Claim Processing Executive

Job Description

We are a dynamic and rapidly growing healthcare company committed to delivering exceptional services and support to our clients. We are looking for a detail-oriented and motivated B.Sc Nursing graduate to join our Claims Processing team. If you are passionate about healthcare and have an eye for accuracy, this could be the perfect opportunity for you! Job Description: As a Claims Processing Specialist, you will be responsible for reviewing, processing, and managing insurance claims related to healthcare services. Your role will require a deep understanding of medical terminology and healthcare procedures, which you can leverage to ensure that claims are processed efficiently, accurately, and in compliance with industry standards. Key Responsibilities: Review and process healthcare insurance claims for accuracy and completeness. Verify patient information, medical procedures, and insurance policy details. Collaborate with healthcare providers and insurance companies to resolve discrepancies. Communicate with patients and healthcare professionals to gather necessary documentation. Maintain detailed records of claims and ensure all relevant information is documented. Identify and resolve claim issues, including rejections, denials, and errors. Stay up-to-date with healthcare industry regulations, billing codes, and claims processing procedures. Qualifications: Educational Requirement: B.Sc in Nursing or equivalent ( MUST) Excellent attention to detail and strong organizational skills. Ability to analyze and resolve complex issues. Effective communication skills, both written and verbal. Proficiency in Microsoft Office Suite (Word, Excel, Outlook) and/or claims processing software. Ability to work independently and as part of a team in a fast-paced environment Interested candidates please share updated resume to 7395977305