Job Description
Dear Candidate ,
Greetings from Thryve Digital Health LLP !!!
We have immediate openings for Claims Adjudication for US Health Care Process.
Job Description
Location :Hyderabad
Roles and Responsibilities
This role requires to screens, reviews, evaluate online entry, error correction and / or quality control review and final adjudication of paper/electronic claims. Determines whether to return, deny or pay claims following organizational policies and procedures. May include initial entry claims or claims which have suspended. Translate foreign language claims into English using software and code appropriately. Convert foreign currency to US dollar and code charges appropriately. Reviews processed claims and inquiries to determine corrective action which can include adjusting claims. Takes the corrective action steps using enrollment, benefit and historical claim processing information.
1. Determine if claim information is complete and correct. Enter/verify claims data.
2. Resolve claim edits, review history records and determine benefit eligibility for service. Review payment levels to arrive at final payment determination.
3. Meets all production and quality standards. Attends all required training classes.
4. Elevates issues to next level of supervision, as appropriate.
5. Maintains accurate records, including timekeeping records.
6. Other duties as assigned or requested.
Desired Candidate Profile
- Ability to take direction and to navigate through multiple systems simultaneously.
- Knowledge of administrative and clerical procedures and systems such as word processing and managing files and records.
- Ability to use mathematics to adjudicate claims.
- Ability to solve problems within pre-defined methods and guidelines.
- Knowledge of operating systems specific to claim processing.
Qualification - Any graduate
Company Profile:
https://www.thryvedigital.com/
Note : 15 Days or Less (Immediate Joiners) ,preffered.
If interested , Kindly share your update resume to below mentioned contact details
Akhila Balguri
7702422***
ak***********i@th**********l.com
Job Classification
Industry: Medical Services / HospitalFunctional Area: Customer Success, Service & Operations, Role Category: Non VoiceRole: Non VoiceEmployement Type: Full timeEducation
Under Graduation: Any GraduatePost Graduation: Any PostgraduateDoctorate: Any Doctorate, Doctorate Not RequiredContact Details:
Company: Thryve Digital HealthAddress: Module No 1 to 4,8th Floor,Cambridge Tower, Ramanu, jan IT City,Rajiv Gandhi Salai,Taramani, Chennai, Tamilnadu, IndiaLocation(s): Hyderabad
Keyskills: us healthcare claims adjudication quality control quality standards enrollment
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