Executive-Back Office-Claims Administration

Job Description: Organizational Relationships

Reports To: Assistant Manager/Lead Assistant Manager

Skills

Desirable Skills • Critical thinking and high independent decision making

• Strong analytical, Reasoning, and Problem solving skills

• Ability to comprehend and write in English for structured written communications. Emails/IMS to be sent to internal teams

• Strong interpersonal and communication skills – both verbal and written
  

Technical Skills • Good computer navigation skills

• Typing speed of 25 Words per Minute with 90% Accuracy

• Proficiency in healthcare information systems

• Ability to navigate through multiple applications

Process Specific Skills • Familiar with US Healthcare domain knowledge and understanding of healthcare regulations (HIPAA)

• Deep understanding of medical coding, billing, and medical terminologies

• Ability to produce high quality in production environment.

Soft skills • Ability to understand and question established process guidelines for possible process improvements

• Attention for detail, and Strong analytical skills for processing medical documentation

• Possess keen sense of acquiring knowledge

• Adaptable and flexible to work in night shifts
  

Education Requirements and Work Experience:

• Bachelor’s degree in relevant field such as Biology, Biochemistry, Biotechnology, BPT, MPT, BDS or degree in medical field

• Computer literacy

• Candidates with relevant business experience will be preferred

Responsibilities: Essential Functions

• Responsible for reviewing and analyzing discrepancies by cross-verifying from different data sources
• Familiar with US Healthcare domain knowledge and understanding of healthcare regulations (HIPAA)
• Deep understanding of medical coding, billing, and medical terminologies
• Attention for detail, and Strong analytical skills for processing medical documentation
• Critical thinking and high independent decision making capability
• Proficiency in healthcare information systems
• Ability to navigate through multiple applications
• Operates with urgency in a real time service environment
• Meets individual goals while assisting team to meet team goals
• Defines, communicates and manages workflow and data coordination to support various implementation related reports (i.e., reporting, inventory, capacity reporting, and ad-hoc reports as needed by management)
May perform other duties as assigned

Performance parameters

• Productivity
• Quality
• Turn Around Time of work assigned
• Attendance & Schedule Adherence

Qualifications: Medical Graduate