PE-Claims HC
Cognizant
Date: 7 hours ago
City: Chennai, 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 requires a keen understanding of Medicare and Medicaid claims ensuring compliance and accuracy. With a focus on night shifts you will contribute to our mission of delivering exceptional healthcare solutions without the need for travel.
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 requires a keen understanding of Medicare and Medicaid claims ensuring compliance and accuracy. With a focus on night shifts you will contribute to our mission of delivering exceptional healthcare solutions without the need for travel.
Responsibilities
- Process claims with a high degree of accuracy ensuring compliance with Medicare and Medicaid regulations.
- Analyze claims data to identify discrepancies and resolve issues promptly.
- Collaborate with team members to streamline claims adjudication processes.
- Maintain up-to-date knowledge of industry standards and regulatory changes.
- Utilize technical skills to enhance claims processing efficiency.
- Communicate effectively with stakeholders to ensure clarity and understanding of claims processes.
- Implement best practices to improve overall claims management.
- Monitor claims processing metrics to ensure timely and accurate adjudication.
- Provide feedback and suggestions for process improvements.
- Support the team in achieving departmental goals and objectives.
- Ensure all claims are processed within established timelines.
- Assist in the development of training materials for new team members.
- Contribute to a positive work environment by fostering collaboration and teamwork.
- Possess strong analytical skills to assess and adjudicate claims accurately.
- Demonstrate proficiency in claims adjudication processes and tools.
- Exhibit a solid understanding of Medicare and Medicaid claims requirements.
- Show excellent communication skills to interact with various stakeholders.
- Have the ability to work effectively in a hybrid work model.
- Display a keen attention to detail to ensure compliance and accuracy.
N / A
How to apply
To apply for this job you need to authorize on our website. If you don't have an account yet, please register.
Post a resumeSimilar jobs
Executive -Corporate Audit Services
Larsen & Toubro,
Chennai, Tamil Nadu
3 days ago
Job SummaryWe are looking for a motivated and detail-oriented Internal Auditor with 1–2 years of experience to the internal audit team of L&T. This role will support the audit process from planning through execution and reporting. The candidate will work under the guidance of senior auditors to evaluate internal controls, ensure compliance, and contribute to improving operational efficiency. The role...
Digital Solutions Marketer
Buckman,
Chennai, Tamil Nadu
4 days ago
DescriptionDigital Solutions Marketing Specialist Location : Chennai, IndiaRequired Language : EnglishEmployment Type : Full TimeSeniority Level : Associate LevelTravelAbout the role:We are looking for a highly motivated Product Marketer for our Digital Solutions Management Team. The position is located in Chennai, India but will support Buckman globally.ResponsibilitiesWork with suppliers globally, and negotiate contracts to secure the best terms for pricing,...
Industrial Digital Engineer
Valeo,
Chennai, Tamil Nadu
4 days ago
Define The Industrial Digitalization Priorities And ObjectivesDefines the Industrial Digitalization priorities and objectives in accordance of PG directives, leading to maximize the Customer Satisfaction and improve the overall operation efficiency on the plant, process development, engineering development, industrial project development;Design and deploy the Industrial Digitalization solutions and standards :Designs the specifications of new features or evolutions to support the industrial...
