Candidates should possess Graduate or equivalent experience(NO BTECH/BE/MCA/MBA). Result-oriented and goal-driven
Analytical ability: Research skills combined with effective decision-making and superior interpersonal skills
Strong verbal and written communication skills
Ability to accept constructive criticism with being coached and growing as a professional
Critical thinking abilities
Ability to multitask
Must be knowledgably in Microsoft office applications
Excelent typing speed- 30wpm
Provide general claims support by reviewing, researching, investigating, negotiating, processing and adjusting claims.
Authorize the appropriate payment or refers claims to investigators for further review.
Conduct data entry and re-work; analyzes and identifies trends and provides reports as necessary.
Analyze and identify trends and provide reports as necessary
Consistently meet established productivity, schedule adherence, and quality standards
Recognize claims by determining claim type – HCFA, Hospital, UB, and/or RX
Identify more complicated claims and refer them to Senior Claim Processor or Supervisor
Calculate other insurance and re-pricing benefits
Work claims files to ensure the appropriate eligibility and provider records are matched to the claim
pdates and maintains claims tracking database
Experience : Freshers
Salary : Not specified
Job Location : Hyderabad
Qualification : Any Degree
Company Name : United Health Group
Company Address : NA
Company Profile : United Health Group is a leading health care company, serving more than 75 million people worldwide. Our family of companies touches nearly every aspect of health care, helping people live healthier lives.United Health Care Corporation is created in 1997 to reorganize the company and becomes the parent company of Charter Med Incorporated. Since its inception, United Health Group and its affiliated companies have led the marketplace by introducing key innovations that make health care services more accessible and affordable for customers, improve the quality and coordination of health care services, and help individuals and their physicians make more informed health care decisions.
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