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Team Leader

4 - 9 years

2 - 3 Lacs

chennai

Posted:4 days ago| Platform: GlassDoor logo

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Skills Required

healthcare processing compliance resolve documentation research analyze coding management

Work Mode

On-site

Job Type

Part Time

Job Description

TCS is hiring for Team Leader Role!!

Location - Chennai

Experience – 4 to 9 years

Shift - US Shift

Team leader : Experience in US Healthcare claims processing with hands-on adjudication exposure across payer policies and benefits

Roles & Responsibilities

  • Process and adjudicate healthcare claims efficiently and accurately, ensuring compliance with company policies and industry standards.
  • Investigate and resolve pended claims by reviewing documentation, identifying discrepancies, and taking necessary actions.
  • Interpret and apply policies related to government (Medicare/Medicaid), federal, and commercial health plans.
  • Research and analyze claims issues, including coding errors, missing information, and policy limitations, to determine appropriate resolutions.
  • Work with internal teams, providers, and payers to ensure timely claim resolution.
  • Maintain and update claims processing systems with accurate information.
  • Ensure claims meet regulatory, contractual, and compliance requirements.
  • Identify trends and escalate issues to management as needed.
  • Meet quality and productivity standards set by the organization.
Location
Chennai
Job Function
BUSINESS PROCESS SERVICES
Role
Executive
Job Id
386013
Desired Skills
Healthcare

Desired Candidate Profile

Qualifications : BACHELOR OF PHARMACY, BACHELOR OF SCIENCE ( B.Sc Degree ), MASTER OF PHARMACY, MASTER OF SCIENCE

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