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Process Associate-EV

1 - 5 years

3 - 7 Lacs

ahmedabad

Posted:3 hours ago| Platform: Naukri logo

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Skills Required

process associate interpersonal skills compliance finance healthcare document verification customer service

Work Mode

Work from Office

Job Type

Full Time

Job Description

About Job Role:

Review and verify client information to determine eligibility for specific
benefits or programs.
Communicate with clients or relevant parties to gather necessary information.
Verify and analyse insurance coverage details, including co-pays, deductibles,
and coverage limits.
Determine the extent of benefits available to clients based on their eligibility
status.
Maintain accurate and up-to-date records of client information, eligibility
status, and benefit details.
Document verification processes and outcomes for future reference.
Communicate eligibility and benefit information to clients, colleagues, or
relevant stakeholders.
Provide clear explanations of benefits, coverage details, and any necessary
actions required.
Address and resolve any discrepancies or issues related to eligibility or
benefits.
Collaborate with other departments or teams to ensure accurate information
flow.
Stay informed about relevant laws, regulations, and industry standards related
to eligibility and benefits.
Ensure compliance with all applicable guidelines and policies.
Provide excellent customer service by responding to inquiries, addressing
concerns, and assisting clients in understanding their benefits.

Qualifications:

Any graduate or equivalent; additional education or certifications in healthcare
administration or related fields may be preferred.
Previous experience in eligibility verification, benefit analysis, or a similar role.
Knowledge of insurance policies, financial assistance programs, or relevant
benefits.
Strong attention to detail and accuracy.
Excellent communication and interpersonal skills.

Compensation

As per Industry standards

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