Operations Processing Associate

Position’s Overview

We know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees are key factors in our company’s growth, market presence and our ability to help our clients stay a step ahead of the competition.

currently seeks an “HC & Insurance Operations Senior Rep” to join our team in “Coimbatore/Chennai”.

Client’s business problem to solve?

For more than 30 years, our Business Process Outsourcing (BPO) team has implemented the processes and technologies for our clients that bring about real transformation for customers of all sizes. Our end-to-end administrative services help streamline operations, improve productivity and strengthen cash flow to help our customers stay competitive and improve member satisfaction

Position’s General Duties and Tasks

In these roles you will be responsible for:

• Performing actions based on the EOB, Insurance wesbites to collect outstanding Accounts Receivables.
• Identify the outstanding claims with payers through the reports from clients and check website and imaging application with regard to outstanding claims and document the details in the client software for claims resolution.
• Analyzing medical insurance claims for quality assurance
• Resolving moderately routine questions following pre-established guidelines
• Ensuring accurate and timely completion of transactions to meet or exceed client SLA
• Performing routine research on customer inquiries.
• Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the team
• Identify the outstanding claims with payers through the reports from clients
• Check EOB and Insurance websites with regard to outstanding claims
• Coordinate with the team leader in following the processes

Requirements for this role include:

• Ability to work regularly scheduled shifts from Monday-Friday 7:30Am to 5:30Pm IST.
• University degree or equivalent that required 3+ years of formal studies.
• 2+ year(s) of experience using a computer with Windows PC applications that required you to use a keyboard, navigate screens, and learn new software tools.

Preferences:  –

• Ability to communicate (oral/written) effectively to exchange information with our client.

•  *** The shift timings can be changed as per client requirements. Additionally, resources may have to do overtime and work on weekend’s basis business requirement.
• *** All new hires will be required to successfully complete our Orientation/Process training classes and demonstrate proficiency of the material.