Health Admin Services Representative

Qualification: Any Graduation

Years of Experience: Fresher

Education: BA & B.com are priority but we can look for BBA, BMS, BBI, BMM as well

Work Location: MDC-7 (Candidates should be located near the location and be comfortable with face-to-face interviews.)

Job Summary:

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.

In Payer Claims Processing, you will be responsible for delivering business solutions that support the healthcare claim function, leveraging knowledge of the processes and systems to receive, edit, price, adjudicate, and process payments for claims.

Job Description:

• Utilize analytics, technology, domain, and healthcare industry expertise to enhance operational efficiency for healthcare clients.
• Deliver operational improvements for members

Candidate Requirements:

• Immediate joiners with excellent communication skills.

Roles and Responsibilities:

In this role, you are required to solve routine problems, largely through precedent and referral to general guidelines.

Your primary interaction is within your own team and your direct supervisor.

You will be given detailed instructions on all tasks.

The decisions that you make impact your own work and are closely supervised.

You will be an individual contributor as part of a team with a predetermined, narrow scope of work.

Please note that this role may require you to work in rotational shifts.