Qualifications
Minimum qualifications
- Any Graduate except technical
- Freshers are eligible
Preferred qualifications
- Good knowledge of healthcare & medical terminologies
- Eye for detail & investigative skills
- Good interpretation & comprehension skills
- Proven experience.
Job Description & Responsibilities:
In this role, you will be responsible for Data Entry of Information related to personal details, provider details, invoice information, procedure & impairment codes.
- Validation of information entered by indexer
- Check & Select accurate Pre-authorization
- Identify duplicate Claims and take appropriate action
- Reading & taking appropriate action on Alerts related to Members & providers.
- Referring case to calling team for further information
- Looking after Policy & Non-Policy messages
- Interpreting, analyzing & further investigating the Policy messages on various tools like support point, info site etc.
- Referring cases to various department like HCS, TMT, Triage after adjudication as and when required
- Identify Front End Savings by investigating claims to Identify any over charge, ineligible chargers, contract compliance, Provider or Member Fraud
Walk-In Drive Details:
- Date: 10th December 2024
- Time: 11 AM to 1 PM
- Venue: Plot No 1, Jawahar Lal Nehru Marg, near Venkateshwara Temple, Sector 9, Malviya Nagar, Jaipur, Rajasthan 302017.
Note: Please carry below documents with you:
1. 3 copies of updates resume
2. 3 Passport size photographs
3. Original Aadhar card
4. 2 copies of Aadhar card
5. Payslip (if applicable