PE-Claims HC

0 years

0 Lacs

Posted:1 day ago| Platform: SimplyHired logo

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Work Mode

On-site

Job Type

Full Time

Job Description

Job Summary

Join our dynamic team as a PE-Claims HC professional where you will leverage your skills in MS Office UiPath and Claims Adjudication to streamline processes and enhance efficiency. With a focus on the Payer and Provider domains you will play a crucial role in ensuring accurate claims processing. This hybrid role offers the flexibility of night shifts allowing you to balance work and personal commitments effectively.


Responsibilities

  • Analyze and process claims efficiently to ensure timely adjudication and payment.
  • Utilize MS Office tools to organize and manage claims data effectively.
  • Implement UiPath automation to streamline claims processing workflows.
  • Collaborate with team members to resolve discrepancies in claims adjudication.
  • Ensure compliance with industry standards and regulations in claims processing.
  • Provide support in the Payer and Provider domains to enhance service delivery.
  • Monitor claims processing metrics to identify areas for improvement.
  • Communicate effectively with stakeholders to address claims-related queries.
  • Maintain accurate records of claims processed for audit and reporting purposes.
  • Assist in the development of process improvement initiatives to optimize claims operations.
  • Participate in training sessions to stay updated on industry trends and technologies.
  • Support the team in achieving departmental goals and objectives.
  • Contribute to the companys mission by ensuring high-quality claims processing. Qualifications
  • Demonstrate proficiency in MS Office for data management and reporting.
  • Exhibit experience in UiPath for process automation in claims adjudication.
  • Possess knowledge of claims adjudication processes and best practices.
  • Have experience in the Payer and Provider domains to support claims operations.
  • Show adaptability to work in a hybrid model with night shifts.
  • Display strong analytical skills to identify and resolve claims discrepancies.
  • Communicate effectively with team members and stakeholders.

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