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TL-Encounters

TL-Encounters

Cognizant

5 - 7 years

15 - 25 Lacs

hyderabad

Posted:12 hours ago| Platform:

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Skills Required

providing process fact workflow payments us healthcare claims adjudication claims processing automation tools continuous improvement team leading service delivery compliance strong communication skills claims processing uipath technical skills communication skills

Work Mode

Work from Office

Job Type

Full Time

Job Description

Job Summary

The TL-Encounters role is pivotal in ensuring the seamless processing and adjudication of claims within our hybrid work model. With a focus on Facets and UiPath the candidate will leverage their expertise in Provider and Payer domains to optimize workflows and enhance operational efficiency. This night shift position requires a proactive approach to problem-solving and a commitment to delivering high-quality results.

Responsibilities

Lead the team in the efficient processing of claims using Facets to ensure accuracy and compliance.

Oversee the automation of routine tasks through UiPath to enhance productivity and reduce manual errors.

Provide expert guidance on claims adjudication processes to ensure timely and accurate settlements.

Collaborate with cross-functional teams to streamline workflows and improve overall service delivery.

Analyze and resolve complex issues related to Provider and Payer domains to support business objectives.

Develop and implement strategies to optimize claims processing and reduce turnaround times.

Monitor system performance and identify opportunities for improvement to enhance operational efficiency.

Ensure adherence to industry regulations and company policies in all claims processing activities.

Facilitate training sessions to upskill team members on the latest tools and technologies.

Conduct regular audits to maintain data integrity and compliance with established standards.

Communicate effectively with stakeholders to provide updates on project progress and challenges.

Drive continuous improvement initiatives to foster innovation and excellence within the team.

Support the development of best practices and standard operating procedures to ensure consistency.

Qualifications

Possess strong technical skills in Facets and UiPath essential for optimizing claims processing.

Demonstrate expertise in claims adjudication crucial for accurate and timely settlements.

Have in-depth knowledge of Provider and Payer domains vital for understanding industry dynamics.

Exhibit excellent problem-solving abilities necessary for resolving complex issues.

Show proficiency in automation tools important for enhancing operational efficiency.

Display strong communication skills essential for effective stakeholder engagement.

Maintain a proactive approach to learning and adapting to new technologies and methodologies.

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