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Navi Technologies
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Senior Executive - Medical Encoder (S3)

Senior Executive - Medical Encoder (S3)

Navi Technologies

4 - 7 years

8 - 11 Lacs

bengaluru

Posted:-1 days ago| Platform:

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Skills Required

process automation loans health insurance claims mutual funds report writing billing ms office financial services

Work Mode

Work from Office

Job Type

Full Time

Job Description

The role involves supporting the end-to-end claims process, with a focus on accuracy, timeliness, and compliance. The individual will be responsible for registering claims, validating and tabulating hospital bills, maintaining accurate claim records, and ensuring smooth coordination with internal stakeholders. This position requires strong analytical skills, attention to detail, and the ability to work in a fast-paced environment while adhering to turnaround time (TAT) commitments. The role also demands effective communication skills, both written and verbal, and proficiency in MS Office/Google Suite tools for documentation and reporting.

What We Expect From You

Reviewing claim documents received from hospitals and generating claim numbers in cashless.
Detailed tabulation of hospital bills for cashless and reimbursement claims.
Adherence to the cashless receiving and reimbursement and network RI tabulation TAT as per company norms.
Adherence to the duty schedule with willingness to accommodate flexible working hours as needed.
Effective E-mail communication skills with ability to write clear, professional and concise emails.
Proficiency in Microsoft Office applications, mainly word and excel/google sheets
Prepare a claim register, prepare payment files for the finance department.
Respond to the inquiries from internal stakeholders regarding claim intimation, tabulation etc. related issues.
Maintain records of claim intimation and tabulation, ensuring accurate and proper documentation.
Identify and report any data discrepancies or issues to the claim manager.

Must Haves

Strong attention to detail and accuracy in reviewing and encoding medical information.
Sharp business acumen to understand health insurance claim servicing needs.
Excellent communication skills, including report writing and presentation abilities (proficiency in English is mandatory).
Ability to anticipate potential problems and take appropriate corrective action.
Strong collaboration skills to work effectively with medical, operations, and cross-functional teams

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Senior Executive - Medical Encoder (S3)