Claims Adjudication (Fresher and Exp) Access Healthcare
Naukri · Hyderabad · onsite · Posted 38d ago
Undisclosed0–5 yrsfulltimeSourced from
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About this role
Dear Candidate,
Greetings from Naukri.com!!
Great Opportunity for Healthcare domain Candidates!
Access Healthcare is hiring candidates for the position of Claims Adjudication.
Position Details
- Position: Healthcare RCM Authorization / Claims Adjudication
- Experience: 1+ Year / Freshers
- Eligibility for Expereinced: 1 year hands on in Claims Adjudication
- Eligibility for Freshers: B.Pharm / D.Pharm only
- Work Profile: 20% Calling & 80% Non-Voice
- Work Mode: Work From Office
- Work Days: Monday to Friday
- Shift: Night Shift
- Shift Timings: 6:00 PM – 3:00 AM OR 9:00 PM – 6:00 AM
- Cab Facility: Pick-up & Drop facility provided
- Joining: Immediate joiners preferred
Job Responsibilities
As a Healthcare RCM Executive – Authorization / Claims, you will be responsible for:
- Handling Claims Adjudication / Authorization processes.
- Reviewing and processing medical records and authorization requests.
- Performing provider office calling and coordinating for required information.
- Maintaining accurate records as per process guidelines.
- Identifying and resolving discrepancies in coordination with internal teams.
- Ensuring compliance with process and quality standards.
- Supporting smooth day-to-day RCM operations.
- Managing documentation and other non-voice activities with accuracy.
Job Requirements
- Minimum 1 year of experience in Claims Adjudication with good process knowledge.
- Freshers with B.Pharm / D.Pharm can also apply.
- Candidates with 1–2 years of experience in Utilization Management / Authorization along with calling experience are preferred.
- Good knowledge of Authorization and Medical Records.
- Strong verbal communication skills for interaction with provider offices.
- Comfortable working in night shifts.
- Flexible to work Monday to Friday.
- Candidates who can join immediately will be preferred.
- Work From Office is mandatory.
Interview Details
Interested candidates are requested to apply on this position and wait for telephonic and video call rounds of interview.
Apply Now & Start Your Career in Healthcare RCM!
Sourced from naukri
Skills
claims adjudicationClaims ManagementClaims Processing
About Naukri
Naukri
Internet
2.7k+
employees
1996
30 years old
Noida, Uttar Pradesh
IN
₹11.4L PA avg
Avg at Naukri
About
This is the flagship brand and India's largest online job website. Its business model depends on job listings and employer branding or visibility advertisements, on the one hand, and resume database access, on the other. Additional features of the website include: job seeker services such as candidate services which are free for job seekers; value-added features such as resume writing, highlighting, etc, for job seekers; and tools to search the database of resumes and job application screening programs for employer and recruitment consultant customers. Google Ad sense and mobile revenues contribute to the revenue as well.As of March 31, 2016, naukri.com had a database of about 46 million registered job seekers and an average of about 12,000 resumes were added daily while about 195,000 resumes were modified daily during Q4 FY 2015-16 and 61,000 unique corporate customers (including hiring consultants/firms) availed of services such as database access, advertising/listing on the site, amongst others during the 2015-16. The website continued to gain market share in terms of user traffic.To retain its leadership position, the company constantly invests in product development and improved user experiences through search tools and better site response. The search mechanism has been significantly improved for job search. The online platform is supplemented by a mobile application for iOS and Android platforms. The mobile medium is continually gaining traction. The cloud SaaS-based career site manager is now being used by 1,600 clients and helps them manage process flow of applications for recruiters, and is used to launch mobile ready career sites at a fraction of cost. It includes an application tracking system. The referral hiring platform is now being used by 350 corporates.Going forward, the vision is to reposition naukri.com as a complete recruitment partner by consolidating all products into a Naukri Hiring Suite that caters to almost all the recruitment needs of customers.
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