US healthcare openings for freshers @ Careernet Technologies

Job Description

• Responsible for keying, processing and/or adjusting health claims in accordance with claims policies and procedures.
• Works without significant guidance w/ basic understanding of multiple products (HMO, PPO,COB, etc.).
  
• Must be able to successfully perform all the duties.
  
• Primary duties may include, but are not limited to: Able to handle more complex claims.
  
• Good understanding of the application of benefit contracts, pricing, processing, policies, procedures, govt regs, coordination of benefits, && healthcare terminology.
• Good working knowledge of claims and products, including the grievance and/or re-consideration process.
• Excellent knowledge of the various operations of the organization, products, and services.
  
• Reviews, analyzes and processes claims/policies related to events to determine extent of company liability and entitlement. Researches and analyzes claims issues.
• Responds to inquiries, may involve customer/client contact.
• Requires a BA/BBA/B.com/B.Sc./Pharm of 2020 and 2021 batch claims processing experience; previous experience using PC, database system, and related software (word processing, spreadsheets, etc.); or any combination of education and experience, which would provide an equivalent background.

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Keyskills:   pharma bcom bsc bba