Job Description
Description:
- In-depth Knowledge and Experience in the US Health Care Payer System.
- 2-3 years of experience in Claims Adjudication.
- Knowledge on MS office tools
- Understanding Client P&Ps based on instruction guidelines.
- Develop a strong understanding of the business challenges and provide knowledge and insights
- Analyze internal/client feedback emails and report back to Managers
- Handling coaching/feedback sessions efficiently.
- Periodic knowledge calibration with client or quality team
- Floor troubleshooting and if required get queries clarified with client.
Required Skills:
Critical:
- In depth Process knowledge in Claims Processing
- Front ending the client in a must
- Focus on continuous process improvement
Desirable:
- Knowledge on quality tools/RPA
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