1.0 - 5.0 years

0 Lacs

noida, uttar pradesh

On-site

As an Executive in the US Medicare Process team, you will be responsible for managing healthcare claims, verifying medical eligibility, and ensuring compliance with Medicare guidelines. With 1-4 years of experience in the field, you will play a crucial role in processing Medicare claims accurately and resolving any discrepancies that may arise. Your role will involve handling inbound and outbound calls for claim inquiries, updating medical eligibility records as per Medicare regulations, and reviewing healthcare provider documentation in alignment with US Medicare standards. Your key responsibilities will include processing Medicare claims with precision, verifying and updating medical eligibility records, and communicating effectively with healthcare providers and patients. You will need to ensure timely and accurate processing of claims while adhering to HIPAA and other healthcare data protection regulations. Additionally, you will be required to assist in resolving issues related to claim rejections or denials and maintaining up-to-date patient and provider information in the system. To excel in this role, you should possess a Bachelor's degree in any field, with a preference for a background in healthcare. Your 1-4 years of experience in the US Medicare or healthcare BPO domain will be beneficial, along with a strong understanding of Medicare processes and regulations. Excellent communication skills, proficiency in MS Office and healthcare management software, attention to detail, and organizational abilities are key qualifications required for this role. Flexibility to work in shifts, if needed, will also be essential. Preferred qualifications include prior experience in US healthcare claims processing or medical billing, knowledge of healthcare compliance and HIPAA guidelines, and familiarity with Electronic Health Records (EHR) or similar systems. In return, you can expect a competitive salary of up to 26,000 per month, health insurance, and other benefits as per company policy. This is an excellent opportunity to work with a leading healthcare process management team and contribute to the efficient processing of Medicare claims.,

Posted 4 days ago

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