PE-Claims HC
Cognizant
Date: 8 hours ago
City: Coimbatore, Tamil Nadu
Contract type: Full time
Job Summary
Join our dynamic team as a PE-Claims HC specialist where you will play a crucial role in processing and adjudicating claims with precision and efficiency. This hybrid role offers the opportunity to work with Medicare and Medicaid claims ensuring compliance and accuracy. With a focus on night shifts you will contribute to our mission of delivering exceptional healthcare services.
Responsibilities
N / A
Join our dynamic team as a PE-Claims HC specialist where you will play a crucial role in processing and adjudicating claims with precision and efficiency. This hybrid role offers the opportunity to work with Medicare and Medicaid claims ensuring compliance and accuracy. With a focus on night shifts you will contribute to our mission of delivering exceptional healthcare services.
Responsibilities
- Process and adjudicate claims with a focus on accuracy and compliance ensuring timely resolution.
- Collaborate with team members to review and analyze Medicare and Medicaid claims identifying discrepancies and resolving issues.
- Utilize technical skills in claims adjudication to streamline processes and enhance efficiency.
- Maintain up-to-date knowledge of industry regulations and standards to ensure compliance in all claims processing activities.
- Communicate effectively with internal and external stakeholders to facilitate smooth claims processing and resolution.
- Monitor and report on claims processing metrics identifying areas for improvement and implementing solutions.
- Provide support and guidance to team members fostering a collaborative and productive work environment.
- Participate in training sessions and workshops to enhance skills and stay informed about industry trends.
- Contribute to the development and implementation of best practices for claims processing and adjudication.
- Ensure all claims are processed in accordance with company policies and procedures maintaining high standards of quality.
- Assist in the preparation of reports and documentation related to claims processing activities.
- Engage in continuous learning and development to enhance technical and domain expertise.
- Support the companys mission by delivering exceptional service and contributing to the overall success of the healthcare claims department.
- Demonstrate proficiency in claims adjudication with a strong understanding of Medicare and Medicaid claims.
- Possess excellent analytical and problem-solving skills to identify and resolve claims discrepancies.
- Exhibit strong communication skills to effectively interact with team members and stakeholders.
- Show a commitment to continuous learning and professional development in the healthcare claims domain.
- Display attention to detail and accuracy in all aspects of claims processing.
- Have the ability to work independently and collaboratively in a hybrid work model.
- Be adaptable to night shift work ensuring consistent performance and productivity.
N / A
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