Process Executive - Data || Cognizant

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Process Executive - Data

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Cognizant

Location

Chennai / India

Experience

Fresher

Package

INR 5.5 LPA(Expected)

Post Deadline

ASAP

Job Description

Process Executive - Data
We are seeking a dedicated Process Executive - HC with 0 to 1 year of experience to join our team. The ideal candidate will have mandatory technical skills in Claims Adjudication and a keen interest in commercial claims claims and payer domains. This role involves processing and managing healthcare claims efficiently ensuring accuracy and compliance with industry standards.
Responsibilities
-Process healthcare claims accurately and efficiently to ensure timely adjudication.
-Review and analyze claims data to identify discrepancies and ensure compliance with industry standards.
-Collaborate with team members to resolve complex claims issues and provide support as needed.
-Maintain up-to-date knowledge of healthcare regulations and payer policies to ensure accurate claims processing.
-Utilize claims adjudication software to input and manage claims data effectively.
-Communicate with healthcare providers and payers to obtain necessary information for claims processing.
-Monitor and track claims status to ensure timely resolution and payment.
-Provide excellent customer service by addressing inquiries and resolving issues related to claims.
-Participate in training sessions to stay current with industry changes and updates.
-Assist in the development and implementation of process improvements to enhance claims adjudication efficiency.
-Generate reports and analyze claims data to identify trends and areas for improvement.
-Ensure confidentiality and security of patient information in compliance with HIPAA regulations.
-Support the team in achieving departmental goals and objectives through effective claims management.
Qualifications
-Possess a strong understanding of claims adjudication processes and procedures.
-Demonstrate excellent analytical and problem-solving skills.
-Exhibit strong attention to detail and accuracy in claims processing.
-Have good communication skills to interact with healthcare providers and payers.
-Show proficiency in using claims adjudication software and other relevant tools.
-Display the ability to work collaboratively in a team environment.
-Maintain knowledge of healthcare regulations and payer policies.
-Have a basic understanding of commercial claims claims and payer domains.
-Demonstrate the ability to manage multiple tasks and prioritize effectively.